Crude and adjusted comparisons of cesarean delivery rates using the Robson classification: A population-based cohort study in Canada and Sweden, 2004 to 2016
The objectives of our study were to identify subgroups of women contributing to differences in the CD rate in Sweden and British Columbia (BC), Canada using the Robson classification and to estimate the contribution of maternal, fetal/infant, and obstetric practice factors to differences in CD rates between countries and over time. Methods and findingsWe conducted a population-based cohort study of deliveries in Sweden (January 1, 2004 to December 31, 2016;n = 1,392,779) and BC (March 1, 2004 to April 31, 2017;n = 559,205). Deliveries were stratified into Robson categories and the CD rate, relative size of each group and i...
Source: PLoS Medicine - August 1, 2022 Category: Internal Medicine Authors: Giulia M. Muraca Source Type: research

Postmarketing active surveillance of myocarditis and pericarditis following vaccination with COVID-19 mRNA vaccines in persons aged 12 to 39 years in Italy: A multi-database, self-controlled case series study
ConclusionsThis population-based study of about 3 millions of residents in Italy suggested that mRNA vaccines were associated with myocarditis/pericarditis in the population younger than 40 years. According to our results, increased risk of myocarditis/pericarditis was associated with the second dose of BNT162b2 and both doses of mRNA-1273. The highest risks were observed in males of 12 to 39 years and in males and females 18 to 29 years vaccinated with mRNA-1273. The public health implication of these findings should be considered in the light of the proven mRNA vaccine effectiveness in preventing serious COVID-19 disease...
Source: PLoS Medicine - July 28, 2022 Category: Internal Medicine Authors: Marco Massari Source Type: research

Disparities in distribution of COVID-19 vaccines across US counties: A geographic information system –based cross-sectional study
ConclusionsHealthcare facilities in counties with higher Black composition, in rural areas, and in hardest-hit communities were less likely to serve as COVID-19 vaccine administration locations in May 2021. The lower uptake of COVID-19 vaccinations among minority populations and rural areas has been attributed to vaccine hesitancy; however, decreased access to vaccination sites may be an additional overlooked barrier. (Source: PLoS Medicine)
Source: PLoS Medicine - July 28, 2022 Category: Internal Medicine Authors: Inmaculada Hernandez Source Type: research

Why restricting access to abortion damages women ’s health
by The PLOS Medicine Editors Dr. Caitlin Moyer discusses the implications, for women globally, of restricting access to abortion care. (Source: PLoS Medicine)
Source: PLoS Medicine - July 26, 2022 Category: Internal Medicine Authors: The PLOS Medicine Editors Source Type: research

Implementation research on noncommunicable disease prevention and control interventions in low- and middle-income countries: A systematic review
ConclusionsDespite growth in implementation research on NCDs in LMICs, we found major gaps in the science. Future studies should prioritize implementation at scale, target higher levels health systems (meso and macro levels), and test sustainability of NCD programs. They should employ designs with stronger internal validity, be more conceptually driven, and use mixed methods to understand mechanisms. To maximize impact of the research under limited resources, adding implementation science outcomes to effectiveness research and regional collaborations are promising. (Source: PLoS Medicine)
Source: PLoS Medicine - July 25, 2022 Category: Internal Medicine Authors: Celestin Hategeka Source Type: research