bluuebunny/crossref_metadata_2025_split huggingface dataset:
Empowering minor migrants: peer support program Nantes
Authors: Combes S , Kardiana D , Le Grand E , Moreau D , Quinette M , Sauzède S 
Published: November 2019

Abstract

Background
Under-aged migrants (UAMs) may see their legal minority unrecognised by the French state. If they confront this decision at court, they stand in a legal void. They can benefit from a direct access to State Medical Aid and are not submitted to a minimum period of 3 months of staying in France unlike adults. Moreover, when accessing care, unrecognised UAMs are in an unclear situation as they are minors without legal representation. This research is based on a newly created program ran by Doctors of the World (MDM) in Nantes, aiming to enhance UAMs access to health care and rights through peer-support. Peer-support is intended to develop the empowerment the UAM and help them to be able to be the authors of their life thus develop their own abilities (Le Grand, 2018). The role of empowerment in health access is established (Wallerstein, 2006). The research aims at identifying the obstacles and levers in the implementation of the program, the modifications it can cause in the program.

Methods
The research is based on 3 months ethnographical observations, 9 formal interviews with UAM, 5 with professionals, and informal interviews.

Results
We identify that volunteers share a different perception of what is empowerment. Some would leave quite a large autonomy to UAMs while others find it difficult to alter the organisation to give space to UAMs. Finally, self-help mainly develops abilities of those UAMs who were more resourceful.

Conclusions
The analysis shows that a successful program of empowerment rely on shared views of its meaning. Moreover it shows that empowerment may help mainly those resourceful thus exacerbate some inequalities in ressources.

Key messages
The notions of empowerment and peer-support need to be well understood by all. Empowerment, as a side effect first exacerbates some inequalities of resources among UAMs.
Training development in the ORAMMA (Operational Refugee and Migrant Maternal Approach) project
Authors: Petelos E , Vivilaki V , Papadakaki M , Sioti E , Triantafyllou E 
Published: November 2019

Abstract

Background
ORAMMA is a European capacity-building project (GR, NL, UK) for pregnant migrant, asylum-seeking and refugee (MAR) women to improve maternal and newborn outcomes. ORAMMA is an operational and strategic approach for mother-centred, community-oriented, gender-sensitive, interdisciplinary and compassionate care, to meet the needs of MAR women in Europe.

Objectives
ORAMMA developed training for midwives and other primary health and social care (PC) professionals to meet the needs of MAR women. Methodology comprised three phases: evidence synthesis and needs assessment, training material development, and community enablement through locally recruited women in the innovative role of Maternal Peer Supporters (MPSs).

Results
Needs assessment highlighted the need to train ORAMMA’s teams of midwives and other PC professionals to care for women who suffered undue hardship, oftentimes leading to PTSD, i.e., victims of trafficking, rape, underage women, sufferers of acute or chronic conditions, and sole family carers. The experiences encountered informed curriculum development for midwives and other PC professionals. Interprofessional training for integrated perinatal care delivery was developed for and delivered in three phases, i.e., detection of pregnancy (GP coordination), care during pregnancy (midwive coordination), and support after birth (social worker coordination), with special modules developed in a participatory manner on: migration status and policies, maternity care for MAR women, and communication and culturally sensitive practices.

Conclusions
Training midwives and other PC professionals along with members of MAR communities in the MPS role was identified to be a key element to efficiently support women and their families, to propagate key perinatal and public health messages, and to advocate for the rights of MAR women to ensure access equity to quality care in a highly responsive manner. ORAMMA’s tools are available in easily accessible platform online.

Key messages
ORAMMA developed multilingual material to meet the needs of PC professionals and of MAR women, in an innovative manner and with high relevance for cross-border knowledge transfer. ORAMMA addressed key aspects in delivery and access, focusing on cultural awareness and communication; its relevance extends well beyond perinatal care to improved family outcomes and public health.
Ethnic differences in participation in diabetes education programmes
Authors: Juul A , Glümer C , Jervelund S S , Hempler N F 
Published: November 2019

Abstract

Background
Immigrants from non-Western countries have a higher prevalence of type 2 diabetes. In addition, immigrants have an increased risk of developing diabetes complications, compared with the general population. Diabetes education programmes facilitate essential knowledge and skills that enable people to manage their condition in daily life. However, fewer immigrants attend and complete diabetes education compared with the general population. The aim of this study is to explore what characterises those who decline and accept participation in diabetes education in relation to ethnicity, household composition and diabetes burden in the family.

Methods
The study population consisted of adults with type 2 diabetes referred to a municipal diabetes centre (n = 1819). Individual medical record data was linked to national registry data. Descriptive statistics and logistic regression models were applied.

Results
Preliminary results showed that 23% of individuals from the study population participated in diabetes education. We found no overall differences in participation rates between the general population and non-Western immigrants (24% vs. 18%, P = 0.12). However, when examining the immigrant groups by language (Arabic, Urdu and Turkish), the results indicated a non-significant tendency: Urdu speaking groups’ participation was similar to the general population (24%), whereas Arabic and Turkish speaking groups had lower participation rates (17% and 11%, P = 0.25/0.40).

Conclusions
The results suggest that there are differences in participation between some immigrant groups and the general population. Increased knowledge about which mechanisms affecting participation in diabetes education programme is required to ensure equal access. Further studies and analyses will explore how immigrants’ social relations enable and/or hamper participation in diabetes education and investigate which factors can be changed to improve participation rates.

Key messages
There are differences in participation in diabetes education programmes across different ethnic groups, which suggests a need for in-depth analysis into which mechanisms that affect participation. The results will be used to give input for future practices that can increase immigrant’s participation and retention in diabetes education programmes.
Maternal country of birth and in-hospital exclusive breastfeeding: results from a Portuguese study
Authors: Lisi C , Freitas C , Barros H 
Published: November 2019

Abstract

Background
Breastfeeding provides benefits for children, mothers, society and the environment. The promotion of optimal breastfeeding, from an early stage in life is, therefore, a public health priority. Infant feeding can be influenced by maternal country of birth. However, studies carried out in European settings point to inconsistent findings. This study aims to compare first day in-hospital exclusive breastfeeding among migrant and native women in Portugal.

Methods
This study is based on a national project on perinatal health among migrants and natives in Portugal (baMBINO). Out of 39 public maternity units in mainland Portugal, 32 were enrolled. Women aged 18 years old or older with a live birth were recruited. The final sample included 5109 participants (2431 natives and 2678 migrants). Logistic regression was used to assess the association between maternal country of birth and in-hospital exclusive breastfeeding.

Results
Migrant participants included women from Portuguese-speaking African countries (PSAC) (49,7%), Brazil (18%), Eastern Europe (10.2%), other European countries (9.6%), Asia (5.5%) and other countries (7.0%). No differences were found between migrants and natives, with the exception of women from PSAC who were more likely to exclusively breastfeed during the first day of hospital stay (aOR 1.34 CI95% 1.05-1.72), irrespective of maternal age, education, parity, type of pregnancy, reproductive assistance, tobacco use, gestational age, newborn birth weight, mode of delivery and antenatal care.

Conclusions
In Portugal, women from PSAC are more likely to exclusively breastfeed their babies during the first day of hospital stay when compared to native women. Strategies to maintain healthy breastfeeding practices in this population are fundamental.

Key messages
Women from PSAC are more likely to breastfeed exclusively in the first day after delivery than Portuguese natives. They should be supported in the maintenance of optimal breastfeeding practices.
Illness behaviour and health needs in migrants characterised by low satisfaction with healthcare
Authors: Reime B , Tufan M , Tkachenko E , Sahbaz M , Warth P , Weidmann C 
Published: November 2019

Abstract

Background
Previous research shows inequalities in access to and quality of health care for migrants. We aimed to explore in what way individuals with a migrant background, who report different levels of satisfaction with healthcare, differ in terms of illness behaviour, health needs and sociodemographic characteristics.

Methods
In the rural Southwest of Germany, we conducted a survey with individuals who have a Turkish (n = 217) or Russian (n = 101) background and whom we could contact via cultural centres. Data were analysed using SPSS.

Results
In the total sample, 47,5% (Turks 53%, Russians 37%) reported always being satisfied with healthcare, 46,9% were sometimes and 5,7% never satisfied. Turks who were not always satisfied with healthcare significantly more often did not have a regular GP, and rarely visited GPs and consultants. They more often reported the need for culture sensitive print material, assistance in applying for ambulant care and culture sensitive treatment in matters such as intimacy and death and dying. Also, they more often demanded accessibility to healthcare providers with the same cultural background compared to Turks who reported more satisfaction with healthcare. Among Russians, not always being satisfied with healthcare was associated with demanding culture sensitive information on ambulant nursing care and demanding more cultural competence in providers regarding the treatment of particular diseases. Gender was not related to satisfaction with healthcare in either group.

Conclusions
In this sample of migrants from a rural area culture sensitive treatment was reported to be lacking especially in ambulant nursing care and end of life treatment. In view of the increasing heterogenization of society, it is necessary to address the socio-cultural needs of migrants in a home as well as in a hospital context. Therefore, culture-sensitive materials and workshops for health professionals may be useful to complement their own expertise.

Key messages
A low level of satisfaction with healthcare may be related to low levels of utilization. In this underserved rural area concerns regarding culture sensitive care need to be addressed.
Patient information ownership in the age of digital health and big data
Authors: Mirchev M 
Published: November 2019

Abstract

Background
In the context of digital health and the increasing capabilities to derive, store and use information, Big data, and data analytics provide an exceptional perspective towards the evolution of medicine and public health. We collect patient data at unimaginable scale thanks to technological improvements such as wearables, sensors, smart and mobile devices. We are digitizing health on our way to improve cares. The other side of the coin reveals specific issues: it is all about personal information. The risks we face in regard to privacy, autonomy and ultimately justice are worth debating.

Aim
To consider whether ownership of patient data in the context of digital health and Big data is a good way to guarantee both privacy and the social interest in the field of public health.

Methods
Historical, documental, ethical research.

Results
The abilities to collect and store zettabytes of health-related information is spectacular, but learning how to structure and optimize the use of this information is pivotal for the future of public health. People are sensitive in terms of “ownership”, rights and privacy, although the idea for actual ownership of health information is not quite popular. Given the fact, that it is personal data, a lot of concerns are related to ensuring privacy. One way to do it is by recognizing patient ownership over their data. The major issue with this, is that it might limit, or even prevent public interest, and so the public benefits. Having in mind the huge commercial interest in health data, that concern looks relevant. When applied in healthcare Big data has the potential to provide important data analytics, which means that we can move to next step in healthcare development - improving disease prevention and health promotion, which are vastly ignored in favor of clinical care. In this specific environment, it is highly questionable whether patient`s ownership would bring more benefit, than harms in the shared goal of improving healthcare.

Key messages
What people might do if their health data is their property, might reflect in a bad way the common goal to structure and use it for health improving. Patient data ownership might not be reasonable in the long run, even though from an ethical standpoint and with regard to patient`s autonomy looks fair.
Infographic as a form of communication in public health
Authors: Machala Poplašen L , Draušnik Ž , Vočanec D , Brborović H 
Published: November 2019

Abstract

Background
Infographics are a communication tool used in the digital environment that can present information, data or knowledge in an easy and understandable way to a wider audience. The aim of this study was to analyze if, and in which areas of public health, infographics are used as a form of communication in Croatia in relation to the world.

Methods
The research analyses available infographics of leading institutions in public health in relation to Croatia and the world.

Results
Visualization of key information is an accustomed concept in public health with infographics being a recognizable form of communication and an important part of digital health. However, only a small number of infographics in public health in Croatia are used. Infographics published in Croatia were mainly about exercise, cancer, ageing and stress. In the European Union, the topics found were aging, risk assessment, harassment/violence in the workplace and work-related stress. Infographics from the world addressed child labour, youth employment, gender equality, better work, dialogue promotion, migrant workforce, migration, domestic workers and safety at work. Moreover, International Labour Organisation made interactive media containing infographics - infostories - with topics: young workers, gender gap, migrants, non-standard employment, disability inclusion, forced labour and collective bargaining.

Conclusions
We suggest to include more public health topics and to raise awareness among Croatian public health experts on the importance of infographics as a form of communication.

Key messages
Visualization of key statistical data in the style of infographics enables public health professionals to educate their employees and the public. Infographics are excellent tools for communicating important topics and are more likely to drive action and change behavior.
Use of social media in public and private hospitals in Italy: preliminary results
Authors: Gelatti U , De Bernardis A , Covolo L 
Published: November 2019

Abstract

Background
In 2010, the Italian Ministry of Health set out recommendations for the use of Web 2.0, inviting organizations within the Italian National Health Service (INHS) to implement these tools. In 2014, a study carried out by the National Institute of Health showed a low presence of Local Health Authorities and Italian public hospitals on social media. Considering the constant increase of the use of social media in the population, the aim of the study is to understand if and how healthcare context is moving towards this direction.

Methods
The list of all public and private hospitals in Italy were retrieved by the official website of INHS. The websites of all the hospitals (n = 1054) will be visited to look for the presence of social media. Engagement level and use of social media will be evaluated.

Results
A preliminary analysis focused one 97 hospitals, of which 64 public and 33 private. Social media are present in 38 (39%) of them, particularly Facebook, Twitter and You Tube (92%). Only Twitter or YouTube are present in three hospitals. Social media are present more in hospitals in the North of Italy (58%) compared to Center (29%) and South (13%) (p = 0.002). Furthermore social media are present more in private hospitals than public (55% vs 44%, p &lt; 0.001).

Conclusions
Preliminary results show a low presence of hospitals on social media, with some differences between geographical areas and type of hospitals. Adherence to Ministry of Health’s recommendations seems still low.

Key messages
Public health communication need to implement new strategies to increase public participation and provide reliable information using the information channels most used by the population. Considering the spread of health information through social media, an active presence of healthcare organizations on these channels could be an opportunity to engage people in health interventions.
Addressing equity in eHealth interventions for healthcare system users & patients, literature review
Authors: Ramel V 
Published: November 2019

Abstract

Objective
eHealth has great potential to improve access to health information and care but important barriers to equity still exist and a real digital divide threatens its use. It is therefore necessary to build a conceptual framework on digital health interventions aiming at promoting equity and to analyse the strategies and recommendations that arise through the literature. Such a conceptual framework has not been identified in the literature yet.

Methods
We carried out a scoping literature review of the scientific literature since 2000 in Western countries, in Scopus, PubMed, PsycArticles, SocIndex and PBSC.

Results
Strategies that take into account equity in eHealth for healthcare system users and patients can be presented in light of the five key action areas of the Ottawa Charter for Health Promotion. They deal with the policy level, the individual one, aim at creating supportive environments, at using the community level for eHealth promotion and focus on health services. Individuals-oriented interventions are the most reported, thus revealing a lack of systematic thinking and certainly a lack of understanding of the whole spectrum of health determinants.

Conclusions
Following Gibbons’ expression of “compunetics” (Information and Communication Technologies & ethics), interventions that truly consider the unintended consequences of eHealth on social and geographic health inequalities are absolutely necessary. The conceptual model analysing the whole literature on this interaction makes it easy to understand the types of interventions that are or could be carried out to tackle equity issues in digital health interventions. Its recommendations become easy to implement in the field and can be extremely helpful for decision-making.

Key messages
Strategies that take into account equity in eHealth for healthcare system users and patients can be presented in light of the five key action areas of the Ottawa Charter for Health Promotion. The conceptual model we elaborated makes it easy to understand the types of interventions that could be carried out to tackle equity issues in digital health interventions.
Women political empowerment and child health: an empirical analysis, 1990-2016
Authors: Besnier E 
Published: November 2019

Abstract

Empowering women has been presented as a key strategy to improve child health. Yet, the literature on the subject is mixed, with strong variations in measures or according to context. Additionally, most of the research focuses on social or economic empowerment at the individual level rather than on structural factors or political empowerment. In this study, we explore whether women political empowerment is associated with improved health for children under 5 years old, in comparison to socio-economic empowerment or structural factors from the sustainable development agenda.
We use the V-Dem project’s Women’s Political Empowerment Index and its components, combined with selected indicators of child health from the World Bank’s World Development Indicators for 166 countries, between 1990 and 2016. We estimate random- and fixed-effects regressions for the index as a whole and its individual components against child mortality, stunting and immunization coverage, controlling for structural and socio-economic indicators.
The association between women political empowerment and child health outcomes tends to weaken once country heterogeneity is accounted for. Looking at individual components of women empowerment, factors or markers of socio-economic empowerment tend to have a stronger positive effect on child health compared to more political ones, for which we found either no correlations or even detrimental links to child health outcomes.
Our results demonstrate the complexity of the relations linking women empowerment and child health. Presenting women political empowerment as a whole as the solution to improved child health appears misguided. However, selected individual freedoms and markers of women socio-economic empowerment are associated with positive effects on specific child health outcomes. This calls for a more context-specific yet multi-dimensional approach to women empowerment and child health in order to provide cohesive evidence to achieve the related SDGs.

Key messages
The relations between different dimensions of women empowerment and child health are complex. Women socio-economic empowerment may offer better leverages than political empowerment to improve child health.