Pub Date : 2024-12-21DOI: 10.1016/j.puhip.2024.100579
P. van der Graaf , M.P. Subramanian , J. Gillespie , A. Passey , N.R. Chng , A. Lake , H. Moore
Background
UK local authorities are developing and implementing Whole Systems Approaches to childhood obesity to tackle persistent and complex health inequalities. However, there is a lack of research on the practical application of these approaches. This paper reports on findings of a study into the initial implementation of this approach in Dundee, Scotland.
Study design/methods
We applied a mixed methods research design: 1) semi-structured interviews (n = 9) with partnership members; 2) training members as peer researchers to interview their wider networks; n = 17); 3) an online survey among wider stakeholders (n = 27); and 4) two action learning sets with decision makers. Interview data was analysed using thematic framework analysis and survey data was analysed using descriptive statistics.
Results
Dundee stakeholders stated that they had good knowledge of childhood obesity prevention efforts, but their engagement with working groups around identified priority themes was still limited, due to a lack of awareness about existing structures and knowledge about sustainable, impactful strategies, which were not always well-aligned between key organisations.
Conclusions
Our findings extend current literature on facilitators for Whole Systems Approaches in public health by highlighting that understanding of strategies and wider structures are crucial to build capacity and maintain engagement to address inequalities. We identified an ongoing need for targeted communication and diverse involvement opportunities for different stakeholder groups.
{"title":"Developing and implementing whole systems approaches to reduce inequalities in childhood obesity: A mixed methods study in Dundee, Scotland","authors":"P. van der Graaf , M.P. Subramanian , J. Gillespie , A. Passey , N.R. Chng , A. Lake , H. Moore","doi":"10.1016/j.puhip.2024.100579","DOIUrl":"10.1016/j.puhip.2024.100579","url":null,"abstract":"<div><h3>Background</h3><div>UK local authorities are developing and implementing Whole Systems Approaches to childhood obesity to tackle persistent and complex health inequalities. However, there is a lack of research on the practical application of these approaches. This paper reports on findings of a study into the initial implementation of this approach in Dundee, Scotland.</div></div><div><h3>Study design/methods</h3><div>We applied a mixed methods research design: 1) semi-structured interviews (n = 9) with partnership members; 2) training members as peer researchers to interview their wider networks; n = 17); 3) an online survey among wider stakeholders (n = 27); and 4) two action learning sets with decision makers. Interview data was analysed using thematic framework analysis and survey data was analysed using descriptive statistics.</div></div><div><h3>Results</h3><div>Dundee stakeholders stated that they had good knowledge of childhood obesity prevention efforts, but their engagement with working groups around identified priority themes was still limited, due to a lack of awareness about existing structures and knowledge about sustainable, impactful strategies, which were not always well-aligned between key organisations.</div></div><div><h3>Conclusions</h3><div>Our findings extend current literature on facilitators for Whole Systems Approaches in public health by highlighting that understanding of strategies and wider structures are crucial to build capacity and maintain engagement to address inequalities. We identified an ongoing need for targeted communication and diverse involvement opportunities for different stakeholder groups.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100579"},"PeriodicalIF":2.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984979","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}
Pub Date : 2024-12-20DOI: 10.1016/j.puhip.2024.100564
Poppy Ellis Logan , Gabriella Rundblad , Marian Brooke Rogers , Richard Amlôt , Gideon James Rubin
Background
In disasters, people with certain characteristics repeatedly experience health inequalities. In the UK, people predicted to experience poorer health outcomes are often described as ‘vulnerable’. Various services compile lists of ‘vulnerable’ people eligible for interventions in disasters to reduce health disparities.
Study aim
To explore the viability of current approaches to reducing health inequalities in disasters, we tested whether people typically described as ‘vulnerable’ by public health and emergency planners self-identify as 'vulnerable' in a disaster, and whether they are registered on a ‘vulnerability list’.
Study design
We collected data from 5148 UK-based adults using a cross-sectional online survey from July–September 2022, using nationally representative quotas for age, gender, disability, and social grade.
Methods
We calculated the proportions of respondents with perceived indicators of ‘vulnerability’ who self-described as 'vulnerable during a disaster’, and who reported being on a Priority Service Register or another ‘vulnerability list’. We used odds ratios to assess whether access to resources or risk mitigation plans explained low rates of self-identification as 'vulnerable' and registration.
Results
Among people with perceived indicators of 'vulnerability', self-description as ‘vulnerable in a disaster’ ranged from 22.4 % (of people dependent on false teeth) to 60.7 % (of people reporting significant difficulty running errands alone). Registration on a Priority Service Register ranged from 11.4 % (of people who were pregnant) to 35.7 % (of people reporting difficulties dressing, bathing, or using the toilet independently). Respondents without alternative plans or resources were generally no more likely to consider themselves ‘vulnerable’ or be registered on a 'vulnerability list' than those with alternative plans or resources.
Conclusions
Communications using the term 'vulnerable' may not reach target audiences. Using priority lists to reduce health disparities is impractical as most people facing inequitable risk are not registered. We suggest shifting UK terminology and discourse surrounding disaster risk, focussing on making mainstream strategies inclusive and accessible to reduce health inequalities in disasters.
{"title":"Reducing health inequalities in disasters: A cross-sectional study of the viability of ‘vulnerability’ terminology and of priority lists in the UK","authors":"Poppy Ellis Logan , Gabriella Rundblad , Marian Brooke Rogers , Richard Amlôt , Gideon James Rubin","doi":"10.1016/j.puhip.2024.100564","DOIUrl":"10.1016/j.puhip.2024.100564","url":null,"abstract":"<div><h3>Background</h3><div>In disasters, people with certain characteristics repeatedly experience health inequalities. In the UK, people predicted to experience poorer health outcomes are often described as ‘vulnerable’. Various services compile lists of ‘vulnerable’ people eligible for interventions in disasters to reduce health disparities.</div></div><div><h3>Study aim</h3><div>To explore the viability of current approaches to reducing health inequalities in disasters, we tested whether people typically described as ‘vulnerable’ by public health and emergency planners self-identify as 'vulnerable' in a disaster, and whether they are registered on a ‘vulnerability list’.</div></div><div><h3>Study design</h3><div>We collected data from 5148 UK-based adults using a cross-sectional online survey from July–September 2022, using nationally representative quotas for age, gender, disability, and social grade.</div></div><div><h3>Methods</h3><div>We calculated the proportions of respondents with perceived indicators of ‘vulnerability’ who self-described as 'vulnerable during a disaster’, and who reported being on a Priority Service Register or another ‘vulnerability list’. We used odds ratios to assess whether access to resources or risk mitigation plans explained low rates of self-identification as 'vulnerable' and registration.</div></div><div><h3>Results</h3><div>Among people with perceived indicators of 'vulnerability', self-description as ‘vulnerable in a disaster’ ranged from 22.4 % (of people dependent on false teeth) to 60.7 % (of people reporting significant difficulty running errands alone). Registration on a Priority Service Register ranged from 11.4 % (of people who were pregnant) to 35.7 % (of people reporting difficulties dressing, bathing, or using the toilet independently). Respondents without alternative plans or resources were generally no more likely to consider themselves ‘vulnerable’ or be registered on a 'vulnerability list' than those with alternative plans or resources.</div></div><div><h3>Conclusions</h3><div>Communications using the term 'vulnerable' may not reach target audiences. Using priority lists to reduce health disparities is impractical as most people facing inequitable risk are not registered. We suggest shifting UK terminology and discourse surrounding disaster risk, focussing on making mainstream strategies inclusive and accessible to reduce health inequalities in disasters.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100564"},"PeriodicalIF":2.2,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143093613","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}
Integrating digital technology into daily life has made video games a primary form of entertainment for adolescents worldwide. Despite their benefits, excessive gaming has emerged as a significant public health issue, recognized as a gaming disorder by the World Health Organization in the ICD-11. This study aims to assess the prevalence of gaming disorders among adolescents through a systematic review and meta-analysis.
Study design
Systematic review and meta-analysis.
Methods
A search was conducted across multiple databases until February 15, 2024. Observational studies that assessed the prevalence of gaming disorder were included. Nested Knowledge software was used for screening and data extraction. The quality assessment was performed using the Joanna Briggs Institute tool. Meta-analysis using a random effect model was used to synthesize prevalence rates. Statistical analyses were performed in R software version 4.3.
Results
The meta-analysis included 84 studies covering a diverse geographical scope totaling 641,763 individuals. The pooled prevalence of gaming disorder was 8.6 % (95 % CI: 6.9 %–10.8 %), (I2 = 100 %). Subgroup analysis revealed varying prevalence rates by country, with China reporting the highest rate at 11.7 % (95 % CI: 8.6 %–15.7 %). Meta-regression analysis highlighted an increasing trend in the prevalence of gaming disorder over the years, underscoring the growing impact of digital technologies.
Conclusion
A significant prevalence of gaming disorder among adolescents is observed. With an increasing trend, fostering healthy gaming habits, enhancing awareness, and implementing effective intervention programs are crucial. This emphasizes the importance of global efforts in combating the growing challenge of gaming disorder among adolescents.
{"title":"Burden of gaming disorder among adolescents: A systemic review and meta-analysis","authors":"Prakasini Satapathy , Mahalaqua Nazli Khatib , Ashok Kumar Balaraman , Roopashree R , Mandeep Kaur , Manish Srivastava , Amit Barwal , G.V. Siva Prasad , Pranchal Rajput , Rukshar Syed , Gajendra Sharma , Sunil Kumar , Mahendra Pratap Singh , Ganesh Bushi , Nagavalli Chilakam , Sakshi Pandey , Manvinder Brar , Rachana Mehta , Sanjit Sah , AbhayM. Gaidhane , Shailesh Kumar Samal","doi":"10.1016/j.puhip.2024.100565","DOIUrl":"10.1016/j.puhip.2024.100565","url":null,"abstract":"<div><h3>Objectives</h3><div>Integrating digital technology into daily life has made video games a primary form of entertainment for adolescents worldwide. Despite their benefits, excessive gaming has emerged as a significant public health issue, recognized as a gaming disorder by the World Health Organization in the ICD-11. This study aims to assess the prevalence of gaming disorders among adolescents through a systematic review and meta-analysis.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A search was conducted across multiple databases until February 15, 2024. Observational studies that assessed the prevalence of gaming disorder were included. Nested Knowledge software was used for screening and data extraction. The quality assessment was performed using the Joanna Briggs Institute tool. Meta-analysis using a random effect model was used to synthesize prevalence rates. Statistical analyses were performed in R software version 4.3.</div></div><div><h3>Results</h3><div>The meta-analysis included 84 studies covering a diverse geographical scope totaling 641,763 individuals. The pooled prevalence of gaming disorder was 8.6 % (95 % CI: 6.9 %–10.8 %), (I<sup>2</sup> = 100 %). Subgroup analysis revealed varying prevalence rates by country, with China reporting the highest rate at 11.7 % (95 % CI: 8.6 %–15.7 %). Meta-regression analysis highlighted an increasing trend in the prevalence of gaming disorder over the years, underscoring the growing impact of digital technologies.</div></div><div><h3>Conclusion</h3><div>A significant prevalence of gaming disorder among adolescents is observed. With an increasing trend, fostering healthy gaming habits, enhancing awareness, and implementing effective intervention programs are crucial. This emphasizes the importance of global efforts in combating the growing challenge of gaming disorder among adolescents.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100565"},"PeriodicalIF":2.2,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552075","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}
Pub Date : 2024-12-19DOI: 10.1016/j.puhip.2024.100569
Fábio Rafael Augusto , Cátia Sá Guerreiro , Rita Morais , Joana Mendonça , André Beja , Tiago Correia , Ana Patrícia Hilário
Background
Evidence suggests that healthcare professionals often feel uncomfortable discussing vaccination with patients, largely due to a lack of training on the topic. In line with the scientific evidence gathered from the VAX-TRUST project, it is crucial to invest in training healthcare professionals and developing political measures to effectively address vaccine hesitancy. This paper explores the importance of training healthcare professionals to address vaccine hesitancy and provides concrete strategies for its implementation.
Study design
A quantitative research design was used.
Methods
The findings are based on a comprehensive Delphi survey conducted with a panel of 112 experts. Additionally, the study involved practical interventions carried out across seven European countries, engaging a total of 694 participants. These participants included general practitioners (GPs), paediatricians, nurses, as well as medical and nursing students. This robust and diverse dataset provides a well-rounded perspective on the subject matter, ensuring that the insights gained are both extensive and representative of various healthcare professionals across Europe.
Results
Three key themes emerged from the findings: the need for effective strategies to address communication challenges with vaccine-hesitant individuals, the importance of using evidence-based communication practices to improve these interactions, and the necessity of integrating social scientific knowledge on vaccination into the training of healthcare professionals.
Conclusions
Training healthcare professionals is essential to equip them with skills and knowledge needed to deal with the complexities of vaccine hesitancy. Evidence was gathered on ways to reflect and act to develop this capacity, namely, by increasing the ability to communicate empathetically, responding to patients' concerns with evidence-based information, and to building stronger and more collaborative relationships with them.
{"title":"Addressing vaccine hesitancy in the training of healthcare professionals: Insights from the VAX-TRUST project","authors":"Fábio Rafael Augusto , Cátia Sá Guerreiro , Rita Morais , Joana Mendonça , André Beja , Tiago Correia , Ana Patrícia Hilário","doi":"10.1016/j.puhip.2024.100569","DOIUrl":"10.1016/j.puhip.2024.100569","url":null,"abstract":"<div><h3>Background</h3><div>Evidence suggests that healthcare professionals often feel uncomfortable discussing vaccination with patients, largely due to a lack of training on the topic. In line with the scientific evidence gathered from the VAX-TRUST project, it is crucial to invest in training healthcare professionals and developing political measures to effectively address vaccine hesitancy. This paper explores the importance of training healthcare professionals to address vaccine hesitancy and provides concrete strategies for its implementation.</div></div><div><h3>Study design</h3><div>A quantitative research design was used.</div></div><div><h3>Methods</h3><div>The findings are based on a comprehensive Delphi survey conducted with a panel of 112 experts. Additionally, the study involved practical interventions carried out across seven European countries, engaging a total of 694 participants. These participants included general practitioners (GPs), paediatricians, nurses, as well as medical and nursing students. This robust and diverse dataset provides a well-rounded perspective on the subject matter, ensuring that the insights gained are both extensive and representative of various healthcare professionals across Europe.</div></div><div><h3>Results</h3><div>Three key themes emerged from the findings: the need for effective strategies to address communication challenges with vaccine-hesitant individuals, the importance of using evidence-based communication practices to improve these interactions, and the necessity of integrating social scientific knowledge on vaccination into the training of healthcare professionals.</div></div><div><h3>Conclusions</h3><div>Training healthcare professionals is essential to equip them with skills and knowledge needed to deal with the complexities of vaccine hesitancy. Evidence was gathered on ways to reflect and act to develop this capacity, namely, by increasing the ability to communicate empathetically, responding to patients' concerns with evidence-based information, and to building stronger and more collaborative relationships with them.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100569"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060752","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}
Pub Date : 2024-12-19DOI: 10.1016/j.puhip.2024.100570
Greaves L , Brabete A.C. , Poole N. , Huber E. , Stinson J.
Background
Vaping during pregnancy remains under researched and under reported, making appropriate prevention, health promotion and intervention difficult to design and mount. In this article we assessed the experiences and considerations of women who vape during pregnancy and/or within 2 years post-partum, in order to underpin realistic and informative health information for women and providers in face of conflicting and minimal guidance.
Design
22 interviews were conducted with pregnant and post-partum women who vape(d) nicotine, cannabis, or both during pregnancy and/or after delivery.
Methods
Participants who were pregnant or postpartum were recruited via social media and interviews conducted on Zoom or by telephone, recorded and transcribed. Data were coded in NVivo 12 and analyzed using a combined deductive and inductive approach, and principles of abductive analysis were applied to the data.
Results
Three overarching themes related to decision making about vaping are described: women's agency in information seeking, approaches to assessing information, and ambivalence regarding vaping practices. Women looked for information on the health effects of vaping during pregnancy and made differing decisions in the context of limited research and guidance. At times, family, friends, partners, and internet resources influenced their decisions. Some women dealt with ambivalence by vaping only in private, while alone, and at home or as a convenience. The women were uniformly aware of societal judgement regarding pregnancy and substance use in general and feared being addressed by friends or strangers about vaping.
Conclusion
In the absence of definitive research and unambiguous clinical guidance, the women felt limited in finding accurate advice, but demonstrated agency in information seeking and assessment. Nonetheless, they also recounted their ambivalence regarding their vaping decisions and practices. We created varied knowledge information products to fill this void.
{"title":"Vaping guidance and women's decision-making during pregnancy & postpartum","authors":"Greaves L , Brabete A.C. , Poole N. , Huber E. , Stinson J.","doi":"10.1016/j.puhip.2024.100570","DOIUrl":"10.1016/j.puhip.2024.100570","url":null,"abstract":"<div><h3>Background</h3><div>Vaping during pregnancy remains under researched and under reported, making appropriate prevention, health promotion and intervention difficult to design and mount. In this article we assessed the experiences and considerations of women who vape during pregnancy and/or within 2 years post-partum, in order to underpin realistic and informative health information for women and providers in face of conflicting and minimal guidance.</div></div><div><h3>Design</h3><div>22 interviews were conducted with pregnant and post-partum women who vape(d) nicotine, cannabis, or both during pregnancy and/or after delivery.</div></div><div><h3>Methods</h3><div>Participants who were pregnant or postpartum were recruited via social media and interviews conducted on Zoom or by telephone, recorded and transcribed. Data were coded in NVivo 12 and analyzed using a combined deductive and inductive approach, and principles of abductive analysis were applied to the data.</div></div><div><h3>Results</h3><div>Three overarching themes related to decision making about vaping are described: women's agency in information seeking, approaches to assessing information, and ambivalence regarding vaping practices. Women looked for information on the health effects of vaping during pregnancy and made differing decisions in the context of limited research and guidance. At times, family, friends, partners, and internet resources influenced their decisions. Some women dealt with ambivalence by vaping only in private, while alone, and at home or as a convenience. The women were uniformly aware of societal judgement regarding pregnancy and substance use in general and feared being addressed by friends or strangers about vaping.</div></div><div><h3>Conclusion</h3><div>In the absence of definitive research and unambiguous clinical guidance, the women felt limited in finding accurate advice, but demonstrated agency in information seeking and assessment. Nonetheless, they also recounted their ambivalence regarding their vaping decisions and practices. We created varied knowledge information products to fill this void.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100570"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060797","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}
The disease burden of COVID-19 infection, morbidity, and mortality was unevenly distributed across different population subgroups. A one-size-fits-all approach may not reach all groups. Identifying barriers and drivers that influence behaviour towards COVID-19 public health and social measures (PHSM) is an important step when designing tailored interventions. Using the WHO Tailoring Health Programmes (THP) approach, we performed a situation analysis. The objectives were to identify population subgroups; gain an overview of barriers and drivers to COVID-19 PHSM among subgroups; and interventions and research initiated in the Netherlands.
Study design
A literature scan, interviews and a meeting with experts were held.
Methods
Results were categorised according to the capability, opportunity, and motivation to understand COVID-19 PHSM behaviour.
Results
Different population subgroups have been studied regarding their barriers and drivers for uptake and adherence to COVID-19 PHSM, such as (older) migrant communities. Barriers include language barriers, mis- and disinformation and distrust. Drivers include protecting others and oneself. Network ties play a role, as a barrier and driver. Forty-five interventions and research projects were identified. Several revealed the importance of involving key figures. A lack of monitoring and evaluation of interventions during the pandemic was acknowledged by experts.
Conclusions
The situation analysis reveals that knowledge of the most prevalent barriers and drivers between underserved groups and how to address them with targeted (cost) effective interventions is lacking. With this THP project we aim to develop new or improve existing interventions addressing behaviours towards PHSM among a prioritised population group informed by evidence-based behavioural insights.
{"title":"Barriers and drivers influencing people's behaviour towards COVID-19 public health and social measures in the Netherlands","authors":"Valérie Eijrond , Nora Bünemann , Nicky Renna , Brett Craig , Katrine Bach Habersaat , Hélène Voeten , Pearl Dykstra , Anja Schreijer","doi":"10.1016/j.puhip.2024.100566","DOIUrl":"10.1016/j.puhip.2024.100566","url":null,"abstract":"<div><h3>Background</h3><div>The disease burden of COVID-19 infection, morbidity, and mortality was unevenly distributed across different population subgroups. A one-size-fits-all approach may not reach all groups. Identifying barriers and drivers that influence behaviour towards COVID-19 public health and social measures (PHSM) is an important step when designing tailored interventions. Using the WHO Tailoring Health Programmes (THP) approach, we performed a situation analysis. The objectives were to identify population subgroups; gain an overview of barriers and drivers to COVID-19 PHSM among subgroups; and interventions and research initiated in the Netherlands.</div></div><div><h3>Study design</h3><div>A literature scan, interviews and a meeting with experts were held.</div></div><div><h3>Methods</h3><div>Results were categorised according to the capability, opportunity, and motivation to understand COVID-19 PHSM behaviour.</div></div><div><h3>Results</h3><div>Different population subgroups have been studied regarding their barriers and drivers for uptake and adherence to COVID-19 PHSM, such as (older) migrant communities. Barriers include language barriers, mis- and disinformation and distrust. Drivers include protecting others and oneself. Network ties play a role, as a barrier and driver. Forty-five interventions and research projects were identified. Several revealed the importance of involving key figures. A lack of monitoring and evaluation of interventions during the pandemic was acknowledged by experts.</div></div><div><h3>Conclusions</h3><div>The situation analysis reveals that knowledge of the most prevalent barriers and drivers between underserved groups and how to address them with targeted (cost) effective interventions is lacking. With this THP project we aim to develop new or improve existing interventions addressing behaviours towards PHSM among a prioritised population group informed by evidence-based behavioural insights.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100566"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984920","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}
Pub Date : 2024-12-19DOI: 10.1016/j.puhip.2024.100572
C. Mento , G. Pandolfo , G. Spatari , M.C. Silvestri , I. Formica , A. Bruno , G. Falgares , M.R.A. Muscatello , C. La Barbiera , A. De Carlo
The COVID-19 pandemic has intensified workplace violence (WPV) against healthcare workers, exposing them to unprecedented levels of aggression. Incidents of verbal abuse, threats, and physical assaults have increased, especially in high-stress environments such as emergency departments and intensive care units, exacerbating psychological challenges for healthcare staff. This commentary explores the profound impact of WPV on healthcare workers' mental health and job satisfaction. Dehumanization - treating healthcare workers as resources rather than individuals - is a key factor that fuels aggression and undermines empathy within healthcare settings. WPV not only affects the personal well-being of healthcare professionals but also compromises patient care quality and the efficiency of healthcare systems. Effective strategies are urgently needed to address WPV, such as comprehensive training in de-escalation techniques, organizational policies, and enhanced safety protocols. An integrated approach that combines psychological support, policy reform, and preventive measures is essential to ensure a safer and more resilient healthcare environment for the future.
{"title":"The impact of workplace violence on healthcare workers during and after the COVID-19 outbreak","authors":"C. Mento , G. Pandolfo , G. Spatari , M.C. Silvestri , I. Formica , A. Bruno , G. Falgares , M.R.A. Muscatello , C. La Barbiera , A. De Carlo","doi":"10.1016/j.puhip.2024.100572","DOIUrl":"10.1016/j.puhip.2024.100572","url":null,"abstract":"<div><div>The COVID-19 pandemic has intensified workplace violence (WPV) against healthcare workers, exposing them to unprecedented levels of aggression. Incidents of verbal abuse, threats, and physical assaults have increased, especially in high-stress environments such as emergency departments and intensive care units, exacerbating psychological challenges for healthcare staff. This commentary explores the profound impact of WPV on healthcare workers' mental health and job satisfaction. Dehumanization - treating healthcare workers as resources rather than individuals - is a key factor that fuels aggression and undermines empathy within healthcare settings. WPV not only affects the personal well-being of healthcare professionals but also compromises patient care quality and the efficiency of healthcare systems. Effective strategies are urgently needed to address WPV, such as comprehensive training in de-escalation techniques, organizational policies, and enhanced safety protocols. An integrated approach that combines psychological support, policy reform, and preventive measures is essential to ensure a safer and more resilient healthcare environment for the future.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100572"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029670","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}
Pub Date : 2024-12-14DOI: 10.1016/j.puhip.2024.100562
George N. Okoli , Alexandra Grossman Moon , Alexandra E. Soos , Christine J. Neilson , Hannah Kimmel Supron , Katharine Etsell , Avneet Grewal , Paul Van Caeseele , Caroline Richardson , Diane M. Harper
Objectives
To systematically identify, appraise, and summarise published evidence on individual socioeconomic and health-related factors associated with human papillomavirus (HPV) vaccination initiation and completion among females of paediatric age.
Study design
A global systematic review with meta-analysis (PROSPERO: CRD42023445721).
Methods
We performed a literature search in December 2022 and supplemented the search on August 1, 2023. Appropriate data were pooled using an inverse variance, random-effects model and the results were expressed as odds ratios, with 95 % confidence intervals. A statistically significant point pooled increased/decreased odds of 30–69 % was regarded to be strongly associated, and ≥70 % was very strongly associated.
Results
We included 83 cross-sectional studies. Among several significantly associated factors, being an older girl: 1.67 (1.44–1.93), having health insurance: 1.41 (1.16–1.72), and being in a public school: 1.54 (1.05–2.26) strongly increased the odds of vaccination initiation, and nativity in the country of study: 1.82 (1.33–2.50), use of contraception: 2.00 (1.16–3.46), receipt of influenza vaccination: 1.75 (1.54–2.00) and having visited a healthcare provider: 1.85 (1.51–2.28) in the preceding year very strongly increased the odds of vaccination initiation. Likewise, being an older girl: 1.36 (1.23–1.49) and having visited a healthcare provider in the preceding year: 1.46 (1.05–2.04) strongly increased the odds of vaccination series completion, and school-based vaccination: 3.08 (1.05–9.07), having health insurance: 1.72 (1.27–2.33), and receipt of influenza vaccination in the preceding year: 1.72 (1.62–1.83) very strongly increased the odds of vaccination series completion. We made similar observations when the studies were limited to the United States.
Conclusions
Several individual socioeconomic/health-related factors may determine initiating and completing the HPV vaccination series among paediatric females. These factors provide insights that may be key to identifying girls at increased risk of not being vaccinated and may aid targeted public health messaging.
{"title":"Socioeconomic/health-related factors associated with HPV vaccination initiation/completion among females of paediatric age: A systematic review with meta-analysis","authors":"George N. Okoli , Alexandra Grossman Moon , Alexandra E. Soos , Christine J. Neilson , Hannah Kimmel Supron , Katharine Etsell , Avneet Grewal , Paul Van Caeseele , Caroline Richardson , Diane M. Harper","doi":"10.1016/j.puhip.2024.100562","DOIUrl":"10.1016/j.puhip.2024.100562","url":null,"abstract":"<div><h3>Objectives</h3><div>To systematically identify, appraise, and summarise published evidence on individual socioeconomic and health-related factors associated with human papillomavirus (HPV) vaccination initiation and completion among females of paediatric age.</div></div><div><h3>Study design</h3><div>A global systematic review with meta-analysis (PROSPERO: CRD42023445721).</div></div><div><h3>Methods</h3><div>We performed a literature search in December 2022 and supplemented the search on August 1, 2023. Appropriate data were pooled using an inverse variance, random-effects model and the results were expressed as odds ratios, with 95 % confidence intervals. A statistically significant point pooled increased/decreased odds of 30–69 % was regarded to be strongly associated, and ≥70 % was very strongly associated.</div></div><div><h3>Results</h3><div>We included 83 cross-sectional studies. Among several significantly associated factors, being an older girl: 1.67 (1.44–1.93), having health insurance: 1.41 (1.16–1.72), and being in a public school: 1.54 (1.05–2.26) strongly increased the odds of vaccination initiation, and nativity in the country of study: 1.82 (1.33–2.50), use of contraception: 2.00 (1.16–3.46), receipt of influenza vaccination: 1.75 (1.54–2.00) and having visited a healthcare provider: 1.85 (1.51–2.28) in the preceding year very strongly increased the odds of vaccination initiation. Likewise, being an older girl: 1.36 (1.23–1.49) and having visited a healthcare provider in the preceding year: 1.46 (1.05–2.04) strongly increased the odds of vaccination series completion, and school-based vaccination: 3.08 (1.05–9.07), having health insurance: 1.72 (1.27–2.33), and receipt of influenza vaccination in the preceding year: 1.72 (1.62–1.83) very strongly increased the odds of vaccination series completion. We made similar observations when the studies were limited to the United States.</div></div><div><h3>Conclusions</h3><div>Several individual socioeconomic/health-related factors may determine initiating and completing the HPV vaccination series among paediatric females. These factors provide insights that may be key to identifying girls at increased risk of not being vaccinated and may aid targeted public health messaging.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100562"},"PeriodicalIF":2.2,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972423","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}
Pub Date : 2024-12-10DOI: 10.1016/j.puhip.2024.100561
Michelle Black, Paul Crawshaw, Amy Barnes
{"title":"Work and health: We need to focus on people not institutions","authors":"Michelle Black, Paul Crawshaw, Amy Barnes","doi":"10.1016/j.puhip.2024.100561","DOIUrl":"10.1016/j.puhip.2024.100561","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100561"},"PeriodicalIF":2.2,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972424","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}
The rising prevalence of cesarean deliveries (CD) is a major public health problem worldwide, especially in Bangladesh. This study aims to investigate the prevalence and factors associated with cesarean deliveries in the Jashore district of Bangladesh.
Study design
This cross-sectional study, conducted from December 2022 to February 2023 in Jashore district, Bangladesh, involved face-to-face interviews with 662 mothers during hospital visits.
Methods
A pretested, structured, and validated questionnaire was employed to gather information on socioeconomic characteristics, obstetric history, maternal healthcare utilization, and factors influencing the choice of delivery method. Multinomial logistic regression models were employed to assess and predict determining factors influencing cesarean delivery.
Results
The study revealed a high cesarean delivery (CD) prevalence of 70.5 %, exceeding the WHO-recommended threshold. Key socioeconomic factors associated with increased CD rates included rural residence, younger maternal age (15–20 years), nuclear family structure, and husbands in business. Additionally, private hospital deliveries, a history of previous CD, maternal self-preference, and doctor's influence were significant predictors of CD. The majority of participants believed CD enhances maternal safety (74.6 %) and alleviates pain (74.8 %).
Conclusion
The high rate of cesarean deliveries in Jashore highlights the need for public health interventions that improve access to quality maternal care and promote evidence-based decision-making. Reducing unnecessary cesarean procedures, particularly in private hospitals, and enhancing patient education can significantly improve maternal and neonatal health outcomes.
{"title":"Cesarean delivery and its determining factors: A hospital-based study in Jashore District, Bangladesh","authors":"Md. Sakhawot Hossain , Suvasish Das Shuvo , Sharmin Asha , Md. Raihan Chodhoury , Md. Toufiq Elahi","doi":"10.1016/j.puhip.2024.100558","DOIUrl":"10.1016/j.puhip.2024.100558","url":null,"abstract":"<div><h3>Background</h3><div>The rising prevalence of cesarean deliveries (CD) is a major public health problem worldwide, especially in Bangladesh. This study aims to investigate the prevalence and factors associated with cesarean deliveries in the Jashore district of Bangladesh.</div></div><div><h3>Study design</h3><div>This cross-sectional study, conducted from December 2022 to February 2023 in Jashore district, Bangladesh, involved face-to-face interviews with 662 mothers during hospital visits.</div></div><div><h3>Methods</h3><div>A pretested, structured, and validated questionnaire was employed to gather information on socioeconomic characteristics, obstetric history, maternal healthcare utilization, and factors influencing the choice of delivery method. Multinomial logistic regression models were employed to assess and predict determining factors influencing cesarean delivery.</div></div><div><h3>Results</h3><div>The study revealed a high cesarean delivery (CD) prevalence of 70.5 %, exceeding the WHO-recommended threshold. Key socioeconomic factors associated with increased CD rates included rural residence, younger maternal age (15–20 years), nuclear family structure, and husbands in business. Additionally, private hospital deliveries, a history of previous CD, maternal self-preference, and doctor's influence were significant predictors of CD. The majority of participants believed CD enhances maternal safety (74.6 %) and alleviates pain (74.8 %).</div></div><div><h3>Conclusion</h3><div>The high rate of cesarean deliveries in Jashore highlights the need for public health interventions that improve access to quality maternal care and promote evidence-based decision-making. Reducing unnecessary cesarean procedures, particularly in private hospitals, and enhancing patient education can significantly improve maternal and neonatal health outcomes.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100558"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746657","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号