bluuebunny/crossref_metadata_2025_split huggingface dataset:
Healthy Mobile Check-In Study: Barriers to exercise for women in high and low SEP suburbs in Brisbane
Authors: Carroll J A , Rodgers J , Lyons-Reid J , Bennett R 
Published: October 2020

Abstract
Previous studies have demonstrated that physical activity (PA) promotes health and reduces risk for non-communicable diseases. However, 55% of Australian women did not meet the recommended levels of PA in 2018-19. There remains a gap in knowledge regarding the individual, household, and neighbourhood barriers to physical activity between women from high and low socioeconomic suburbs. We conducted a mixed-methods study to ascertain subjective accounts of the socioecological reasons for different daily logistics, travel, and PA between these groups. In addition to daily mobility data collated from GIS iPhone apps, in-depth interviews were held with 16 women from the high (Ashgrove) and low (Durack) SEP suburbs in Brisbane. Interview data was analysed at the individual, social, and environmental levels to unearth resistance to PA via these thematic strata. Individual psychological barriers to being active that were unique to low SE suburbs included the 'lack of enjoyment' gained from PA. Both high and low SE suburbs reported being 'time poor'. For low SEP participants, this was driven by financial demands, and for high SEP participants, this was driven by work demands. Both groups reported being burnt out. Individual physical barriers for both groups included sore joints, injury, pelvic pain and weight. Social barriers unique to participants from a high SE suburb included 'opportunities to exercise socially', and 'mother guilt'. Both groups reported 'family responsibilities' as a social barrier. Neighbourhood changes that could increase PA in the low SEP suburb included facilities to increase walkability. Participants from the high SE suburb were largely satisfied with the state of their neighbourhood. This study provides foundational insight into improved public health strategies for increasing levels of PA amongst women in Brisbane from different SEP groups. Our findings support the idea that a combination of broad strategies and a targeted approach is needed.

Key messages
Women from high and low socioeconomic suburbs experience different barriers to physical activity. Health promotion strategies need to accommodate this to improve overall health and reduce inequality. Women from high and low socioeconomic suburbs face psychological, physical and social barriers to exercise. Broad health promotion strategies and a targeted approach is required to address barriers.
No country for old men: gender disparities in Portuguese mortality
Authors: Moreira de Sousa A , Casaca P 
Published: October 2020

Abstract

Background
Portugal is divided into 25 NUTS 3 (Nomenclature of Territorial Units for Statistics). Mortality tracking is one of the core elements of SDG3 indicators. It can also be used as an essential metric to SDG5 on gender disparities. This study looked into gender disparities in mortality in Portugal.

Methods
We used data from Statistics Portugal, precisely the standardized rate of potential years of life lost per 100 000 inhabitants to all causes of death using the standard European population by gender. We subdivided by NUTS 3 and we have plotted PYLL for males, females, and the difference between both for the year 2018 using ArcMap 10.7.1. Further descriptive analysis was conducted in R 3.61 and Rstudio 1.2.5033.

Results
We have found significant gender disparities in mortality. These gender disparities afflicted men the most. In 88% of NUTS3, the PYLL difference of more than 2000 years/100000 when comparing men with women. The higher disparities were in the Azores, Alto Tâmega, and the Douro. Some of the critical specific causes of mortality that lead to this disparity are malignant tumors, mental health problems, alcohol abuse, circulatory system diseases, accidents, and suicides.

Conclusions
We have found that there are significant disparities in gender mortality targeting men. Although it is higher in some Portuguese regions, the problem is widespread. Further research is needed to address the causes of gender disparity in health outcomes in Portugal.

Key messages
Huge gap in YPLL between men and women, starting an young adult age. The urgent need for health programs that target men health problems.
SDGs + Synergies: Design, Access + Aftercare in Global Public Health
Authors: Cesario D , Maswime S 
Published: October 2020

Abstract
As Citizens of the World, in 2020 we have been challenged to frankly + swiftly evaluate public health crises, social injustice + their intrinsic link to our global economies. This starkly pivotal year marks a decade to the deadline to fulfill the United Nations' 2030 Sustainable Development Goals (SDGs). The 17 SDGs are oft-considered the world's best plan towards building a better world for people and our planet. Adopted by all UN Member States in 2015, the SDGs are an international call-to-action to promote prosperity while protecting the environment.
In light of the UN's 17th goal of Partnership, we wanted to amplify the interconnections between the specialties of architecture + health. This particular goal seeks to strengthen the means of implementation + revitalize the global collaboration for sustainable development. As an Architect specializing in Healthcare at SOM's New York office, Founder of WALLEN + daub + the Head of Global Surgery at University of Cape Town, we are approaching sustained well-being from our respective professions. We each serve different geographic markets towards the best outcomes. We pondered the codependency of space + care in creating a healing experience for patients. Global surgery + international healthcare architecture are rooted in serving others. Therefore, we are continuously considering the role of the professional in creating spatial infrastructure as a component of service delivery for care by clinicians.
Progress is evident, but slow. The last Annual SDSN Report found that the best performing city is only making 68% progress toward full achievement of all seventeen SDGs. Of all largely-populated US cities, two-thirds are less than halfway there. As we work globally towards more equitable, healthy + resilient communities (#11), we must further investigate the impact and implementation of the other goals, namely: health + well-being (#3), access to sanitation (#6), + industry, innovation + infrastructure (#9).

Key messages
UN SDGs + public health care (sustainable care + design). Patient Well-being: Collaboration through sustainable development goals, design + care.
Socioeconomic and environmental status of riverside communities of Tapajós River, Brazil
Authors: Rodrigues J , Leite B , Vasconcellos G , Dias L A , Muniz M J , Espinosa M V , Nishida N , Ferrero M V , Reis B , Cabral E R 
Published: October 2020

Abstract

Introduction
Public health care acknowledges socioeconomic factors as one of the multiple facets to promote or protect individual or collective health. Understanding and being more acquainted with the dynamics carried out in riverside communities is fundamental to investing in policies aimed at fighting diseases and illnesses that are particular to those communities.

Objective
Describing socioeconomic characteristics, healthcare infrastructure, and occupational activities of population from riverside communities along Tapajós river, Brazil.

Methodology
A descriptive study with 96 residents of communities of Tapajós river, Brazil. Participants have answered a semi-structure questionnaire and the analyses were descriptive and the variable categories were expressed as frequencies.

Results
There was a predominance of male participants (77.09%), incomplete elementary school (58.51%), involved in agricultural sector (85.10%), with a family income up to 1 minimum wage (68.81%). However, only 21.50% have declared making their living exclusively out of agriculture. Seedlings and seeds are mainly obtained through an exchange system running inside the community. In relation to infrastructure, the water comes from artesian wells (68.88%) and 51.63% claim not treating water whatsoever. All interviewees mentioned the lack of a sewage system and residues are taken to a rudimentary cesspool (76.59%). Waste produced by the community is burned out (93.61%). The main difficulties pointed out by the interviewees were: transportation (44.94%), health (32.14%), communication (21.42%) and government cooperation (15.47%).

Conclusions
The communities in this project show similar structural dynamic based on subsistence family agriculture and poor infrastructure of basic services. The data collected can be the basis for future public policies aiming at the promotion of food production autonomy, economic autonomy, and improvement of health indicators of these communities.

Key messages
Contextualizing the structural dynamic of vulnerable populations is key to plan actions aimed at tackling and dealing with social determinants involved in the health-illness process. Contextualizing the structural dynamic of vulnerable populations is fundamental to guide strategies aimed at intervening in the social and health determinants.
Inequalities in overall survival of oropharynx, oral cavity, and larynx cancers in Brazil
Authors: Menezes F S , de Oliveira A M B , Toporcov T N 
Published: October 2020

Abstract
Socioeconomic inequalities in the survival of head and neck cancer is a widespread concern in developing countries. In Brazil, there are severe social disparities that include access to healthcare. In this context, we investigated whether social inequalities impact the overall survival of patients diagnosed with larynx, oral cavity, and oropharynx cancers in São Paulo State (2000-2018). This hospital-based cohort study used data provided by the São Paulo Oncocentro Foundation (FOSP) in São Paulo State, Brazil. The 5-year overall survival (OS) was assessed by the Kaplan-Meier curves, log-rank tests, and Cox proportional hazard models to calculate the hazard ratio (HR). We considered a confidence level of 95% (95%CI) to indicate statistical significance. Out of the 816,393 cases recorded in the São Paulo State, a total of 37,191 cases occurred in larynx (n = 12,095), oral cavity (n = 12,858), and oropharynx (n = 12,238). The OS was 40.3%, 31.7%, and 23.6% for larynx, oral cavity, and oropharynx cancers, respectively. In multivariable Cox regression, formal education lower than 9 years increased the risk of death in oropharynx cancers (HR = 1.11; 95%CI= 1.05; 1.17), oral cavity cancers (HR = 1.06; 95%CI= 1.01; 1.12), and larynx cancers (HR = 1.09; 95%CI= 1.03; 1.16). The public healthcare assistance has shown to be a factor for a higher risk of death by 79% for oropharynx in comparison to private healthcare assistance, adjusted by age group, gender, clinical staging, and therapy modalities (chemotherapy, radiotherapy, and surgery). In conclusion, there is a remarkable social inequality at individual level in São Paulo State that poses a challenge to public the health in order to improve the overall survival in Brazilian patients.

Key messages
Social inequalities reduce the overall survival in oropharynx, oral cavity, and larynx cancers in São Paulo State, Brazil. Tackling social disparities is crucial since they play an essential role in the prognosis of Brazilian patients with oropharynx, oral cavity, and larynx cancers.
Regional differences in the attributable burden for Germany: Exploring YLL for selected risk factors
Authors: Porst M , Wengler A , Gruhl H , von der Lippe E , Plaß D 
Published: October 2020

Abstract

Background
Within the BURDEN 2020 project (Burden of disease in Germany at the national and sub-national level) we calculate burden of disease indicators on a small-scale level for Germany. In order to provide a comprehensive view over diseases and their impact on population health, Years of Life Lost due to premature death (YLL) and Years Lived with Disability (YLD) are summed up to the measure Disability Adjusted Live Years (DALY). YLL, YLD and DALY will be attributed to a set of risk factors.

Methods
Object of the analysis is the indicator YLL across spatial planning regions in Germany. It is calculated by multiplying the number of deaths with the remaining life expectancy at the age of deaths. A share of YLL can be attributed to specific risk factors. Smoking and ambient particulate matter pollution are used as examples. The distribution of risk factors is based on German health surveys and local air pollution measurements. The analysis follows the Comparative Risk Assessment approach, which quantifies the possible change in burden by assuming a different exposure level in the past.

Results
Based on the absolute YLL estimates, the overall leading causes of deaths are ischemic heart diseases, tracheal, bronchus, and lung cancer and stroke. In addition, for women breast cancer is a leading cause of death. Causes vary by age groups and by region. We expect the attributable fraction to vary across local areas as well.

Conclusions
When it comes to health care intervention, the method of attributing risk factors to burden of disease outcomes reveals necessary fields of action, especially across regions. In order to allocate financial resources within the health care, the CRA can provide additional arguments for political decision making.

Key messages
Causes of death and the related years of life lost are an integral part of health monitoring. Our analysis reveals how YLL and risk factor attributable burden vary across German regions.
HIA on affordable housing policies and its effect on health and services of vulnerable populations
Authors: Chahalis E , Daines C , Jensen M , Miller J 
Published: October 2020

Abstract

Issue
Lack of affordable housing in Utah for vulnerable populations such as immigrants/refugees, low-income families, single parents and individuals with disabilities. A health impact assessment is necessary to identify the negative health impacts that arise and to determine how a policy to provide more funding for affordable housing can benefit the population. This issue is not specific to Utah and is comparable to other housing situations and policies throughout the U.S.

Description
The six steps of an HIA were completed in 4 months to analyze the potential health effects of affordable housing policy changes among low-income families in Utah. The HIA team completed an extensive literature review and communicated with several stakeholders, policy makers, and community leaders. Public state and national data was gathered and analyzed using a logic model and characterization of effects table.

Results
The bill to increase funding will increase affordable housing units throughout Utah. The negative health impacts for the population will decrease such as respiratory illnesses, hospital visits, crime, mental health disorders, and stress. The bill would also help to increase family housing stability, economic development, educational opportunities for children, and access to transportation.

Lessons
The recommendations include the use of funding for new development or the renovation of existing units, the location of developments should be near public transit to allow residents to take advantage of services that previously would not have been accessible. Developments should be an integrated approach that includes social support and case management services to narrow the gap in Utah and other areas in the U.S.

Key messages
Policies to increase affordable housing produce positive health impacts for vulnerable populations. Overall efforts for affordable housing will give these vulnerable populations better access to basic human needs.
The correlation between the quality of primary healthcare attributes and different health outcomes
Authors: Martins A C F , Miraglia J L , Monteiro C N , Bonfim D , Pereira G A , Siqueri C A S , Sumida G T , Santos J M M , Borges L M , Mafra A C C N 
Published: October 2020

Abstract

Background
Measuring the structure and processes of healthcare services form the basis of improvement efforts and make it possible to hold organizations accountable for the services they provide. Besides having a positive impact in different health outcomes, primary health care (PHC) could also affect experiences in secondary and tertiary care through its coordinating role, therefore efforts to assess the quality of the delivery of its services are important. Hence, the study objectives were to evaluate the PHC attributes of PHC teams and the correlation of these attributes with different health outcomes.

Methods
This was a cross-sectional study conducted during 2019, which used the Adult Primary Care Assessment Tool (PCATool) to evaluate 28 PHC teams working on the public healthcare sector at the city of São Paulo, Brazil. The Spearman's correlation coefficient was used to evaluate the association between each PCATool dimension and referral rates, hypertension, diabetes, prenatal care and gestational outcomes. The study was approved by the local ethics committee.

Results
A statistically significant positive correlation was identified between controlled hypertension and care coordination (rho=0.396; 95% CI:0.012-0.678; p = 0.036), and between 6 or more prenatal care visits and comprehensive care (rho=0.441; 95% CI:0.063-0.708; p = 0.018). A statistically significant negative correlation was identified between low birth weight and care coordination (rho=-0.502; 95% CI:-0.748- -0.136; p = 0.006) and between referral rates and comprehensive care (rho=-0.499; 95%CI:-0.753- -0.114); p = 0.009).

Conclusions
This study reinforces the importance of the PHC attributes for different relevant health outcomes and of their continuous evaluation for services improvement.

Key messages
The quality of PHC attributes has a direct impact on different relevant health outcomes. Ways to improve the PHC performance must be considered based on its attributes.
Nurses' production of meaning about National Program for Access and Quality Improvement Primary Care
Authors: Santos R , Lima M , Santos L , Sousa R , Silva F , Silva R , Cardoso T , Cardoso O 
Published: October 2020

Abstract

Introduction
The Brazil's Family Health Strategy (ESF) is one of the initiatives for the strengthening of primary health care (PHC) in Brazil. The ESF is composed of a team of professionals, with the nurse usually adding care and administrative functions. In regard to the National Program for Improving Access and Quality in Primary Care (PMAQ-AB), the nurses have played a prominent role, especially in the external evaluation phase.

Aim
Analyze the meanings produced by nurses about the PMAQ-AB in a state in the northeastern of Brazil.

Methods
A qualitative research was carried out with twenty-five nurses from the health macro-regions of the State of Piauí. Data were collected from four focus groups, with one group in each macro-region, containing at least six and at most seven participants. The meetings were held from September to October 2018, in which semi-structured interview script was used. For the analysis of information, the maps of association of ideas proposed by Spink and Gimenes (1994) were used.

Conclusions
Despite the difficulties and conflicts felt by nurses with the implementation of PMAQ-AB, the program was understood as an agent for transforming in the work process of family health teams. In addition, the realization of this study allowed another space for reflection to the nurses about the program, qualification and financing of PHC, which can contribute to the institutionalization of the culture of monitoring and evaluation and also the consequent strengthening of these services.

Key messages
Based on the expected impacts, we seek collaborate with reflection on the experience and generate consistent and useful information to contribute to the decision-making processes of health policies. The PMAQ-AB was considered a program that was able to induce substantial changes in work processes because it was a way to finance the workforce.
Psychosocial factors associated with a healthy lifestyle in Brazilian adult women
Authors: Patrão A L , Aquino E M L , Almeida M C , Matos S M A 
Published: October 2020

Abstract

Background
It has been estimated that over 50% of the premature deaths occurring in Western countries can be attributed to causes rooted in lifestyle. In turn, leading a healthy lifestyle has also been associated with a wide range of psychosocial factors. Today, it is known that these differ among men and women. The present article aimed to identify the psychosocial factors associated with healthy lifestyles in women from the ELSA-Brazil cohort, the largest study concerning adult health conducted in Brazil.

Methods
This cross-sectional study was conducted using ELSA-Brasil baseline data, collected between 2008-2010. All included individuals were aged between 35 and 74 years at the time of voluntary recruitment. The ELSA-Brasil cohort has 8,218 women, both currently working and retired, from six public higher education and research institutions. Data were collected using the ELSA-Brasil questionnaire, a multidimensional instrument encompassing a range of topics. The lifestyle indicator was constructed by summing the scores attributed to four different behaviors (smoking, excessive alcohol consumption, inadequate nutrition and insufficient physical activity).

Results
Among women of the ELSA-Brasil, the following factors are associated with a healthier lifestyle: an age of 50-59 years (OR = 1.41; IC95% 1.24-1.61); age 60 years or older (OR = 2.21; IC95% 1.79-2.72); race/skin color Asian (OR = 2.29; IC95% 1.57-3.36), white/Caucasian (OR = 1.57; IC95% 1.36-1.81) or mixed-race (OR = 1.24; IC95% 1.07-1.44); a high-school equivalent (secondary) level of education (OR = 1.31; IC95% 1.09-1.57) or university degree (tertiary) (OR = 1.89; IC95% 1.55-2.29); being retired (OR = 1.33; IC95% 1.12-1.59); the self-perception of health status as good/very good (OR = 1.27; IC95% 1.12-1.45).

Conclusions
These findings should contribute towards preventing chronic non-communicable in adult women in Brazil and in other similar settings.

Key messages
Socio-demografic factors, such as age, race, education and retirement, influence the lifestyle of Brazilian women. Psychological factors, such as self-perception of health status, influence the lifestyle of Brazilian women.
Addictive behavior in adolescents in Kairouan (Tunisia)
Authors: Ghali H , El Ghardallou M , Mannai J , Marzougui L , Chemkhi O , Atallah M R 
Published: October 2020

Abstract

Background and aims
The levels of use of some psychoactive substances, especially alcohol, tobacco and cannabis, remain high among adolescents, despite progress in regulatory efforts to limit access to these products. Our objective is to determine the prevalence of addictive behavior among middle school students in the Kairouan region and to specify the risk factors.

Methods
We conducted a cross-sectional study in public schools of Kairouan (Tunisia) during one month (May 2016). Students aged 13 to 16 were included in the study. The statistical analysis was performed using the SPSS software version 18.

Results
A total of 2020 students participated in this study with mean age of 13.9 ± 1.2 years. A male predominance was noted (44.1%, n = 890). The prevalence of addictive behavior was 7.1% (95% CI = [6% - 8.2%]). Multivariate analysis showed that the probability of addictive behavior decreased in young women (OR = 0.05, 95% CI = [0.02 - 0.09]) from rural origin (OR = 0.51, 95% CI = [0.32 - 0.83]). Independent risk factors associated with addictive behavior were: Age (OR = 1.39, 95% CI = [1.16 - 1.66]), family history of suicide (OR = 4.42, 95% CI = [ 2.56 - 7.62]), repeating the school year (OR = 2.91, 95% CI = [1.84 - 4.60]), physical aggression (OR = 1.78; 95% CI = [1.06 - 2.98]) and depression (OR = 1.56, 95% CI = [1 - 2.43]).

Conclusions
The entourage and caregivers are important actors to help adolescent to verbalize his suffering and find other ways to fight against the depressive affects.

Key messages
Prevalence of psychoactive substance use is very high in middle school students. Identification of risk factors is important for prevention program planning at an early stage.