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Knowledge and discriminatory attitudes towards HIV/AIDS among the women of reproductive age group of Pakistan using the Multiple Indicator Cluster Survey(MICS)

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Global health Journal 2024年第2期8卷 74-82页

作者： Remsha Hussain Russell Kabir school of Allied health Faculty of HealthMedicine and Social CareAnglia Ruskin UniversityUnited Kingdom

Background Human immunodeficiency virus/acquired immunodeficiency syndrome(HIV/AIDS)has become a major worldwide public health issue,with a focus on developing *** having a very low HIV prevalence,South Asia faces serious issues with stigma and false information because of a lack of *** stigma highlights significant gaps in popular awareness while also sustaining unfavorable attitudes towards those living with HIV/*** is ranked second in South Asia for the rapidly increasing AIDS *** information and optimistic outlooks are essential for successful HIV/AIDS prevention,control,and *** false beliefs about how HIV/AIDS spreads lead to negative perceptions,which highlights the need to look into how women’s knowledge and attitudes about HIV/AIDS in Pakistan are influenced by sociodemographic traits and *** The purpose of this study is to evaluate Pakistani women’s discriminatory attitudes and level of awareness on HIV/*** study used data(the women in reproductive age 15-49 years’dataset)from the Pakistan Multiple Indicator Cluster Survey to conduct an analytical cross-sectional *** represent the respondents’attitudes and knowledge towards people living with HIV(PLHIV),two composite variables were developed and composite *** logistics regression was used to identify predictor variables and chi-square was used for bivariate *** The findings reveal that almost 90%of Pakistani women have poor knowledge and attitude with HIV/*** Punjab,72.8%of rural residents have low knowledge,whereas only 20.6%of young individuals(15-<25 years old)show the least amount of *** is shown to be crucial,and“Higher”education is associated with superior *** dwellers in Khyber Pakhtunkhwa typically have more *** of HIV is positively correlated with education;those with higher education levels know a lot more(odds ratio[OR]=5.419).Similarly,quintil

关键词： HIV/AIDS PLHIV Knowledge Attitudes Women Pakistan

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Network analysis of the relationships between depressive symptoms and social participation activities among Chinese older adults and its implications for nursing

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International Journal of Nursing Sciences 2024年第4期11卷 465-472,I0002页

作者： Yebo Yu Hewei Min Wei Pan Ping Chen Xuxi Zhang Xinying Sun Department of social Medicine and health Education School of Public HealthPeking UniversityBeijingChina Center for Geriatric health Research Peking UniversityBeijingChina

Objective:Network analysis was used to explore the complex inter-relationships between social participation activities and depressive symptoms among the Chinese older population,and the differences in network structures among different genders,age groups,and urban-rural residency would be ***:Based on the 2018 wave of the Chinese Longitudinal healthy Longevity Survey(CLHLS),12,043 people aged 65 to 105 were *** 10-item Center for Epidemiologic Studies Depression(CESD)Scale was used to assess depressive symptoms and 10 types of social participation activities were collected,including housework,tai-chi,square dancing,visiting and interacting with friends,garden work,reading newspapers or books,raising domestic animals,playing cards or mahjong,watching TV or listening to radio,and organized social activities.R 4.2.1 software was used to estimate the network model and calculate strength and bridge ***:21.60%(2,601/12,043)of the participants had depressive *** total social participation score was negatively associated with depressive symptoms after adjusting for sociodemographic *** network of social participation and depressive symptoms showed that“D9(Inability to get going)”and“S9(Watching TV and/or listening to the radio)”had the highest strength within depressive symptoms and social participation communities,respectively,and“S1(Housework)”,“S9(Watching TV and/or listening to the radio)”,and“D5(Hopelessness)”were the most prominent bridging nodes between the two *** edges linking the two communities were negative.“S5(Graden work)-D5(Hopelessness)”and“S6(Reading newspapers/books)-D4(Everything was an effort)”were the top 2 strongest negative *** females had signiﬁcantly denser network structures than older *** to older people aged 65e80,the age group 81e105 showed higher network global ***:This study provides novel insights into the complex relationships between social

关键词： Depressive symptoms Network analysis Older adults Sex characteristics social participation

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“If I Do not Go to Work, They Will Die!” Dual Roles of Older-Adult Personal Support Workers' Contributions During the COVID-19 Pandemic

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International Journal of Disaster Risk Science 2024年第2期15卷 226-238页

作者： Haorui Wu Mandy Yung school of social Work Faculty of HealthDalhousie UniversityHalifaxNS B3H 4R2Canada

When COVID-19 devastated older-adult organizations(long-term care homes and retirement homes), most public attention was directed toward the older-adult residents rather than their service providers. This was especially true in the case of personal support workers, some of whom are over the age of 55, putting them in two separate categories in the COVID-19 settings:(1) a vulnerable and marginalized group who are disproportionately impacted by COVID-19;and(2) essential healthcare workers. Since the current disaster-driven research, practice, and policy have primarily focused on generalized assumptions that older-adults are a vulnerable, passive, and dependent group rather than recognizing their diversity, expertise, assets, and experiences, this study aimed to identify their contributions from the perspective of older-adult personal support worker(OAPSW). This qualitative study conducted in-depth interviews, inviting 15 OAPSWs from the Greater Toronto Area, Canada. This study uncovered the OAPSWs' contribution at three levels: individual(enhancing physical health, mental health, and overall well-being), work(improving working environment and service and supporting co-workers), and family(protecting their nuclear and extended families). The outcomes inform the older-adult research, practice, policy, public discourse, and education by enhancing the appreciation of older-adults' diverse strengths and promoting their engagement and contributions in disaster settings.

关键词： Canada COVID-19 Individual-work-family triangulation Older-adult personal support workers

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Cognitive impairment associated with individual and joint exposure to PM_(2.5)constituents in a Chinese national cohort

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Frontiers of Environmental Science & Engineering 2024年第9期18卷 39-50页

作者： Boning Deng Yachen Li Lifeng Zhu Yuwei Zhou Aonan Sun Jingjing Zhang Yixiang Wang Yuxi Tan Jiajun Shen Yalin Zhang Zan Ding Yunquan Zhang Institute of social Development and health Management Hubei Province Key Laboratory of Occupational Hazard Identification and ControlSchool of Public HealthWuhan University of Science and TechnologyWuhan 430065China Baoan Central Hospital of Shenzhen Shenzhen 518102China

Nationwide longitudinal evidence linking cognitive decline with exposure to fine particulate matter(PM_(2.5))constituents remains scarce in *** constructing a dynamic cohort based on the China health and Retirement Longitudinal Study,we aimed to assess individual and joint associations of PM_(2.5)constituents with cognitive function among middle-aged and older adults in *** mixed-effects models incorporated with quantile-based g-computation were applied to investigate individual and joint associations of long-term exposures to PM_(2.5)constituents with cognitive *** 13,507 respondents,we evaluated 38,950 follow-up records of cognitive function *** in global cognitive score associated with an interquartile range(IQR)increase in exposure were−1.477(95%CI:−1.722,−1.232)for nitrate,followed by−1.331(−1.529,−1.133)for ammonium,−1.033(−1.184,−0.883)for sulfate,−0.988(−1.144,−0.832)for organic matter and−0.822(−0.946,−0.699)for black *** IQR-equivalent increase in joint exposure to these PM_(2.5)constituents was associated with a decline of−1.353(−1.659,−1.048)in global cognitive ***,younger,and well-educated individuals were at greater vulnerability to cognitive impairment related to individual and joint exposure to PM_(2.5)*** study suggested that later-life exposures to PM_(2.5)constituents were associated with cognitive decline in middle-aged and older adults in China.

关键词： Air pollution PM_(2.5)constituents Cognitive function Joint exposure Middle-aged and older adults

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Limited social Support,but Comparable health Literacy and Service Utilization,Among Elderly People Living Alone—Six PLADs,China,May-September 2020

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China CDC weekly 2024年第39期6卷 1011-1016页

作者： Hao Lin Meijun Chen Yuhui Shi Ying Ji Yuting Lin Wangnan Cao Chun Chang Department of social Medicine and health Education School of Public HealthPeking University Health Science CenterBeijingChina Center for healthy Aging Peking University Health Science CenterBeijingChina school of Public health The University of Hong KongHong Kong Special Administrative RegionChina

What is already known about this topic?The proportion of elderly living alone in China is approximately 10%.Living away from family poses enormous challenges for older *** is added by this report?Compared to those living with family,elderly individuals living alone exhibit a lower registration rate with general practitioners and have less social *** are the implications for public health practice?While the current health service system for elderly people living alone is working relatively well,there is a need for additional programs to enhance social support and improve their social well-being.

关键词： alone elderly service

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A Prospective Cohort Study of Antimony Exposure and Cognitive Impairment in Older Adults—China,2017–2021

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China CDC weekly 2024年第23期6卷 537-541,I0001-I0007页

作者： Yidan Qiu Saisai Ji Chen Chen Jinhui Zhou Jun Wang Bing Wu Yuan Wei Fangyu Li Xulin Zheng Lanjing Xu Zheng Zhang Feng Zhao Guangdi Chen John SJi Yuebin Lyu Shilu Tong Xiaoming Shi Department of Big Data in health Science School of Public HealthZhejiang UniversityHangzhou CityZhejiang ProvinceChina China CDC Key Laboratory of Environment and Population health National Institute of Environmental HealthChinese Center for Disease Control and PreventionBeijingChina Center for Global health School of Public HealthNanjing Medical UniversityNanjing CityJiangsu ProvinceChina Department of Epidemiology and Biostatistics School of Public HealthJilin UniversityChangchun CityJilin ProvinceChina school of Public health China Medical UniversityShenyang CityLiaoning ProvinceChina Institute of Environmental health School of Public Healthand Bioelectromagnetics LaboratorySchool of MedicineZhejiang UniversityHangzhou CityZhejiang ProvinceChina Environmental Research Center Duke Kunshan UniversityKunshan CityJiangsu ProvinceChina Nicholas school of the Environment Duke UniversityDurhamNCUSA school of Public health Institute of Environment and Population HealthAnhui Medical UniversityHefei CityAnhui ProvinceChina school of Public health and social Work Queensland University of TechnologyBrisbaneAustralia

What is already known about this topic?Antimony(Sb)has been identified as a new neurotoxicant that impacts neurological functions in animal ***,its effects on the human population remain *** is added by this report?The study reveals that there is an association between exposure to Sb and a higher incidence of cognitive impairment in older *** dose-response curve demonstrates that the risk of cognitive impairment consistently increased with higher levels of Sb exposure without a discernible *** are the implications for public health practice?Reducing exposure to Sb may have a beneficial effect in delaying or preventing the onset of cognitive *** intervention has the potential to significantly decrease the disease burden associated with cognitive impairment,ultimately contributing to social development.

关键词： Antimony development. exposure

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Sexual and Reproductive Service Interventions for Menstrual Regulation, Safe Abortion, and Post-abortion care and Their Effectiveness During Disaster Response: A Global Systematic Review

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International Journal of Disaster Risk Science 2024年第3期15卷 359-373页

作者： Nibedita S.Ray-Bennett Winifred Ekezie Isha Biswas Nimra Iqbal Choudhary David Cowie Lasith Dissanayake Lauren Macleod Azukaeogo Nnaji Madhulika Sahoo school of Business University of Leicester Avoidable Deaths Network University of Leicester Diabetes Research Centre Leicester General Hospital University of Leicester school of social Sciences and Humanities Aston University Lifespan and Population health School of Medicine University of Nottingham school of Public health and Interdisciplinary Studies Auckland University of Technology Faculty of Life Sciences and Education University of South Wales West African Regional ECHO (WARE) APIN Public Health Initiatives Department of Anthropology Kalahandi University

Sexual and reproductive health(SRH) services are crucial for women especially during disasters, to reduce maternal mortality and morbidity from miscarriages, unsafe abortions, and post-abortion complications. This study explored the SRH interventions provided during disaster response. A systematic review was conducted to identify what menstrual regulation(MR), safe abortion(SA), and post-abortion care(PAC) approaches/interventions exist to promote resilience in the health system in disaster settings; what intervention components were most eff ective; and challenges and opportunities to meeting SRH rights. Five electronic databases were searched, resulting in 4194 records. Following the screening process, seven publications were included. The intervention-related information in each publication was assessed based on availability,accessibility, acceptability, and quality. Two SRH approaches/interventions were found. The eff ectiveness of intervention components could not be conducted due to the limited number of relevant studies. Challenges were found at facility and community levels, and opportunities included overcoming them, making MR, SA, and PAC integral to the mitigation phase,and policy change to overcome barriers related to unaff ordability and inaccessibility. Recommendations are provided to encourage research and policy towards improving neglected SRH in disaster settings to realize Sustainable Development Goal 3 and the Global Strategy and Sendai Framework's priority to promote disaster-resilient health systems.

关键词： Abortion Disasters Sendai framework Sexual and reproductive health Sustainable development goal

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Positive health:An integrated quantitative approach in patients with chronic gastrointestinal and hepato-pancreatico-biliary disorders

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World Journal of Gastroenterology 2024年第28期30卷 3418-3427页

作者： Anja H W M Lemlijn-Slenter Karolina AP Wijnands Gijs van der Hamsvoort Luuk P van Iperen Nico Wolter Angelique E de Rijk Ad AM Masclee Department of social Medicine Faculty of HealthMedicine and Life sciencesCare and Public Health Research Institute Maastricht UniversityMaastricht 6200 MDLimburgNetherlands Division of Gastroenterology and Hepatology Department of Internal MedicineSchool of Nutrition and Translational Research in MetabolismMaastricht 6200 MDLimburgNetherlands social Medical Affairs Employee Insurance Agency(UWV)Heerlen 6400 ACLimburgNetherlands Department of Research Academic Knowledge Center Work and Health South-East Netherlands(AKAG-ZON)Heerlen 6400 ACLimburgNetherlands

BACKGROUND The concept of positive health(PH)supports an integrated approach for patients by taking into account six dimensions of *** approach is especially relevant for patients with chronic *** gastrointestinal and hepatopancreatico-biliary(GI-HPB)disorders are among the top-6 of the most prevalent chronically affected organ *** impact of chronic GI-HPB disorders on individuals may be disproportionally high because:(1)The affected organ system frequently contributes to a malnourished state;and(2)persons with chronic GIHPB disorders are often younger than persons with chronic diseases in other organ *** To describe and quantify the dimensions of PH in patients with chronic GI-HPB *** Prospective,observational questionnaire study performed between 2019 and 2021 in 235 patients with a chronic GIHPB disorder attending the Outpatient Department of the Maastricht University Medical *** questionnaires and data from patient files were used to quantify the six dimensions of *** consistency was tested with McDonald’s ***-order Pearson correlations and t-tests were used to assess associations and differences.A P value<0.05 was considered *** The GI-HPB patients scored significantly worse in all dimensions of PH compared to control data or norm scores from the general *** quality of life,participation and daily functioning,GI-HPB patients scored in the same range as patients with chronic disorders in other organ systems,but depressive symptoms(in 35%)and malnutrition(in 45%)were more frequent in patients with chronic GI-HPB *** scores between the six dimensions were only very weak to weak,forcing us to quantify each domain *** All six dimensions of PH are impaired in the GI-HPB *** and depressive symptoms are more prevalent compared to patients with chronic disorders in other organ systems.

关键词： Positive health Chronic gut disorders Gastrointestinal disorders Hepato-pancreatico-biliary disorders Integrated care

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Community-led total sanitation(CLTS)implementation in West Mamprusi Municipal Assembly in *** do communities think eleven years on?

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Global health Journal 2024年第2期8卷 67-73页

作者： Elijah Adam Emmanuel Badu school of Media Creative and Social InquiryCurtin UniversityBentleyWestern AustraliaAustralia school of Population health Curtin UniversityBentleyWestern AustraliaAustralia

Objective Access to improved sanitation is a fundamental human right and an important aspect of Public ***,an estimated thousands of people in Ghana especially,the West Mamprusi Municipal Assembly(WMMA)still have no access to adequate toilet *** has brought untold health repercussions to the inhabitants,the community,and the environment at *** address this menace,the community-led total sanitation(CLTS)was *** study aimed to assess communities’perspectives on the implementation of CLTS and to understand the factors influencing its success and *** A mixed-method approach involving sequential qualitative and quantitative methods was employed in this *** for the quantitative study were randomly selected and surveyed using *** qualitative study employed focus group discussion involving purposively sampled participants including assembly members,opinion leaders,and assembly *** The CLTS program in WMMA realized an apparent use of construction and proper use of household latrines leading to a reduction of open defecation free(ODF)and two communities achieving sanitized status in the history of the study area,enabling the training of latrine artisans and natural leaders to facilitate the CLTS expansion and sustainability,improved sanitation and hygiene,strengthened the enforcement of community rules and regulations and many *** The CLTS program has received more widespread acceptance in the study area than the previous government policy of constructing public toilets,which was greeted with massive failures due to poor *** ensure that gains achieved through CLTS implementation are sustained longer,it is recommended that chiefs and opinion leaders should be involved in the CLTS programs to ensure checks and *** entrenchment of bylaws and more education to address enduring myths and misconceptions will sustain the *** in the form

关键词： Community-led total sanitation(CLTS) Community development Ghana Sanitation

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Evolution of HIV/AIDS Prevention and Control Policies in China:A Grounded Theory Approach

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China CDC weekly 2024年第1期6卷 12-22页

作者： Huang Li Rui Gao Chichen Zhang school of Public health Southern Medical UniversityGuangzhou CityGuangdong ProvinceChina school of health Management Southern Medical UniversityGuangzhou CityGuangdong ProvinceChina Key Laboratory of Philosophy and social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of health Management Policy and Precision health Service Southern Medical UniversityGuangzhou CityGuangdong ProvinceChina Graduate school Xi’an Jiaotong-Liverpool UniversitySuzhou CityJiangsu ProvinceChina school of Political Science and Public Administration Soochow UniversitySuzhou CityJiangsu ProvinceChina

Objective:This study aims to provide a theoretical foundation for the development and practical application of human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome(AIDS)prevention and control policy systems in China by scrutinizing,analyzing,and synthesizing the evolution of Chinese policies in this ***:Utilizing grounded theory,we employed NVivo12 software to perform text content analysis,mining,and coding classification,along with visualization techniques,on policy texts sourced from Chinese government platforms,including the official website of China’s State *** considered four analytical dimensions—time,subject,type,and ***:The National health Commission and the State Council emerged as the primary entities engaged in policymaking for HIV/AIDS in *** identified four distinct stages in the evolution of these policies,culminating in a novel‘sun-shaped’HIV/AIDS prevention and control policy network model with an emphasis on‘knowledge,attitude,and practice’at its nucleus,which aligns with national conditions and societal ***,the focal groups of these policies have been dynamically refined and updated over ***:Our findings introduce a‘sunshaped’HIV/AIDS prevention and control policy network model specific to *** observed a conceptual policy shift towards prioritizing overall human health rather than confining the focus to disease ***,in light of China’s growing elderly population,the imperative to address HIV/AIDS prevention and control among older adults is an issue that warrants increased attention.

关键词： prevention HIV/AIDS policy

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