Epidemiology and care structures for children and adolescents and young adults up to the 26th year of life with inflammatory bowel diseases (IBD) in Leipzig/Saxony/Germany
ConclusionsNearly all patients up to 15  years (completeness 87.5%) were recorded by pediatricians to the IBD Registry. The actual incidence up to the age of 18 years for IBD in Leipzig is one of the highest worldwide. To obtain valid epidemiologic data up to the age of 18, the inclusion of adult gastroenterologists are necessary. (Source: Journal of Public Health)
Source: Journal of Public Health - January 15, 2018 Category: Health Management Source Type: research

Geographical variation in prevalence of non-communicable diseases (NCDs) and its correlates in India: evidence from recent NSSO survey
ConclusionThe study highlights the need to develop proper surveillance and monitoring programmes to focus on highly affected geographical regions to arrest the growing burden of NCDs. (Source: Journal of Public Health)
Source: Journal of Public Health - January 13, 2018 Category: Health Management Source Type: research

Unmet healthcare needs among indigenous peoples in Canada: findings from the 2006 and 2012 Aboriginal Peoples Surveys
ConclusionsFurther research is warranted that examines the association between general factors related to UHN and indigenous-specific factors. Additionally, assessing how chronic disease impacts UHN will provide information on reasons for UHN (e.g., healthcare system-related versus personal circumstances). (Source: Journal of Public Health)
Source: Journal of Public Health - January 13, 2018 Category: Health Management Source Type: research

Risk modeling of non-communicable diseases using socio-demographic characteristics, lifestyle and family disease history among university students in Bangladesh
ConclusionThis study shows that the number of students suffering from different types of NCDs is not negligible. Their lifestyle and family history of NCDs are responsible for this to a significant extent. Urgent initiatives should be taken to rein in the spread of NCDs among the youth of Bangladesh. (Source: Journal of Public Health)
Source: Journal of Public Health - January 13, 2018 Category: Health Management Source Type: research

Effect of training program regarding smoking cessation counseling for primary health care physicians in Port Said City, Egypt
AbstractBackgroundSmoking is a major risk factor for death-related diseases. Not all healthcare professionals are following evidence-based guidelines for smoking cessation counseling in primary care settings. The WHO, Framework Convention on Tobacco Control (FCTC), and United States Public Health Service (USPHS) guidelines recommend that all healthcare professionals, including students in healthcare training programs, receive education in the management of tobacco use and dependence.ObjectiveTo evaluate the effect of training programs for primary healthcare physicians on the knowledge, attitude, and practice of smoking ces...
Source: Journal of Public Health - January 13, 2018 Category: Health Management Source Type: research

Evaluation of determinant factors for the presence and activity of dental caries in five-year-old children: study with decision tree
AbstractAimThe aim of the present study was to investigate dental caries and caries activity as well as determine associations with sociodemographic factors and visits to the dentist among 5-year-old children.Subjects and methodsSeven hundred sixty-nine children enrolled in preschools in a medium-sized city in northeast Brazil participated in the study. Two examiners who had undergone training exercises performed the examinations using the ICDAS-II. Descriptive statistics and logistic regression for complex samples were performed ( α = 5%). An inductive decision tree was created for the occurrence of ca...
Source: Journal of Public Health - January 13, 2018 Category: Health Management Source Type: research

A study of electronic cigarette use among youth
ConclusionsOur findings emphasize the need to make policy makers and school administrators aware of the extent of usage of e-cigarettes, especially, among juniors and seniors. Since the prevalence of e-cigarette use is steeply increasing over the past years, proper intervention programs should be implemented in schools for the benefit of targeted youth. (Source: Journal of Public Health)
Source: Journal of Public Health - January 12, 2018 Category: Health Management Source Type: research

Predictors of vitamin D supplementation amongst infants in Ireland throughout the first year of life
AbstractAimTo investigate predictors of compliance with the recommendation that all infants in Ireland are supplemented daily from birth to 12  months of age with 5 μg of vitamin D.Subjects and methodsA prospective observational study was conducted. Self-complete questionnaires recorded socio-demographic characteristics, health behaviours and supplementation practices for 158 mother-infant dyads at 4, 9 and 12  months post-partum. A 2-day food diary was also obtained on 12-month-old infants to examine the contribution of diet to vitamin D intakes.ResultsAt 4, 9 and 12  months of age, 57.6% (n = 91), 34.2%...
Source: Journal of Public Health - January 12, 2018 Category: Health Management Source Type: research

Lifestyle factors in somatic patients with and without potential alcohol problems
ConclusionWe found that alcohol problems are related to a clustering of other lifestyle factors and that many of the patients admitted to certain departments showed signs of various kinds of alcohol problems. Therefore, specific hospital departments could be opportune settings for preventive alcohol interventions. (Source: Journal of Public Health)
Source: Journal of Public Health - January 8, 2018 Category: Health Management Source Type: research

Changes in 10-year cardiovascular risk and behavioral risk factors in men in Crete, Greece, since the Seven Countries ’ Study (1960–1997)
This study aimed to assess changes in CVD-risk occurring since the Seven Countries’ Study.Subject and methodsSecondary analysis was performed in two cohorts of men (aged 40 –60 years) in Crete-Greece, in 1960 (Seven Countries’ Study’s participants) and 1997 (random sample of men of the same age and residence areas). The HeartScore was used to estimate the (1) 10-year CVD-risk and (2) 10-year CVD-risk based on body mass index (BMI), of 627 (1960 cohort) and 93 (1 997 cohort) Cretan men.ResultsBetween 1960 and 1997, 10-year CVD-risk (3.4 vs. 4.7%,P 
Source: Journal of Public Health - January 8, 2018 Category: Health Management Source Type: research

In-school adolescents ’ knowledge, access to and use of sexual and reproductive health services in Metropolitan Kumasi, Ghana
ConclusionWhilst social negotiation with parents, teachers and SRH service providers as well as school curricula alignment could arrest the barriers to adolescents ’ access to SRH services, eHealth services such as the ‘Bisa’ Health App could potentially provide easy and cost-effective access to SRH information among in-school adolescents. (Source: Journal of Public Health)
Source: Journal of Public Health - December 28, 2017 Category: Health Management Source Type: research

How should we change the culture of health? A note on the margin of an outstanding debate
ConclusionTo make interventions more effective, it is necessary for public health professionals to have an extensive debate on the interpretations of the role of the culture of health as highlighted in this article. (Source: Journal of Public Health)
Source: Journal of Public Health - December 22, 2017 Category: Health Management Source Type: research

Descriptive self-reporting survey of people with idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF): similarities and comparisons with previous studies
ConclusionsDespite methodological differences, we summarized facts from previous comparable investigations. We also provided an overview of people claiming EMF effects and briefly discussed possible avenues of research. (Source: Journal of Public Health)
Source: Journal of Public Health - December 21, 2017 Category: Health Management Source Type: research

Women ’s long-term health and age at parity
ConclusionThe analysis with aggregated data showed that there is a large heterogeneity, which prevents conclusions being drawn about general trends for EU countries. The exception was for self-reported health and age of parity, for which is there was a statistical correlation across EU countries. The results reported here are expected to motivate further research on this topic in order to establish the long-term effects of each age of parity and the optimal age for first birth. (Source: Journal of Public Health)
Source: Journal of Public Health - December 12, 2017 Category: Health Management Source Type: research

A geospatial analysis of noncommunicable disease (NCD) burden in Indian agro-climatic and political regions
ConclusionFindings call for an immediate programmatic attention at the subnational level due to significantly high regional dependence of NCDs. Policies and programme should focus on strengthening the implementation of existing   policies with a special focus on geriatric population to combat the disease burden. (Source: Journal of Public Health)
Source: Journal of Public Health - December 11, 2017 Category: Health Management Source Type: research

Dysmobility syndrome: is exercise a key component in its prevention and treatment?
ConclusionWhile the value of DS over and above other more established measures such as frailty may be questionable, the DS criteria at least provide a great opportunity for early identification of important deficits that can compromise independency and quality of life later in life. (Source: Journal of Public Health)
Source: Journal of Public Health - December 8, 2017 Category: Health Management Source Type: research

Factors affecting the uptake of malaria prevention strategies among pregnant women in Nigeria: evidence from 2013 Nigeria demographic and health survey
This study aims to examine the factors affecting the uptake of malaria prevention strategies among pregnant women in Nigeria.MethodsSecondary data from the 2013 Nigeria Demographic and Health Survey were used to examine the factors affecting the uptake of malaria prevention strategies among pregnant women (n = 4493) in Nigeria. Variables on demographic and socio-economic characteristics of pregnant women were analysed. Data analysis was carried out using STATA version 12 software and univariate, bivariate and multivariate analyses were conducted.ResultsWe found that only 10.3% of pregnant women received inter...
Source: Journal of Public Health - December 7, 2017 Category: Health Management Source Type: research

Epidemiological and rehabilitation analyses of patients with hearing disabilities of Uyghur and Han Chinese ethnicities in Xinjiang, China: a comparative study
ConclusionRehabilitation services offered by the government are not in line with demand. Comprehensive assessment of the rehabilitation requirements of hearing-disability patients, systematic provision of adequate services and training of technical personnel are important measures that should be adopted to alter the present situation and improve treatment options for hearing disabilities in China. (Source: Journal of Public Health)
Source: Journal of Public Health - December 4, 2017 Category: Health Management Source Type: research

Delay in malaria diagnosis and treatment and its determinants among rural communities of the Oromia special zone, Ethiopia: facility-based cross-sectional study
This study was conducted to assess the delay in malaria diagnosis and treatment and respective determinants in rural communities of Oromia Special Zone, Ethiopia, to generate information to improve diagnosis and treatment.MethodsA facility-based cross-sectional study design was conducted from 14 February to 21 April 2017. A structured questionnaire was prepared in English by reviewing the literature and translated into the local language (Afan Oromo). To assure the quality of data, the questionnaire was pre-tested. Logistic regression was employed to identify factors associated with delay. Then, all explanatory variables a...
Source: Journal of Public Health - November 27, 2017 Category: Health Management Source Type: research

Association of food insecurity with frailty among older adults in India
AbstractBackgroundPast investigations in different nations have demonstrated that food insecurity may lead to frailty among older adults; however, there is no evidence concerning these associations in India. Our investigation tries to fill this gap utilizing WAVE I of WHO SAGE 2007 information.ObjectivesTo examine the independent effect of food insecurity on frailty. To assess differences in frailty and other correlates between food secure and insecure older individuals.MethodsThe Fried phenotype approach was used to create a frailty index using the presence of five indicators among older adults: exhaustion, weight loss, p...
Source: Journal of Public Health - November 24, 2017 Category: Health Management Source Type: research

How can environmental knowledge transfer into pro-environmental behavior among Chinese individuals? Environmental pollution perception matters
ConclusionIntegrating these variables into a single comprehensive model via structural equation modeling reveals that dwelling environmental pollution mediates the relationship between dwelling environmental knowledge and the two types of environmental behavior (i.e., private pro-environmental behavior and public pro-environmental behavior) and that professional environmental knowledge only shows a direct effect on public pro-environmental behavior. (Source: Journal of Public Health)
Source: Journal of Public Health - November 23, 2017 Category: Health Management Source Type: research

The intention to use HIV-pre-exposure prophylaxis (PrEP) among men who have sex with men in Switzerland: testing an extended explanatory model drawing on the unified theory of acceptance and use of technology (UTAUT)
ConclusionThe findings provide insights into the complex dynamic underlying the intention to use PrEP. (Source: Journal of Public Health)
Source: Journal of Public Health - November 22, 2017 Category: Health Management Source Type: research

Economic burden of multiple sclerosis to the social insurance system in Germany
ConclusionThis study delivered important information regarding the economic burden of MS for the social insurance system in Germany. The top-down process of data collection yielded population-based results on the cost of illness. (Source: Journal of Public Health)
Source: Journal of Public Health - November 20, 2017 Category: Health Management Source Type: research

Assessment of stigma among patients infected with hepatitis C virus in Suez City, Egypt
ConclusionPatients with hepatitis C feel stigmatized in different areas; there is a need for implementation of educational programs to raise the awareness of community and health care providers about the stigma of hepatitis C and its negative consequences to act as advocates for their patients. (Source: Journal of Public Health)
Source: Journal of Public Health - November 19, 2017 Category: Health Management Source Type: research

The limits to equivalent living conditions: regional disparities in premature mortality in Germany
ConclusionOn its own, fiscal redistribution, the centrepiece of how Germany aspires to establish its political goal, cannot generate equivalent living conditions in the absence of a comprehensive set of economic and social policies at all levels of political administration, tackling the disparities in socioeconomic factors that collectively result in highly unequal living conditions. (Source: Journal of Public Health)
Source: Journal of Public Health - November 18, 2017 Category: Health Management Source Type: research

Life expectancy and healthy life expectancy changes between 2000 and 2015: an analysis of 183 World Health Organization member states
ConclusionsMonitoring of LE and HLE indicators is important to assess the health situation in countries across time, detecting both successful and unsuccessful cases. In our analysis, we noticed that African countries are overcoming the bad results of the 1990s and that army conflicts are the main cause of losses in LE in the third millennium. (Source: Journal of Public Health)
Source: Journal of Public Health - November 18, 2017 Category: Health Management Source Type: research

Social inequity in health awareness and its association with health service utilization in ethnic conflict regions in northeastern Myanmar
ConclusionThe less educated, low household income earners, the unmarried and farming populations were all at risk for poor health awareness. Future promotion programs should target at the above populations to promote health knowledge dissemination and health service utilization along the China-Myanmar border. (Source: Journal of Public Health)
Source: Journal of Public Health - November 18, 2017 Category: Health Management Source Type: research

Indicators of healthy food consumption among older adults with diabetes and/or hypertension are similar to healthy older adults: results from a population based study in Southern Brazil
ConclusionWe found that the indicators of healthy food consumption do not differ among older adults with and without diabetes and/or hypertension, indicating no adopting of the secondary prevention measures in the treatment of these diseases. (Source: Journal of Public Health)
Source: Journal of Public Health - November 16, 2017 Category: Health Management Source Type: research

Trace and evaluation systems for health services quality in rural and remote areas: a systematic review
ConclusionAlthough most of the current studies were considered to have high-quality and positive results, there were limitations in the number of publications and research on theoretical systems. The lacks of unified standards and comprehensive evaluation are important issues that need to be pointed out and resolved. (Source: Journal of Public Health)
Source: Journal of Public Health - November 9, 2017 Category: Health Management Source Type: research

Relationship between health-related quality of life and respiratory health status among coal-based sponge iron plant workers in Barjora, India
This study investigated the relationship between health-related quality of life, measured using the EuroQol-5D (EQ5D), and respiratory health status, measured using the St. George ’s Respiratory Questionnaire (SGRQ), among coal-based sponge iron plant workers in Barjora, India.MethodA cross-sectional study was conducted among coal-based sponge iron plant workers in Barjora, and complete data were available on 252 participants. Spearman ’s rank correlation coefficients were reported to show the strength of relationship between health-related quality of life and respiratory health status.Results and conclusionSig...
Source: Journal of Public Health - November 6, 2017 Category: Health Management Source Type: research

Reassessing the gender differences in type and place of health care utilisation in India: does the gender gap no longer exist?
ConclusionThe analysis of the male and female treatment-seeking behaviour revealed a clear picture of proliferating gender neutrality. The increase in the health care-seeking behaviour of women can be considered an upshot of improved female education and increased awareness among males regarding female empowerment. Government interventions in different sectors have also improved the plight of women directly or indirectly. (Source: Journal of Public Health)
Source: Journal of Public Health - November 3, 2017 Category: Health Management Source Type: research

Exposure to violence, victimization differences and maxillofacial injuries in a Brazilian state capital: a data mining approach
AbstractAimsTo identify victimization differences and evaluate maxillofacial injuries among victims of interpersonal violence in a Brazilian state capital using a data-mining approach.Subjects and methodsA cross-sectional study analyzed 1946 reports of physical violence registered in an Institute of Forensic Medicine and Dentistry. Sociodemographic characteristics of the victims, mechanisms of violence, time of occurrence and patterns of maxillofacial injuries were evaluated. Data analyses included descriptive statistics, Pearson ’s chi-square test and decision tree analysis using the Chi-square Automatic Interaction...
Source: Journal of Public Health - November 3, 2017 Category: Health Management Source Type: research

Advanced-stage tongue and mouth floor cancer is related to tobacco and alcohol abuse
AbstractIntroductionSmoking and alcoholism are recognized factors associated with the prevalence of oral cancer. However, the role of these habits on the severity of lesions still needs to be elucidated.ObjectiveTo evaluate the prevalence of tongue and mouth floor cancer according to the clinical stage and how it correlates with alcoholism and smoking habits in Brazil from 2000 to 2010.MethodsData referring to 11,873 cases of tongue and mouth floor cancer were obtained from the Integrator Module of the Hospital Registry of Cancer. Internal inconsistencies (non-classified cases) and data with no relevant information were el...
Source: Journal of Public Health - November 3, 2017 Category: Health Management Source Type: research

Changes in the distribution of hepatitis C virus genotypes and their association with shifts in transmission routes in Henan, China
ConclusionsThe most prevalent genotype was still 1b among CHC patients in the Henan province, China. The prevalence of genotype 1b has decreased overtime, and that of genotype 6a has increased in younger patients. The change is attributed to a shift in HCV transmission routes. This study provided further evidence for the prevention and treatment of hepatitis C in future. (Source: Journal of Public Health)
Source: Journal of Public Health - October 28, 2017 Category: Health Management Source Type: research

Health issues in the industrial port zone of Marseille, France: the Fos EPSEAL community-based cross-sectional survey
ConclusionThere is likely an environmental explanation for why, even after direct standardization, the prevalences of many diseases were higher in these communities than elsewhere. The combination of CBPR and rigorous epidemiologic methods helps make our findings relevant to both community members and researchers. (Source: Journal of Public Health)
Source: Journal of Public Health - October 27, 2017 Category: Health Management Source Type: research

German claims data analysis to assess impact of different intraocular lenses on posterior capsule opacification and related healthcare costs
AbstractAimCataract extraction is one of the most frequent surgeries in Germany. In most cases, the clouded natural lens is replaced by a hydrophobic or hydrophilic acrylic intraocular lens (IOL) implant. The most common long-term complication after cataract surgery is the development of a posterior capsule opacification (PCO). Although no precise real world data are available, published evidence suggests a lower risk for PCO development for hydrophobic acrylic IOLs compared to hydrophilic acrylic IOLs. Therefore, in the present study we assessed real world data on the impact of different IOL material types on the incidenc...
Source: Journal of Public Health - October 24, 2017 Category: Health Management Source Type: research

Psychometric study of depression, anxiety and stress among university students
ConclusionsThis study concludes that male students were more depressed, stressed and anxious as compared to female students. Furthermore, symptoms of depression, anxiety and stress were the same among students with nuclear and joint family living systems. Parental education was associated with students ’ depression, anxiety and stress. Students with educated parents had fewer symptoms of stress, anxiety and depression. (Source: Journal of Public Health)
Source: Journal of Public Health - October 24, 2017 Category: Health Management Source Type: research

Disease-specific knowledge in individuals with and without chronic conditions
ConclusionPeople suffering from chronic conditions do not necessarily know more about their conditions. Better knowledge in individuals with respiratory diseases and diseases of the musculoskeletal system may be due to tailored health education. The unexpected effect in chronic pain patients may be related to false beliefs about the nature of their condition. Health education programs should address disease-specific barriers. (Source: Journal of Public Health)
Source: Journal of Public Health - October 19, 2017 Category: Health Management Source Type: research

The health MDGs in Ghana: lessons and implications for the implementation of the sustainable development goals
ConclusionsReducing maternal and child mortality in Ghana will require transforming the sectors that drive development, such as energy, agriculture and transportation. It is expected that the lessons learnt will enhance evidence-based policy-making towards achieving the SDGs in Ghana. (Source: Journal of Public Health)
Source: Journal of Public Health - October 17, 2017 Category: Health Management Source Type: research

Socioeconomic status, health inequalities and non-communicable diseases: a systematic review
ConclusionAlthough different types of analysis produce very different results concerning the role of health determinants, the general conclusion is that income distribution is related to health where it represents a measure of the differences in social class in the society. The effect of income inequality is to increase the gap between social classes or to widen differences in status. (Source: Journal of Public Health)
Source: Journal of Public Health - October 17, 2017 Category: Health Management Source Type: research

An international comparison of the regional variation in clinical interventions: Germany and Austria
ConclusionsThe regional variation in selected surgical procedures can be analysed not only within each country separately, but also for Germany and Austria as a single unit, ignoring the border between them. In both countries, the regional cross-sectional analysis at the county level highlights regional distribution patterns whose causes merit further investigation. (Source: Journal of Public Health)
Source: Journal of Public Health - October 12, 2017 Category: Health Management Source Type: research

Prevalence of anemia and associated factors in women of childbearing age in rural Lebanon
ConclusionAnemia and IDA are prevalent in women of childbearing age in rural Lebanon. Intervention programs for raising the population ’s awareness about IDA’s risk factors and proper nutrition must be implemented. (Source: Journal of Public Health)
Source: Journal of Public Health - October 11, 2017 Category: Health Management Source Type: research

A retrospective study to investigate the impact of immigration on tuberculosis control program by DOTS strategy in Gazan Province, Saudi Arabia
ConclusionsIncreasing number of migrants into low prevalence countries may affect TB epidemiology. In view of the huge gap, 67 versus 91.7% in the cure rates, we firmly recommend that health and immigration authorities in SA work together to see that TB treatment is completed before deportation. (Source: Journal of Public Health)
Source: Journal of Public Health - October 9, 2017 Category: Health Management Source Type: research

The associated factors for the quality of life among Chinese rural elderly: 1-year follow-up study
ConclusionMultiple factors can affect the QOL of the elderly in rural China. These findings can provide guidance aimed at improving their QOL. (Source: Journal of Public Health)
Source: Journal of Public Health - October 9, 2017 Category: Health Management Source Type: research

The attitudes of healthcare professionals in a state hospital towards ageism
ConclusionsWhen the titles and education of healthcare professionals were compared with the scale scores, the difference between them was not found to be statistically significant (p = 0.15,p = 0.859). (Source: Journal of Public Health)
Source: Journal of Public Health - October 9, 2017 Category: Health Management Source Type: research

Living with cancer challenges: a qualitative analysis of cancer patients ’ perceptions in Iran
ConclusionFindings of the current study have potential to identify psychosocial challenges of cancer patients. These findings propose that psychological support is essential for them. Our results recommend that healthcare providers should work to remain sensitive to cancer patients ’ challenges. There is a need for culture-based caring programs that are responsive to these patients. (Source: Journal of Public Health)
Source: Journal of Public Health - October 8, 2017 Category: Health Management Source Type: research

Changes in profile of patients seeking alcohol treatment and treatment outcomes following policy changes
ConclusionWe found that treatment for alcohol use disorder became more homogeneous across the regions in Denmark over time and that by 2014 it was difficult to identify any differences across the country. (Source: Journal of Public Health)
Source: Journal of Public Health - October 6, 2017 Category: Health Management Source Type: research

Behavioral risk factors and non-communicable diseases among adult men in demographically developed states of India: evidence from District  Level Household and Facility Survey-4
ConclusionsThe findings are vital for national commitments and policy instruments, especially in the context of the existing epidemiological transition, which are burdened with a high occurrence of NCDs. They clearly demand programs and services targeting individuals with increased risk of alcohol consumption, a combination of tobacco and alcohol use, and users of multiple substances. It is worth to mentioning that NCDs are a crude measures that does not reveal the reason for the disease. Alcohol consumption, smoking, and chewing tobacco have the lifetime exposure, but NCDs are recurrent events. Therefore, it is recommende...
Source: Journal of Public Health - October 6, 2017 Category: Health Management Source Type: research

Impact of educational intervention on osteoporosis knowledge among university students in Beni-Suef, Egypt
ConclusionImplementation of an educational health program improves the knowledge of university students concerning osteoporosis. Thus, the findings of the present study may be used to convince the educational authorities to provide health education programs about osteoporosis and its related factors in universities or even include them in the university curriculum to improve knowledge of this disease among students and ensure the accuracy of information they receive. (Source: Journal of Public Health)
Source: Journal of Public Health - October 3, 2017 Category: Health Management Source Type: research

Life stress, uncertainty stress and self-reported illness: a representative nationwide study of Chinese students
ConclusionThese findings underscore the importance of controlling uncertainty stress and can be used to inform future policies and reinforce the need for uncertainty stress management in China. (Source: Journal of Public Health)
Source: Journal of Public Health - October 2, 2017 Category: Health Management Source Type: research