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Anemia in Children Aged 4 to 8 from a Semirural Community in Central East Area of Argentina 阿根廷中东部地区一个半农村社区4至8岁儿童的贫血
Pub Date : 2016-03-03 DOI: 10.12927/WHP.2016.24517
M. Ciarmela, B. Pezzani, M. I. Larrain, Cecilia P. Martínez, M. Minvielle
We present the results of the first stage of the Program for the Control of Intestinal Parasitosis and Nutrition, analyzing the frequency of anemia and its relation with intestinal parasitic infections and socio-cultural and environmental factors present in school children from a semirural community of Argentina. A total of 123 children aged 4-8 years were interviewed; 93 (75.6%) of them showed up for blood extraction and a fecal sample was taken properly. The frequency of anemia was 33.3%; 45.0% in children aged 4-5 years and 24.5% in those aged 6-8 years (p=0.038). Intestinal parasites were found in 83.9% of the children; 75.0% in children aged 4-5 years and 90.6% in those aged 6-8 years (p=0.043). No statistical differences were found when relating parasitic infections, social/cultural variables and housing characteristic with anemia, probably of nutritional origin. This study reveals the coexistence of anemia and parasitic infections in apparently healthy children who were unnoticed by the conventional public health system.
我们介绍了控制肠道寄生虫病和营养计划第一阶段的结果,分析了阿根廷一个半农村社区学龄儿童贫血的频率及其与肠道寄生虫感染的关系以及社会文化和环境因素。调查对象为123名4 ~ 8岁儿童;其中93例(75.6%)到医院抽血,并正确采集粪便样本。贫血发生率为33.3%;4 ~ 5岁为45.0%,6 ~ 8岁为24.5% (p=0.038)。83.9%的儿童检出肠道寄生虫;4 ~ 5岁患病率为75.0%,6 ~ 8岁患病率为90.6% (p=0.043)。当将寄生虫感染、社会/文化变量和住房特征与贫血(可能是营养来源)联系起来时,没有发现统计学差异。这项研究揭示了贫血和寄生虫感染共存在表面上健康的儿童谁是被忽视的传统公共卫生系统。
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引用次数: 0
A Review of Ethics in Health Services and Policy: A Global Approach 卫生服务和政策伦理审查:一种全球方法
Pub Date : 2011-08-25 DOI: 10.12927/WHP.2011.22516
E. Mitchell
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引用次数: 0
Book Review: Why Are Our Babies Dying? Pregnancy, Birth and Death in America 书评:为什么我们的婴儿会死去?美国的怀孕、出生和死亡
Pub Date : 2008-03-15 DOI: 10.12927/WHP.2008.19580
A. Khaliq
is well known to sociologists and public health professionals that infant mortality rates among people of colour in some parts of the US are similar to those in developing countries. Based on the author’s involvement over many years with the Syracuse Healthy Start program, the book provides a thorough examination of factors that contribute to high rates of infant mortality and negative birth outcomes among young women of colour. Using the conceptual framework of structural violence theory, Lane provides overwhelming evidence of the role of socio-economic risk factors as predictors of infant mortality. In examining the role of factors associated with negative birth outcomes and infant mortality among women of colour, as opposed to that of personal responsibility, the author leans heavily on social and environmental factors to explain disparities in these public health indicators. This detailed case study of the Syracuse inner-city population underscores the role of socio-economic risk factors as generalizable determinants of infant mortality throughout the country and, in some respects, globally as well. The book also provides an example of the unintended and often undesirable effects of social and environmental restructuring programs such as urban renewal. Lane uses the ecosystem approach to illustrate the impact of a host of social and environmental conditions on the health and well-being of affected communities at large and on specific healthBook Review Why Are Our Babies Dying? Pregnancy, Birth and Death in America
社会学家和公共卫生专业人员都知道,美国一些地区有色人种的婴儿死亡率与发展中国家相似。基于作者多年来参与锡拉丘兹健康启动计划,这本书提供了一个全面的因素,有助于高婴儿死亡率和有色人种年轻女性的负面分娩结果。利用结构性暴力理论的概念框架,莱恩提供了压倒性的证据,证明社会经济风险因素作为婴儿死亡率预测因素的作用。在审查与有色人种妇女的负面生育结果和婴儿死亡率有关的因素的作用而不是个人责任时,提交人严重依赖社会和环境因素来解释这些公共卫生指标的差异。这项对锡拉丘兹市中心人口的详细案例研究强调了社会经济风险因素作为全国乃至全球婴儿死亡率的普遍决定因素的作用。本书还提供了一个例子,说明了诸如城市更新等社会和环境重组项目的意外和往往不受欢迎的影响。莱恩使用生态系统的方法来说明一系列社会和环境条件对受影响社区的健康和福祉的影响,以及对特定健康的影响。美国的怀孕、出生和死亡
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引用次数: 0
Factors Influencing Women Receiving Safe Child-Delivery Care in Bangladesh 影响孟加拉国妇女接受安全分娩护理的因素
Pub Date : 2006-10-15 DOI: 10.12927/WHP.2006.18510
S. Kabir
Worldwide every minute of every day a woman dies of pregnancy-related complications resulting in 586000 women dying each year. Estimates of the maternal mortality ratio in Bangladesh range from 320 to 400 maternal deaths per 100000 live births which is considerably higher compared to other developing countries (Hill et al. 2001). The majority of these deaths could be prevented if professionally skilled health personnel were present during child-delivery. Despite the availability of primary healthcare infrastructure at the grassroots level home births are still common in Bangladesh (90%). About 44% of women do not receive antenatal care. Overall 71% of urban women receive antenatal care from a medically trained person compared with 43% of rural women. Only about 13% of women delivered their most recent baby with the assistance of a professionally skilled health provider. This paper examines the factors that influence women receiving safe child-delivery care in Bangladesh using multivariatelogistic regression analysis of Bangladesh Demographic and Health Survey (BDHS) 2004 data. The study shows that demographic and socio-economic factors were the most important aspects that influence women receiving safe child-delivery care in Bangladesh. The independent factors influencing women receiving safe child-delivery care included maternal age antenatal checkup problems during delivery education of mothers place of residence and household economic status. (authors)
全世界每天每分钟就有一名妇女死于与妊娠有关的并发症,导致每年有586000名妇女死亡。据估计,孟加拉国的产妇死亡率为每10万例活产320至400例,与其他发展中国家相比要高得多(Hill等人,2001年)。如果在分娩期间有专业的保健人员在场,这些死亡中的大多数是可以避免的。尽管在基层有初级保健基础设施,但在家分娩在孟加拉国仍然很常见(90%)。约44%的妇女没有得到产前护理。总体而言,71%的城市妇女从受过医学培训的人员那里得到产前护理,而农村妇女的这一比例为43%。只有约13%的妇女在有专业技能的保健人员的帮助下分娩。本文利用2004年孟加拉国人口与健康调查(BDHS)数据的多变量回归分析,探讨了影响孟加拉国妇女接受安全分娩护理的因素。研究表明,人口和社会经济因素是影响孟加拉国妇女接受安全分娩护理的最重要因素。影响妇女接受安全分娩护理的独立因素包括产妇年龄、分娩期间产前检查问题、母亲的居住地教育和家庭经济状况。(作者)
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引用次数: 5
Indoor Air Pollution in India and a Baby's Size at Birth: Is there a Link? 印度室内空气污染与婴儿出生时的体型有关系吗?
Pub Date : 2006-10-15 DOI: 10.12927/WHP.2006.18511
Saswata Ghosh
An association between exposure to biofuels and adverse pregnancy outcomes has been reported in some developing countries of Asia and Latin America. In India where more than 70% of households use biomass for cooking and heating purposes hardly any research has been done to find out if there is a possible link between exposure to biofuels and adverse pregnancy outcomes. In the present study an attempt has been made to find out if there is a plausible link between indoor air pollution (as determined by exposure to biofuels) and a babys size at birth (a proxy for low birth weight) in India by using data from the National Family Health Survey 1998-99. The results of logistic regressions show that using biomass as cooking fuel is a very significant predictor in determining a babys size at birth even after controlling for a number of confounding variables. In addition there are other demographic socio-economic and spatial characteristics that have a very significant influence in determining the size of a baby at birth in India. (authors)
据报道,在亚洲和拉丁美洲的一些发展中国家,接触生物燃料与不良妊娠结果之间存在关联。在印度,超过70%的家庭使用生物燃料做饭和取暖,几乎没有任何研究发现接触生物燃料和不良妊娠结局之间是否存在可能的联系。在本研究中,通过使用1998- 1999年全国家庭健康调查的数据,试图找出印度室内空气污染(由接触生物燃料确定)与婴儿出生时体型(低出生体重的代表)之间是否存在似是而非的联系。逻辑回归的结果表明,使用生物质作为烹饪燃料是一个非常重要的预测在确定婴儿出生时的大小,即使控制了一些混杂变量。此外,还有其他人口、社会经济和空间特征对决定印度出生婴儿的体型有非常重大的影响。(作者)
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引用次数: 5
Health-Seeking Behaviour of People with Arsenicosis in Rural Bangladesh 孟加拉国农村地区砷中毒患者的求医行为
Pub Date : 2006-10-15 DOI: 10.12927/WHP.2006.18392
B. Paul
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引用次数: 5
Editorial Comment on Ungar, "Paediatric Health Economic Evaluations: A World View" Ungar《儿科卫生经济评价:一种世界观》社论评论
Pub Date : 2006-10-15 DOI: 10.12927/WHP.2006.18474
J. Paul
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引用次数: 0
Hypertension in Rural Haitians: Its Relation to Weight* 海地农村高血压:与体重的关系*
Pub Date : 2006-10-15 DOI: 10.12927/WHP.2006.18546
R. Niska
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引用次数: 4
Knowledge of the Health Consequences of Female Genital Mutilation in Bere Community, Oyo State, Nigeria 尼日利亚奥约州here社区残割女性生殖器官对健康后果的了解
Pub Date : 2006-10-15 DOI: 10.12927/WHP.2006.18450
A. Adeneye, E. A. Oke, A. Adeneye
Estimates suggest that more than 130 million girls and women have been subjected to the various forms of female genital mutilation (FGM) worldwide. This paper discusses FGM and the perception of its consequences on womens reproductive health in Bere community Ibadan Southwest Nigeria. Data were collected through household surveys using semi-structured questionnaires in-depth interviews and focus group discussions. Results showed that 93% of women surveyed were circumcised. One hundred per cent of these circumcised women believed that FGM enhances womens fertility and they attributed their previous safe childbirths (without complications) to being circumcised. A few respondents (33.6%) were aware of the health consequences of FGM. Most respondents (76%) were not willing to stop the practice. Male respondents had better knowledge of the consequences of FGM than female respondents. Similarly younger respondents and those with higher education knew the health consequences of FGM more than the older respondents and those with little or no education (p < 0.05). The findings suggest the need for appropriate health education interventions targeting people in communities where FGM is pervasive emphasizing the consequences of FGM. (authors)
据估计,全世界有超过1.3亿女童和妇女遭受各种形式的女性生殖器切割。本文讨论了女性生殖器切割及其对尼日利亚西南部伊巴丹贝雷社区妇女生殖健康后果的看法。数据是通过采用半结构化问卷、深度访谈和焦点小组讨论的入户调查收集的。结果显示,93%的受访女性接受了包皮环切手术。这些割过包皮的妇女中百分之百认为,切割女性生殖器官可以提高妇女的生育能力,她们把以前的安全分娩(没有并发症)归功于割过包皮。少数答复者(33.6%)知道切割女性生殖器官对健康造成的后果。大多数受访者(76%)不愿意停止这种做法。男性应答者比女性应答者更了解女性生殖器切割的后果。同样,年轻的受访者和受过高等教育的受访者比年长的受访者和受过很少或没有受过教育的受访者更了解女性生殖器切割的健康后果(p < 0.05)。研究结果表明,有必要针对女性生殖器切割普遍存在的社区开展适当的健康教育干预,强调女性生殖器切割的后果。(作者)
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引用次数: 6
Do women know about what to do with skipped pills: Evidence from rural Bangladesh 妇女知道如何处理漏药吗:来自孟加拉国农村的证据
Pub Date : 2003-08-08 DOI: 10.12927/WHP.2013.17626
M. A. Khan
The present study examines knowledge about correct actions with skipped oral contraceptive pills in rural Bangladesh. Although the majority of the pill users knew about what to do with one skipped pill, about one in ten had the correct knowledge about actions with two or three skipped pills. Logistic regression analysis identified predictors of correct knowledge about actions with the skipped pills. The present study underscores the need for providing women with more comprehensive, reliable, and updated information about how to take pills correctly.
本研究调查了孟加拉国农村地区关于跳过口服避孕药的正确行为的知识。虽然大多数服用避孕药的人知道如何服用一粒未服用的药丸,但大约十分之一的人对服用两粒或三粒未服用的药丸有正确的认识。逻辑回归分析确定了对逃药行为的正确认识的预测因子。目前的研究强调了为女性提供更全面、可靠和最新的关于如何正确服用药物的信息的必要性。
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World health and population
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