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The suggestive nature of words. Media coverage of homeopathy, acupuncture, reiki and Bach flower remedies in Spanish press 2011-2016. 词语的暗示性。媒体报道顺势疗法,针灸,灵气和巴赫花疗法在西班牙出版社2011-2016。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2022-10-24 DOI: 10.1017/S0021932022000384
Sergi Cortiñas-Rovira, Bertran Salvador-Mata

The maxim of proponents of pseudoscience is to spread ignorance through false perceptions of its scientific status. One of its most attractive - and simultaneously harmful - manifestations is complementary and alternative medicine (CAM). Despite the scientific evidence against them, CAM has taken hold in today's society as a therapeutic model for a growing segment of the population. We analysed 379 articles on homeopathy, acupuncture, reiki and Bach flower remedies published in mainstream Spanish newspapers (El País, El Mundo, La Vanguardia, El Periódico and ABC) for the period 2011-2016, finding that disinformation is participated in actively by the Spanish press. CAM content was detected in these newspapers, together with a lack of an editorial perspective. In most of the cases, the uncritical articles were found in the interpretive genre and the society section. We also characterized the pseudoscientific discourse aimed at the public, finding that it is irrational and fraudulent in sowing fear and distrust regarding science. On the basis of theories invalidated by the scientific method and on appeals to the emotions, pseudoscience not only threatens scientific knowledge, but directly undermines public health by encouraging the abandonment of conventional medicine. In order to remedy this situation, better scientific training, informative screening and editorial commitment is urgently needed in the Spanish press.

伪科学支持者的格言是通过对其科学地位的错误认知来传播无知。它最吸引人的同时也是有害的表现之一是补充和替代医学(CAM)。尽管有科学证据对他们不利,但CAM作为一种治疗模式在当今社会中已经占据了越来越多的人口。我们分析了2011-2016年期间西班牙主流报纸(El País、El Mundo、La Vanguardia、El Periódico和ABC)上发表的379篇关于顺势疗法、针灸、灵气和巴赫花疗法的文章,发现西班牙媒体积极参与虚假信息。在这些报纸上发现了CAM内容,同时也缺乏编辑视角。在大多数情况下,不加批判的文章出现在解释类型和社会部分。我们还对针对公众的伪科学话语进行了定性,发现它在散播对科学的恐惧和不信任方面是不合理和欺骗性的。基于被科学方法否定的理论和对情感的呼吁,伪科学不仅威胁科学知识,而且通过鼓励放弃传统医学直接破坏公众健康。为了纠正这种情况,西班牙新闻界迫切需要更好的科学培训、信息筛选和编辑承诺。
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引用次数: 0
Gender differences in social environmental factors of psychological distress among Indonesian adolescents: Findings from the 2015 Global School-based Student Health Survey. 印尼青少年心理困扰的社会环境因素的性别差异:2015年全球学校学生健康调查结果。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2022-11-02 DOI: 10.1017/S0021932022000426
I Gusti Ngurah Edi Putra, Putu Erma Pradnyani, Gede Wirabuana Putra, Ni Luh Eka Purni Astiti, Ni Wayan Derayanti, Ni Nyoman Astri Artini, Putu Ayu Swandewi Astuti, Tashi Dendup, Zubair Ahmed Ratan

Background: This study aimed to investigate gender differences in social environmental factors of psychological distress among Indonesian adolescents.

Methods: This was a cross-sectional study using the data from the 2015 Indonesia Global School-based Student Health Survey. Binary logistic regression was used to assess the influences of main independent variables - social environmental factors (i.e., peer support, having close friends, bullying victimisation, physical fight, physical attack, parental supervision, connectedness, bonding), demographic characteristics, and health-related behaviours on the measures of psychological distress (loneliness, anxiety-induced sleep disturbance, and a combination of both measures as psychological distress).

Results: The prevalence of psychological distress measured as loneliness, anxiety-induced sleep disturbance, and combined psychological distress was 6.12%, 4.52%, and 8.04%, respectively. Findings from multivariate analyses indicated that bullying victimisation, physical attack, experience of hunger (a proxy of socioeconomic status), and sedentary behaviour were associated with all measures of psychological distress. Meanwhile, age, gender, drug use, parental connectedness and bonding, and having no close friends were correlates of one or two measures of psychological distress. Based on gender-stratified analyses, experience of hunger, sedentary behaviour, bullying victimisation, and having no close friends were consistently associated with measures of psychological distress among both girls and boys. In addition, the influence of some social environmental factors, such as parental connectedness, peer support, and physical attack, were more salient among girls.

Conclusions: The findings suggest that social environmental factors, demographic characteristics, and health-related behaviours were associated with psychological distress, and the associations appeared to differ by gender. Interventions that include improving positive social environmental factors (e.g., reducing interpersonal violence, encouraging positive relationships with parents and peers) and promoting healthy behaviours (e.g., less sedentary behaviour, preventing substance use) might help reduce the risk of psychological distress among Indonesian adolescents.

背景:本研究旨在调查印尼青少年心理困扰的社会环境因素的性别差异。方法:这是一项横断面研究,使用了2015年印尼全球学校学生健康调查的数据。二元逻辑回归用于评估主要自变量的影响——社会环境因素(即同伴支持、有亲密朋友、欺凌受害者、肢体冲突、身体攻击、父母监督、联系、纽带)、人口统计学特征,以及与健康相关的行为对心理困扰的测量(孤独、焦虑引起的睡眠障碍,以及两者的组合作为心理困扰)。结果:心理困扰的患病率分别为6.12%、4.52%和8.04%。多元分析的结果表明,欺凌受害者、身体攻击、饥饿经历(社会经济地位的代表)和久坐行为与心理困扰的所有衡量标准都相关。同时,年龄、性别、吸毒、父母的联系和亲密关系,以及没有亲密朋友,都与一两种心理困扰相关。根据性别分层分析,饥饿、久坐行为、欺凌受害者和没有亲密朋友的经历始终与女孩和男孩的心理困扰相关。此外,一些社会环境因素的影响,如父母关系、同伴支持和身体攻击,在女孩中更为突出。结论:研究结果表明,社会环境因素、人口特征和健康相关行为与心理困扰有关,而且这种关联似乎因性别而异。干预措施包括改善积极的社会环境因素(如减少人际暴力,鼓励与父母和同龄人建立积极关系)和促进健康行为(如减少久坐行为,防止药物使用),可能有助于降低印尼青少年心理困扰的风险。
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引用次数: 2
Factor Associated with HIV/AIDS knowledge among males: Findings from 2017-18 Pakistan Demographic and Health Survey. 男性中与HIV/AIDS知识相关的因素:2017-18年巴基斯坦人口与健康调查结果。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2023-01-16 DOI: 10.1017/S0021932022000542
Jamal Abdul Nasir, Muhammad Danish Khan, Syed Arif Ahmed Zaidi

Acquired immune deficiency syndrome (UNAIDS) has risen as the serious public health problem across the world. Knowledge about HIV/AIDS is the cornerstone for prevention and treatment. Research is needed to explore the attitude and the effect of different demographic, geographic, and socioeconomic and media exposure factors on males knowledge about HIV in Pakistan. In this study, latest secondary data are used from Pakistan Demographic and Health Survey 2017-18. Sample results show that the majority of the respondents (70%) have knowledge about AIDS. Regression Modeling reveals that man's knowledge about HIV/AIDS is associated with age, place of residence, educational level, wealth index, ethnicity and media exposure factors. Males of age group 35-39, with higher education, belonging to Pukthon ethnicity, having exposure to mass media on a daily basis and belonging to richest wealth quintile has high Knowledge of HIV/AIDS. For example, the regression model predicts that men between the ages of 35 and 39 from Islamabad who live in urban areas, have higher education, are of Pukhtoon ethnicity, are the head of the household, belong to the richest quintile, work in professional occupations, and use media exposure factors on a daily basis would have probability of 97% of having knowledge of HIV/AIDS. But there is still need to focus to increase the men's knowledge of HIV/AIDS.

获得性免疫缺陷综合征(UNAIDS)已成为世界各地严重的公共卫生问题。关于艾滋病毒/艾滋病的知识是预防和治疗的基石。需要研究不同的人口、地理、社会经济和媒体暴露因素对巴基斯坦男性艾滋病知识的态度和影响。在本研究中,使用了2017-18年巴基斯坦人口与健康调查的最新二次数据。抽样结果显示,大多数受访者(70%)对艾滋病有了解。回归模型显示,男性对艾滋病毒/艾滋病的了解与年龄、居住地、教育水平、财富指数、种族和媒体曝光因素有关。35-39岁年龄组的男性,受过高等教育,属于普克顿族,每天接触大众媒体,属于最富有的五分之一财富群体,对艾滋病毒/艾滋病有很高的了解。例如,回归模型预测,伊斯兰堡35岁至39岁的男性,居住在城市地区,受过高等教育,普赫图恩族,是一家之主,属于最富有的五分之一人口,从事专业职业,每天使用媒体曝光因素,有97%的概率了解艾滋病毒/艾滋病。但是,仍然需要重点提高男子对艾滋病毒/艾滋病的认识。
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引用次数: 1
Does healthcare decision-making capacity affect women's justification of sexual violence? The situation of sub-Saharan Africa. 医疗保健决策能力是否影响妇女为性暴力辩护?撒哈拉以南非洲的局势。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2023-01-23 DOI: 10.1017/S0021932022000487
Linus Baatiema, Edward Kwabena Ameyaw, Bright Opoku Ahinkorah, Abdul-Aziz Seidu, Elijah Yendaw, Aliu Moomin

Sexual violence against women is commonly justified in sub-Saharan Africa (SSA) despite international commitments to halt it. This study investigated the association between healthcare decision-making capacity and the justification of sexual violence among women in SSA. We used current datasets of 30 sub-Saharan African countries published between January 2010 and December 2018. The sample included 259,885 women who were in sexual unions. We extracted and analysed the data with Stata version 14. Chi-square test and multilevel logistic regression models were used to analyse the data. Results for the regression analysis were presented as adjusted odds ratios (AOR) with their corresponding 95% confidence intervals (CIs). The results showed that women who decided on their healthcare alone had lower odds [AOR=0.93; CI=0.91-0.96] of justifying sexual violence compared to those who were not deciding alone. We also found that women aged 45-49 [AOR=0.85; CI=0.82-0.89], those with higher education [AOR=0.26; CI=0.24-0.29], cohabiting women (AOR=0.82, CI=0.80-0.85], richest women [AOR= 0.58; CI=0.56-0.60], women living in urban areas [AOR=0.74; CI=0.73-0.76], and Christians [AOR=0.52; CI=0.51-0.54] had lower odds of justifying wife beating if a woman refuses to have sex with her partner. On the contrary, women who engaged in agriculture had higher odds of justifying sexual violence than those who were not working [AOR=1.07; CI=1.04-1.09]. Groups that should be prioritised with anti-sexual violence initiatives are the poor, rural residents, and young women. It is also vital to institute policies and interventions focused on educating men about women's right to make decisions, and why partner violence is unjust and intolerable.

尽管国际社会承诺制止对妇女的性暴力,但在撒哈拉以南非洲地区,对妇女的性侵通常是合理的。这项研究调查了撒哈拉以南地区妇女的医疗决策能力与性暴力正当性之间的关系。我们使用了2010年1月至2018年12月期间发布的30个撒哈拉以南非洲国家的当前数据集。样本包括259885名处于性结合状态的女性。我们使用Stata版本14提取并分析了数据。采用卡方检验和多水平logistic回归模型对数据进行分析。回归分析的结果以调整比值比(AOR)及其相应的95%置信区间(CI)表示。结果显示,与不单独决定的女性相比,单独决定医疗保健的女性证明性暴力的几率较低[AOR=0.93;CI=0.91-0.96]。我们还发现45-49岁的女性[AOR=0.85;CI=0.82-0.89]、受过高等教育的女性[AOR=0.26;CI=0.24-0.29],同居女性(AOR=0.82,CI=0.80-0.85])、最富有的女性(AOR=0.58;CI=0.56-0.60])、生活在城市地区的女性(AOR=0.74;CI=0.73-0.76])和基督徒(AOR=0.52;CI=0.51-0.54])在女性拒绝与伴侣发生性关系的情况下,为殴打妻子辩护的几率较低。相反,从事农业的女性比不工作的女性更有可能为性暴力辩护[AOR=1.07;CI=1.04-1.09]。反性暴力倡议应优先考虑的群体是穷人、农村居民和年轻妇女。同样重要的是,制定政策和干预措施,重点教育男性妇女的决策权,以及为什么伴侣暴力是不公正和不可容忍的。
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引用次数: 0
Regional variations in the acceptance and experience of intimate partner violence in Nigeria: Revisiting cosmopolitan-success and conservative-failure hypothesis. 尼日利亚亲密伴侣暴力接受和经历的区域差异:重新审视世界性成功和保守性失败假说。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2022-12-27 DOI: 10.1017/S0021932022000463
Tunde A Alabi, Mark J Ramsden

This study investigates regional variations in the factors associated with acceptance and actual experience of intimate partner violence (IPV) among married women in northern and southern Nigeria - two regions with distinct socio-cultural and economic differences. Data from the 2018 demographic and health survey are analysed to compare these two regions. The sample comprised married/living-with-partner women within the reproductive age of 15-49. Overall, a positive association exists between IPV experience and IPV acceptance, regardless of which is used as the outcome variable. Contrary to the notion that IPV is prevalent where its acceptance is high, this study finds that the reverse is true. IPV acceptance is significantly higher in the north than in the south (39.4% versus 14.7%), but the reverse is the case for the actual experience of IPV (20.1% versus 24.7%). Being employed and having access to the internet reduce the odds of IPV victimisation for women in the south, but increases the chances for northern women. Muslims in the north have significantly higher odds of IPV acceptance than their Christian counterparts in the same region, but the reverse is the case in the south. Regional differences also exist in the influence of decision-making, educational difference between spouses, and media exposure. While the cosmopolitan-success and conservative-failure hypothesis explains the regional differences in the acceptance of IPV, it fails to explain differences in the actual experience of IPV. The study provides alternative explanations for the regional differences in the experience of IPV and acceptance of it in Nigeria, and it points to the need for differing intervention programmes across regions. Notably, the study found that the association between justification of IPV and actual experience of it is bi-directional and suggests caution in making causal inferences.

这项研究调查了尼日利亚北部和南部已婚妇女接受亲密伴侣暴力和实际经历的相关因素的区域差异,这两个地区有着明显的社会文化和经济差异。对2018年人口与健康调查的数据进行了分析,以比较这两个地区。样本包括15-49岁生殖年龄内的已婚/同居女性。总体而言,无论哪一个被用作结果变量,IPV体验和IPV接受度之间都存在正相关。与IPV在接受度高的地方流行的观点相反,本研究发现情况恰恰相反。北方对IPV的接受率明显高于南方(39.4%对14.7%),但IPV的实际经历则相反(20.1%对24.7%)。就业和上网降低了南方女性遭受IPV伤害的几率,但增加了北方女性的机会。北方的穆斯林接受IPV的几率明显高于同一地区的基督徒,但南方的情况正好相反。在决策的影响、配偶之间的教育差异和媒体曝光方面也存在地区差异。世界性成功和保守性失败假说解释了接受IPV的地区差异,但未能解释IPV实际经验的差异。该研究为尼日利亚IPV经验和接受程度的区域差异提供了替代解释,并指出需要在不同地区实施不同的干预方案。值得注意的是,该研究发现,IPV的正当性和实际经历之间的联系是双向的,并表明在进行因果推断时要谨慎。
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引用次数: 2
Factors influencing the sex ratio at birth in the United States from a historical perspective. 从历史角度看影响美国出生性别比的因素。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2023-01-16 DOI: 10.1017/S0021932022000554
Jesús J Sánchez-Barricarte

Many of the studies on the sex ratio at birth (SRB) are based on a small number of cases over a short period of time. Taking a multivariate approach to a dataset consisting of nearly 199 million birth records in the United States from 1968 to 2019, we present a detailed analysis of several possible factors that might affect the sex ratio at birth (SRB) and its patterns of variation. We found that race/ethnicity is the variable with the strongest influence on this index. Parental age, birth order and solar radiation also have a bearing on the SRB, albeit only to a moderate degree. The historical evolution of the SRB among Black and American Indian and Alaska Native populations remains unexplained.

许多关于出生性别比的研究都是基于短时间内的少数病例。我们对1968年至2019年美国近1.99亿份出生记录组成的数据集采用多元方法,对可能影响出生性别比(SRB)及其变异模式的几个可能因素进行了详细分析。我们发现种族/民族是对该指数影响最大的变量。父母年龄、出生顺序和太阳辐射也对SRB有影响,尽管只有中等程度。SRB在黑人、美洲印第安人和阿拉斯加原住民中的历史演变仍然无法解释。
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引用次数: 1
Birth preparedness and complication readiness: Evaluating the "know-do" gap among women receiving antenatal care in Benin City, Nigeria. 生育准备和并发症准备:评估尼日利亚贝宁城接受产前护理的妇女之间的“知行”差距。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2023-01-06 DOI: 10.1017/S0021932022000475
Victor Ohenhen, Samson Aiwobeuke Oshomoh, Ejovi Akpojaro, Egbe Enobakhare, Christopher Ovenseri, Ejemai Eboreime

Across several African countries, birth preparedness and complication readiness (BPACR) among pregnant women is poor. The practice of BPACR, though improving in recent years, is not commensurate with the knowledge available to pregnant women. Maternal health indices remain sub-optimal. This study evaluates the determinants of this "know-do' gap among women receiving antenatal care at a secondary health facility in Benin City, Nigeria. A cross-sectional study involving 427 pregnant women was conducted between October and December 2020 using a structured interviewer-administered questionnaire. The prevalence of knowledge and practice were described, and the determinants of BPACR practice evaluated using bivariable (chi-square) analysis and multivariable ordinal logistic regression with post-estimation predictive margins analysis. About 77% of respondents had good birth preparedness practice. Multivariable regression revealed that respondents with poor knowledge and moderate knowledge of components of BPACR had statistically significant lower odds (OR:0.05 (95% CI: 0.02-0.13) and 0.10 (95% CI: 0.03-0.30) times, respectively) for greater practice of BPACR when compared to those with good knowledge. Respondents with poor knowledge of danger signs had statistically significant lower odds (OR: 0.08 (95% CI: 0.03-0.26) for greater practice of BPACR when compared to those with good knowledge. But predictive margins analyses demonstrates that knowledge, though critical to practice, is insufficient to optimize practice. The optimum number of danger signs women need to know to improve practice may be between eight to ten. Beyond this number, practice may not change significantly. Other predictors of BPACR practice include income level, parity, gravidity, and residential settings. The number of antenatal clinic visits had no statistically significant correlation with BPACR practice. Interventions to facilitate practice at the community level may be helpful to improve outcomes and bridge the know-do gap with respect to BPACR within the study context.

在几个非洲国家,孕妇的生育准备和并发症准备情况较差。BPACR的实践虽然近年来有所改进,但与孕妇所掌握的知识不相称。孕产妇健康指数仍然处于次优状态。本研究评估了“在尼日利亚贝宁城的一家二级卫生机构接受产前护理的妇女之间的知行差距。2020年10月至12月,使用结构化访谈问卷对427名孕妇进行了一项横断面研究。描述了知识和实践的流行率,并使用双变量评估了BPACR实践的决定因素(卡方)分析和具有估计后预测边际分析的多变量有序逻辑回归。约77%的受访者有良好的生育准备实践。多变量回归显示,与知识良好的受访者相比,对BPACR成分知之甚少和知之适度的受访者进行更多BPACR实践的几率在统计学上显著较低(OR:0.05(95%CI:0.02-0.13)和0.10(95%CI:0.03-0.30)倍)。与知识渊博的受访者相比,对危险信号知之甚少的受访者更多地使用BPACR的几率在统计学上显著较低(OR:0.08(95%CI:0.03-0.26)。但预测边际分析表明,知识虽然对实践至关重要,但不足以优化实践。女性需要了解的危险信号的最佳数量可能在8到10个之间。超过这个数字,实践可能不会发生重大变化。BPACR实践的其他预测因素包括收入水平、生育率、妊娠率和居住环境。产前门诊就诊次数与BPACR实践没有统计学上的显著相关性。在研究背景下,促进社区层面实践的干预措施可能有助于改善结果,弥合BPACR方面的知行差距。
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引用次数: 0
Status and correlates of non-communicable diseases among children and adolescents in slum and non-slum areas of India's four metropolitan cities. 印度四大城市贫民窟和非贫民窟地区儿童和青少年非传染性疾病的状况和相关性。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2023-01-26 DOI: 10.1017/S0021932022000530
Harihar Sahoo, Preeti Dhillon, Enu Anand, Anjula Srivastava, Mohd Usman, Praween K Agrawal, Robert Johnston, Sayeed Unisa

The emergence of non-communicable diseases (NCDs) in childhood poses a serious risk to a healthy adult life. The present study aimed to estimate the prevalence of NCDs among children and adolescents in slums and non-slums areas of four metropolitan cities of India, and in rural areas of the respective states The study further, investigated the effect of the place residence as slum vs. non-slum and other risk factors of the NCDs. Nationally representative data from the Comprehensive National Nutrition Survey (CNNS) was used.. Estimates were based on children (5-9 years) and adolescents (10-19 years) for whom biomarkers predicting diabetes, high total cholesterol, high triglycerides and hypertension were determined. Weight, height and age data were used to calculate z-scores of the body mass index. Overweight and obesity was higher in urban areas than in rural areas among children and adolescents. Regional differences in the prevalence of diseases were observed; children in Delhi and Chennai had a higher likelihood of being diabetic while children in Kolkata were at a greater risk of high total cholesterol and high triglycerides. The risk of hypertension was strikingly high among non-slum children in Delhi. Children from slums were at a higher risk of diabetes compared to the children from non-slums, while children and adolecents from non-slums were at a greater risk of high triglycerides and hypertension respectively than their counterparts from slums. Male children and adolecents had a higher risk of diabetes and high cholesterol. Screening of children for early detection of NCDs should be integrated with the already existing child and adolescent development schemes in schools and the community can help in prevention and control of NCDs in childhood.

儿童时期出现的非传染性疾病对健康的成人生活构成严重威胁。本研究旨在估计印度四个大都市贫民窟和非贫民窟地区以及各州农村地区儿童和青少年中非传染性疾病的流行率。该研究进一步调查了居住地作为贫民窟与非贫民窟的影响以及非传染性疾病其他风险因素。使用了来自全国综合营养调查(CNNS)的全国代表性数据。。估计是基于儿童(5-9岁)和青少年(10-19岁),为他们确定了预测糖尿病、高总胆固醇、高甘油三酯和高血压的生物标志物。体重、身高和年龄数据用于计算体重指数的z评分。在儿童和青少年中,城市地区的超重和肥胖率高于农村地区。观察到疾病流行率的区域差异;德里和金奈的儿童患糖尿病的可能性更高,而加尔各答的儿童患高总胆固醇和高甘油三酯的风险更大。德里非贫民窟儿童患高血压的风险极高。与非贫民窟儿童相比,贫民窟儿童患糖尿病的风险更高,而非贫民窟儿童和青少年患高甘油三酯和高血压的风险分别高于贫民窟儿童。男性儿童和青少年患糖尿病和高胆固醇的风险更高。儿童早期发现非传染性疾病的筛查应与学校现有的儿童和青少年发展计划相结合,社区可以帮助预防和控制儿童期的非传染性疾病。
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引用次数: 0
The Association between Early Menarche and Small for Gestational Age Birth. 早期月经与妊娠期出生小之间的关系。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2023-02-28 DOI: 10.1017/S0021932023000020
Abigail Post, Shelby Veri, Danielle Moore, Morgan Poole, Hannah Kreider, Larissa Brunner Huber

In the U.S., approximately 11% of infants are born small for gestational age (SGA). While there are many known behavioral risk factors for SGA births, there are still many factors yet to be explored. The purpose of this study was to investigate the maternal early menarche (< 12 years old)- SGA birth association. Data were retrieved from the 2011-2017 National Survey of Family Growth, and multivariate logistic regression was used to evaluate the association. Approximately 4% of mothers reported having an SGA infant and 24% of mothers reported early age at menarche. After controlling for maternal age, race/ethnicity, and annual household income, early menarche was associated with 3% increased odds of SGA, although this finding was not statistically significant (adjusted odds ratio: 1.03, 95% CI: 0.70, 1.53). Additional research is needed on the long-term birth outcomes and health consequences of early menarche.

在美国,大约11%的婴儿出生时小于胎龄(SGA)。虽然SGA出生有许多已知的行为风险因素,但仍有许多因素有待探索。本研究的目的是调查母亲早期月经初潮(<12岁)与SGA出生的关系。数据来自2011-2017年全国家庭成长调查,并使用多变量逻辑回归来评估这种相关性。大约4%的母亲报告有SGA婴儿,24%的母亲报告初潮时年龄较小。在控制了母亲年龄、种族/民族和家庭年收入后,初潮早期与SGA几率增加3%有关,尽管这一发现在统计学上并不显著(调整后的比值比:1.03,95%CI:0.70,1.53)。还需要对初潮早期的长期生产结果和健康后果进行更多研究。
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引用次数: 0
Pharmaceuticalised livelihoods: antibiotics and the rise of 'Quick Farming' in peri-urban Uganda. 药物化的生计:抗生素和乌干达郊区“快速农业”的兴起。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2023-11-01 Epub Date: 2023-02-10 DOI: 10.1017/S0021932023000019
Miriam Kayendeke, Laurie Denyer-Willis, Susan Nayiga, Christine Nabirye, Nicolas Fortané, Sarah G Staedke, Clare Ir Chandler

The 'livestock revolution' has seen the lives and livelihoods of peri-urban peoples increasingly intertwine with pigs and poultry across Africa in response to a rising demand for meat protein. This 'revolution' heralds the potential to address both poverty and nutritional needs. However, the intensification of farming has sparked concern, including for antibiotic misuse and its consequences for antimicrobial resistance (AMR). These changes reflect a micro-biopolitical conundrum where the agendas of microbes, farmers, publics, authorities and transnational agencies are in tension. To understand this requires close attention to the practices, principles and potentials held between these actors. Ethnographic research took place in a peri-urban district, Wakiso, in Uganda between May 2018 and March 2021. This included a medicine survey at 115 small- and medium-scale pig and poultry farms, 18 weeks of participant observation at six farms, 34 in-depth interviews with farmers and others in the local livestock sector, four group discussions with 38 farmers and 7 veterinary officers, and analysis of archival, media and policy documents. Wide-scale adoption of quick farming was found, an entrepreneurial phenomenon that sees Ugandans raising 'exotic' livestock with imported methods and measures for production, including antibiotics for immediate therapy, prevention of infections and to promote production and protection of livelihoods. This assemblage - a promissory assemblage of the peri-urban - reinforced precarity against which antibiotics formed a potential layer of protection. The paper argues that to address antibiotic use as a driver of AMR is to address precarity as a driver of antibiotic use. Reduced reliance on antibiotics required a level of biosecurity and economies of scale in purchasing insurance that appeared affordable only by larger-scale commercial producers. This study illustrates the risks - to finances, development and health - of expanding an entrepreneurial model of protein production in populations vulnerable to climate, infection and market dynamics.

“畜牧业革命”使非洲各地城市周边地区人民的生活和生计越来越多地与猪和家禽交织在一起,以应对对肉类蛋白质日益增长的需求。这场“革命”预示着解决贫困和营养需求的潜力。然而,农业的集约化引发了人们的担忧,包括抗生素滥用及其对抗微生物耐药性的影响。这些变化反映了一个微观生物政治难题,微生物、农民、公众、当局和跨国机构的议程都处于紧张状态。要理解这一点,就需要密切关注这些行为者之间的做法、原则和潜力。2018年5月至2021年3月,在乌干达瓦基索的一个城郊区进行了民族志研究。这包括在115个中小型养猪场进行医学调查,在6个养殖场进行为期18周的参与者观察,对农民和当地畜牧业其他人进行34次深入采访,与38名农民和7名兽医进行4次小组讨论,并分析档案、媒体和政策文件。发现了快速农业的广泛采用,这是一种创业现象,乌干达人用进口的生产方法和措施饲养“外来”牲畜,包括用于即时治疗、预防感染、促进生产和保护生计的抗生素。这种组合——一种城市周边的预期组合——加强了抗生素形成潜在保护层的不确定性。该论文认为,将抗生素使用作为AMR的驱动因素,就是将不稳定作为抗生素使用的驱动因素。减少对抗生素的依赖需要一定程度的生物安全和购买保险的规模经济,而这种保险似乎只有更大规模的商业生产商才能负担得起。这项研究说明了在易受气候、感染和市场动态影响的人群中扩大蛋白质生产的创业模式对财务、发展和健康的风险。
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引用次数: 2
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Journal of Biosocial Science
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