bluuebunny/crossref_metadata_2025_split huggingface dataset:
Peripartum care provision in a resource-constrained setting – a qualitative study from Guinea-Bissau
Authors: Damerow S M , Adrian H V , Indjai B , Fisker A B , Sørensen J B 
Published: October 2023

Abstract

Background
Guinea-Bissau has among the world's highest maternal-perinatal mortality. Here, the European Union financed a national health system strengthening initiative to improve access to quality peripartum care from 2013-21. Thereafter, the initiative was supported by the World Bank. We conducted a situational analysis to explore factors shaping the provision of timely and quality peripartum care amid this transition in rural Guinea-Bissau.

Methods
We conducted in-depth interviews with eight peripartum care providers in four rural regions, and participant observations (192 hours) at the regional hospital and a health center in one region in 2021-22. Interviews and observation notes were analyzed using thematic network analysis aided by theories of social practice and the WHO framework for quality maternal and newborn health care.

Results
Peripartum services were provided under severely resource-constrained conditions. Care providers especially experienced a lack of materials (e.g., essential drugs, consumables, appropriate equipment), space and staffing, and commonly voiced feeling overburdened. Material constraints were explained by discontinued donor supplies. To navigate this context, providers used several tactics, including: delegating monitoring and support tasks to birth companions; prescriptions of materials for purchase; omitting tests; and using materials thrifty, e.g., by shifting tasks requiring gloves to the staff member wearing them or rationing disinfectants. These tactics had several consequences: diffusion of health worker responsibilities; financial barriers to care; delays; unsanitary conditions; and compromised occupational and patient safety.

Conclusions
With provision of quality peripartum care being highly dependent on external support amid scarce domestic resources, support disruptions led to severely compromised care. This highlights the need to strengthen donor-coordination warranting continuity and quality of essential health services.

Key messages
• Disruptions in donor support led to severely compromised peripartum care in rural Guinea-Bissau.
• This underscores the need for strengthened donor-coordination warranting continuity of service quality.
Urban environment, unhealthy buildings as a root of inequalities and importance of SDGs
Authors: Kusturica M P , Jevtic M , Matkovic V , Bouland C 
Published: October 2023

Abstract
The current pandemic reinforced inequalities and injustice on multiple levels: health, social, and especially urban environment. Cities represent human prosperity and wealth, but also inequity, and health detrimental environments lacking green spaces and sufficiently good air quality, transportation, water supply. Emergencies like COVID-19 pandemic, but also other natural disasters like earthquake and humanitarian crisis have brought a renewed interest in the urban environment and healthy living. With the special circumstances, last year's special attention from public health has become an urban environment concern. The built natural environment, various public spaces like urban parks and forests, transportation hubs and urban open public spaces, are not only significant factors influencing the spread of infectious diseases, but those spaces also have protective roles for health, particularly mental health. There are a lot of examples which reflect increased inequalities in urban areas. Various urban facilities and buildings are in very unhealthy conditions and produce a lot of risks for their inhabitants. Public spaces revealed influential properties for older patients, whereas middle and young-aged adults were more influenced by traveling and the location of business services. The ethnic and minority vulnerability has also a legacy of historical issues in urban planning and unhealthy buildings. This is characterized by diverse racial and minority group populations, with the increased risk from COVID- 19, but also noticeably lower accessibility to green open areas for physical activity. It seems that the Covid crisis have increased the risk of slowing down the achievement of sustainable development goals in urban areas: It is especially important to re-examine the goals and prevent the slowdown in progress towards goals 11 (Sustainable Cities and Communities), 10 (inequalities) in connection with SDG 3 Health) and SDG 17 (strong global partnerships).
Can the built environment impact on the health and well-being of people with dementia? Evidence from Literature and Stakeholders Involvement
Authors: Mangili S , Trabucchi M , Capolongo S 
Published: October 2023

Abstract
Worldwide there are about 55 million people have dementia and the number is expected to grow exponentially in the coming years. Because of the comorbidities and symptoms of the disease, these often live within residential care facilities. The impact that the built environment can have on people's health is now well known, although many aspects are still under-investigated. This research aims to analyze which are the relationships between the built environment and health and well-being outcomes in people with dementia (PwD) by comparing data from the systematic literature review with the direct experiences of experts. The methodology consists of two parts: a systematic literature review and the involvement of stakeholders with expertise in dementia. The first analysis was conducted on scientific databases (Scopus, Pubmed, and Web of Science), using significant keywords, outlining a comparison matrix that correlates architectural aspects and the health of people with dementia. The second analysis was conducted through the compilation of the matrix, between architectural-spatial and health and well-being outcomes which emerged from the literature and was expanded by the study authors, between architectural-spatial aspects (such as location, size, indoor environmental qualities, signage) and health and wellness outcomes of patients with dementia (such as Delirium, wandering, ADL, BPSD, falls). The literature review identified how some studies relate health outcomes and the built environment. Many aspects seem to be widely explored, for example, quality of life (QOL), BPSD (Behavioral and Psychological Symptoms of Dementia), the number of rooms per household, light, or the creation of a home-like environment. Many of the studies do not analyze the impact that specific features of the built environment can have on people with dementia, including concerning health outcomes.
Do child mental & physical health explain inequalities in adolescent NEET status? A UK Cohort Study
Authors: Creese H , Taylor-Robinson D , Hargreaves D 
Published: October 2023

Abstract

Around 1 in 10 young people (YP) (16-24 years) are Not in Education, Employment, or Training (NEET) in the United Kingdom (UK). Socioeconomically disadvantaged YP are more likely to become NEET. Poor physical and mental health and disability are known risk factors for NEET status, yet their potential to mediate the relationship between socioeconomic circumstances (SEC) and NEET status remains unclear. We aimed to quantify which childhood health pathways explain inequalities in adolescent NEET status. We analysed data on 5,786 YP from the Millennium Cohort Study (MCS), a nationally representative sample of the UK population. Early life SEC was measured by highest parental occupational status at birth. NEET status was derived from four questions on education, employment, and training at 17 years. Mediators across childhood were grouped into family health (parental limiting illness, mental and general health, and young carer status) perinatal health (birth weight, smoking during pregnancy, school readiness score), physical health (weight status, asthma, general health, longstanding illness at 11 years), and mental health (mental health score, self-esteem, and ASD/ADHA statement). We used logistic regression to examine the total effect of SEC on adolescent NEET status whilst adjusting for confounders (sex, maternal age, and education), then adjusted for potential mediators. Using causal mediation analysis, we will estimate the proportion mediated by blocks of mediators and the natural indirect effect (NIE) via each block of mediators. After adjustment for confounding, YP whose parents were unemployed were more than 8 times as likely to be NEET at 17 years compared with those whose parents had managerial occupations (Odds Ratio (OR) 8.55, 95% CI 3.73 to 19.64). After adjustment for all childhood health conditions, there was a 34% reduction to aOR 5.99 (95% CI 2.42 to 14.85). Childhood health conditions partially contribute to inequalities in adolescent NEET status.

Key messages
• Childhood mental and physical health are important for targeting interventions to reduce inequalities in adolescent NEET status.
• More than a third of the social inequality in NEET status was explained by perinatal, physical, and mental health during childhood.
Sexual orientation differences in Swedish young adults’ mental health service use and unmet needs
Authors: Roxo L , Pachankis J E , Bränström R 
Published: October 2023

Abstract

Background
Sexual orientation differences in mental health service (MHS) use have been described before, but evidence from European settings is scarce, and little is known about unmet mental health needs (UMHN). This study examines sexual orientation differences in MHS use and UMHN and associated sociodemographic factors in a population-based sample of young adults in Sweden (aged 17-34).

Methods
We used data from the Pathways to Longitudinally Understanding Stress (PLUS) study (N = 2,126). We performed logistic regressions to model MHS use and UMHN, followed by a subgroup analysis of UMHN among those perceiving a need of MHS. We used interaction terms to understand if associations with sociodemographic factors (gender, age, educational level, income, employment status, household composition, urbanicity and country of birth) differed by sexual orientation and calculated expected proportions.

Results
Overall, 35% of sexual minorities had used MHS the previous year, compared to 20.2% of heterosexuals (OR = 1.52, 95%CI=1.17-1.96, p = 0.002). MHS use was more likely among females, those not employed, not living with a partner, or with low income and less likely for those with less education. UMHN were more likely among sexual minorities (17.6%) than heterosexuals (11.8%, OR = 1.47, 95%CI=1.09-2.00, p = 0.013). Overall, one-third of those with perceived need did not use services, with a significant interaction (p = 0.015) between sexual minority status and gender (60% of sexual minority males vs 36% of heterosexual males and 28% of sexual minority females). For both groups, UMHN were more likely among younger, low-educated and employed persons, and less likely among those with low income.

Conclusions
Sexual minorities are more likely to use MHS but present higher access barriers. Sexual minority men seem less likely to seek help for mental health symptoms. Future research should assess why that happens, while policies should promote friendly mental health services to this group.
COVID-19, breast cancer care, and social determinants of health: a cross-sectional study
Authors: Myers C , Bennett K , Cahir C 
Published: October 2023

Abstract

The aims of this study were to explore the impact of COVID-19 on healthcare services and quality of life (QoL) in women living with and beyond BC in Ireland and whether the impact varied by social determinants of health (SDH). The survey study invited women diagnosed with BC to complete a questionnaire measuring the impact of COVID-19, disruption to BC services, QoL, SDH, and clinical covariates during a period of COVID-19 restrictions. The association between COVID-19 impact, disruption to BC services, and QoL was assessed using multivariable regression with adjustment for SDH and clinical covariates. An interaction between COVID-19 impact and health insurance status was assessed within each multivariable regression model. In total, 387 women completed the survey and 30.5% reported a high COVID-19 impact. Women who reported a high COVID-19 impact had significantly more disruption in BC services(OR = 4.54, CI = 2.15, 9.61, p &lt; 0.001) and a lower QoL(β = -12.4, SE 3.31, p &lt; 0.001) compared to women who reported a low COVID-19 impact. Finally, women with a high COVID-19 impact and no insurance experienced significantly more disruption to BC services(OR = 2.53, CI = 1.30, 4.92, p = 0.006) and lower QoL(β = -18.6, SE = 3.92, p &lt; 0.001). There was a large disruption to BC services and decrease in QoL for women with BC in Ireland during the pandemic. However, the impact of COVID-19 was not the same for all women. It is important that women with BC are reintegrated back into BC care and their QoL is addressed through multidisciplinary support services.

Key messages
• Health systems must learn from the pandemic to improve services and to avoid detrimental impact of future disasters.
• Health insurance status is a key determinant for women with breast cancer in Ireland.
My Health My Language bridging the gap in public healthcare messaging
Authors: Begley G , Hamilton D , Armstrong R , Hayes M 
Published: October 2023

Abstract

Issue
Like many other European countries there has been a sharp increase in the number of migrants in Ireland recently. 13.9% of migrants in Ireland have poor or no English (Census 2016) and are not reached with mainstream public health messaging. Prior to the COVID-19 pandemic, most intercultural health resources were written rather than audio-visual. A clear need to reach out to these communities was identified.

Project
In 2021 the Health Service Executive (HSE) National Social Inclusion Office (NSIO) initiated a project with Translate Ireland (TI) to address the gap in intercultural health resources. Through consultation, priority health protection and health service areas were identified for inclusion in a suite of videos in main migrant languages. NSIO consulted with mychild.ie, National Immunisation Office, Irish College of GPs, Public Health, HSE Communications and the Sexual Health/Crisis Pregnancy Programme to ensure the scripts were aligned with HSE policy. TI identified health professionals living and working in Ireland, that were part of the migrant communities, to deliver key messages in the videos. TI worked with the presenters in wording the scripts to ensure cultural appropriateness.

Results
11 primary care/maternal care videos were produced in 17 languages (187 videos), for healthcare professionals and people seeking health information. A dedicated webpage was created to ensure the videos were easily accessible and the project was named My Health My Language. The project was formally launched in June 2022 by the Minster of Health. We engaged with migrant communities, NGOs and government departments to share the multi-media video messages. By June 2023 there are 14,055 views of the videos.

Lessons
As smartphones are widely used by underserved groups, video messaging is very effective, for those with limited English or where English is not their first language. Short URLs on social media are very effective in providing access to videos.

Key messages
• My Health My Language is a health equity initiative, addressing health information needs of people who have limited English or where English is not their first language.
• Culturally appropriate healthcare videos by peer healthcare professionals speaking in their own language have had significant reach, with over 14,000 views since launching in April 2022.
Does health literacy mediate the relationship between socioeconomic status and health outcomes?
Authors: Berete F , Demarest S , Charafeddine R , Meeus P , Bruyère O , Van der Heyden J 
Published: October 2023

Abstract

Background
Health literacy (HL) has been hypothesized as one of the mediators in the pathway through which socioeconomic status (SES) affects health outcomes. This study explores whether HL mediates the relation between SES and a selection of health(-related) outcomes.

Methods
Data from the participants of the Belgian health interview survey 2018 aged 15 years and over were individually linked with data from the Belgian compulsory health insurance (n = 6878). HL was assessed with the HLS-EU-Q6. Mediation analyses were performed using the SES as independent variables, health(-related) outcomes as dependent variables and HL as mediating variable.

Results
People with low SES were less likely to have preventive dental care (PDC), breast cancer screening (BCS), enough physical activity, good nutritional habits, good self-rated health (SRH). In contrast, they were more likely to use antibiotics and antidepressants. A positive correlation was found between HL and PDC, good nutritional habits, physical activity and SRH, but a negative correlation with use of antidepressants. HL partially mediated the association between SES and PDC, use of antidepressants, nutritional habits, physical activity and SRH. In the relationship between these outcomes and education, the mediation effect of HL accounted significantly for 4.4% to 15.4% of the total effect, while it accounted significantly for 4.2% to 12.0% of the total effect in the relationship with income. There was no significant mediating contribution of HL in the pathway by which SES affects influenza vaccination uptake and BCS.

Conclusions
Although the influence of HL in the pathway is limited, the findings suggest that strategies for improving various health(-related) outcomes among low SES groups may benefit from attention to HL. The low percentage mediated for the use of antidepressants might suggest a shared decision between physician and patients.

Key messages
• HL partially mediates the association between SES and PDC, use of antidepressants, nutritional habits, physical activity and SRH. Improving HL might reduce SES disparities in these areas.
• No mediating effects for influenza vaccination uptake and BCS, indicating a possible influence of the universal health coverage in place.
Oral health literacy strategies focused on community-based learning
Authors: Veiga N , Moura A C , Correia P , Couto P , Pereira R , Lopes P , Correia M J 
Published: October 2023

Abstract

Background
Oral health literacy relates to the capacity of individuals to acquire, understand and to act upon oral health information to make appropriate health decisions. The objective of this work is to present the strategies under development in the community, focusing interventions of oral health literacy by the application of community-based learning models in the central region of Portugal.

Methods
At the Faculty of Dental Medicine of the Universidade Católica Portuguesa (Viseu, Portugal), various community oral health projects have been developed focusing on oral health literacy promotion among the most vulnerable population, with the goal of achieving acceptable levels of empowerment towards adequate oral health behaviors. One of the main strategies consists in the application of the Service-Learning methodology that has allowed the identification of community needs and the active participation of dental medicine students in community interventions and scientific research in oral health.

Results
Innovative oral health community strategies should be performed to improve oral health literacy within the most vulnerable risk groups of society, specifically oriented to a community-based learning model. Service-Learning is an educational approach where the student learns specific soft skills, collaborating directly with a social institution and society “outdoors” and engages in reflection activities to deepen their understanding of what is being taught.

Conclusions
One of the main strategies to incorporate the health professional in social responsibility and direct contact in community is by experiencing Service-Learning programs during their training phase. It is important to highlight that health-related degreeś curriculum should favor community-based learning as a successful and engaging learning model that addresses both professionalism and humanism.

Key messages
• Community-based learning projects can be developed in order to work with and for the community contributing, simultaneously, for the development of soft-skills among future oral health professionals.
• Public health strategies should be performed to improve oral health literacy within the most vulnerable risk groups of society, specifically oriented to a community-based learning model.
Which journal indicator to consider when submitting a paper on Public Health area?
Authors: Taneri P E , Civaner M M , Devane D 
Published: October 2023

Abstract

Background
Each journal metric has a one-of-a-kind algorithm with unique strengths and limitations. This study aims to explore the correlations among the journal metrics of the Public Health, Environmental, and Occupational Health (PHEOH) journals to help inform researchers’ decisions on their publications.

Methods
We included the first 300 journals listed in the PHEOH area by SCImago. Journal Impact Factor (JIF), SCImago journal rank indicator (SJR), CiteScore (CS), h-index, and Source Normalized Impact per Paper (SNIP) indexes were obtained for every journal, between 01 August-30 September 2022. We performed bivariate Spearman ranking correlations, with SPSS 26.0. The statistical significance level was p &lt; 0.05.

Results
There were very strong correlations between JIF&CiteScore (r = 0.831, p &lt; 0.05), SJR & JIF (r = 0.817, p &lt; 0.05), and SJR & SNIP (r = 0.829, p &lt; 0.05). There were strong correlations between JIF & SNIP, CiteScore & SNIP, and SJR & CiteScore (r = 0.760, p &lt; 0.05; r = 0.772, p &lt; 0.05; r = 0.792, p &lt; 0.05 respectively). There was a moderate correlation between the h-index and CiteScore (r = 0.414, p &lt; 0.05); weak correlations between the h-index&JIF (r = 0.263, p &lt; 0.05), and the h-index&SNIP (r = 0.310, p &lt; 0.05). Among the top 50 journals, the correlations between JIF& CiteScore (r = 0.795, p &lt; 0.05), SJR & JIF (r = 0.631, p &lt; 0.05), and SJR&SNIP (r = 0.601, p &lt; 0.05) were strong. Moderate correlations were found between JIF&SNIP (r = 0.593, p &lt; 0.05), CiteScore&SNIP (r = 0.550, p &lt; 0.05), and SJR&CiteScore (r = 0.505, p &lt; 0.05). There were no correlations between h-index&JIF (r = 0.140, p = 0.354), h-index&CiteScore (0.194, p = 0.176), h-index&SNIP (0.055, p = 0.704), and h-index&SJR (r = 0.275, p = 0.053).

Conclusions
Our study highlights that there is instability in the correlations among mentioned metrics. Journal metrics, especially the h-index, should be carefully evaluated by the researchers before submitting any manuscript to a journal in the PHEOH category.

Key messages
• Journal metrics are not highly correlated in the public health area.
• Researchers should carefully consider all metrics before publication, especially h-index.