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No evidence, no problem? A critical interpretive synthesis of the vulnerabilities to and experiences of sexual violence among young migrants in Europe 没有证据就没有问题?对欧洲年轻移民遭受性暴力的脆弱性和经历的批判性解释综述
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-23 DOI: 10.1080/16549716.2024.2340114
Tanya Andersson Nystedt, Tobias Herder, A. Agardh, B. Asamoah
ABSTRACT Background Growing evidence indicates that young migrants are particularly vulnerable to sexual violence, however most research has focused on instances of sexual violence occurring in conflict zones and during transit. Much less attention has been given to the vulnerabilities to and experiences of sexual violence among young migrants in Europe. Objectives To understand the scientific evidence regarding the experiences of and vulnerabilities to sexual violence among young migrants (aged 11–30 years) in Europe. Methods A search of three databases resulted in 1279 peer reviewed articles published between 2002 and 2022. Of these, 11 were included in this review. A critical interpretive synthesis methodology was applied. Results Few studies investigate sexual violence among young migrants in Europe. The existing studies focus on very specific sub-groups of migrants, and as such, experiences of persons outside these groups are largely absent from the academic discourse. How sexual violence is understood varies across studies, often conflated with other forms of violence, hampering comparisons. However, the results of this review indicate that young migrants in Europe, both male and female, experience sexual violence and there are multiple sources of vulnerabilities at all levels of the socioecological model. Conclusion The scarcity of research regarding sexual violence among young migrants in Europe could give rise to the perception that no evidence means no problem, resulting in a continued lack of attention to this issue. There is a critical need to address this gap to inform prevention interventions, to identify victims, and to facilitate access to care.
ABSTRACT 背景 越来越多的证据表明,年轻移民特别容易遭受性暴力,但大多数研究都集中在发生在冲突地区和过境期间的性暴力事件上。对欧洲青年移民易受性暴力侵害的脆弱性和经历的关注要少得多。目标 了解有关欧洲年轻移民(11-30 岁)遭受性暴力的经历和脆弱性的科学证据。方法 通过对三个数据库的检索,获得了 2002 年至 2022 年间发表的 1279 篇同行评审文章。其中 11 篇被纳入本综述。采用了批判性解释综合方法。结果 调查欧洲年轻移民中性暴力问题的研究很少。现有的研究主要集中在非常特殊的移民子群体,因此,这些群体以外的人的经历在学术讨论中基本没有出现。不同研究对性暴力的理解也不尽相同,往往将其与其他形式的暴力混为一谈,从而妨碍了比较。然而,本综述的结果表明,欧洲的年轻移民,无论是男性还是女性,都经历过性暴力,而且在社会生态模式的各个层面都存在多种脆弱性来源。结论 有关欧洲青年移民中性暴力问题的研究很少,这可能会让人认为没有证据就意味着没有问题,从而导致对这一问题持续缺乏关注。亟需填补这一空白,以便为预防干预措施提供信息、识别受害者并为获得护理提供便利。
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引用次数: 0
Association between breastfeeding duration and educational attainment in rural Southwest Uganda: a population-based cohort study 乌干达西南部农村地区母乳喂养持续时间与受教育程度之间的关系:一项基于人群的队列研究
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-23 DOI: 10.1080/16549716.2024.2338023
Shamsudeen Mohammed, Clara Calvert, Joseph O Mugisha, Makanga Ronald, G. Asiki, Judith R Glynn, Laura L Oakley, M. Marston
ABSTRACT Background Breastfeeding is important for early childhood nutrition and health. The positive effects on educational outcomes may be attributed to socioeconomic factors. Socioeconomic status is not a strong predictor of breastfeeding in sub-Saharan African countries. Yet, few studies have investigated the association between breastfeeding and educational outcomes in these countries. Objective This study investigated the association between breastfeeding duration and children’s educational attainment in rural Southwest Uganda. Methods We analysed longitudinal data on 3018 children who had information on breastfeeding and were followed for at least 5 years, with at least one primary school grade recorded by 2005. Data on breastfeeding duration were collected from mothers. The highest school grade was recorded repeatedly between ages 6 and 12 years. We calculated age-for-grade based on whether a child was on, over, or under the official age for a grade. Generalised estimating equations and binary logistic regression estimated the effect of breastfeeding duration on being 2 years, 3 or more years, or any years over-age for grade in primary school, adjusting for socioeconomic status and maternal-child characteristics. Results Most mothers breastfed for more than a year. Just over one-third breastfed for 18–23 months, and 30% breastfed for longer. By age eight, 42% of the children were two years over-age for their grade. Three or more years over-age for grade increased from 19% at age nine to 56% at age 12. Both adjusted and unadjusted estimates were consistent in showing reduced odds for children being 2 years, 3 or more years, or any years over-age for grade among children breastfed for 7–12, 13–17, 18–23, and > 23 months compared to those breastfed for 0–6 months. There was no evidence to support an overall association between breastfeeding duration and being over-age for grade. There was no evidence of association in the sex and age sub-group analyses. Conclusion Although we found no association between breastfeeding duration and educational attainment, breastfeeding remains important for children’s health and nutrition, and mothers should be encouraged and supported to breastfeed for the recommended duration.
ABSTRACT 背景 母乳喂养对幼儿的营养和健康非常重要。母乳喂养对教育成果的积极影响可能归因于社会经济因素。在撒哈拉以南非洲国家,社会经济地位并不是母乳喂养的有力预测因素。然而,很少有研究对这些国家母乳喂养与教育成果之间的关系进行调查。本研究调查了乌干达西南部农村地区母乳喂养持续时间与儿童受教育程度之间的关系。方法 我们分析了 3018 名儿童的纵向数据,这些儿童都有母乳喂养的信息,并接受了至少 5 年的跟踪调查,在 2005 年之前至少有一个小学年级的记录。母乳喂养持续时间的数据是从母亲那里收集的。最高年级在 6 至 12 岁之间反复记录。我们根据儿童是否达到、超过或低于某个年级的官方年龄来计算年级年龄。广义估计方程和二元逻辑回归估算了母乳喂养持续时间对小学年级超龄2岁、3岁或3岁以上或任何年级的影响,并对社会经济地位和母婴特征进行了调整。结果 大多数母亲的母乳喂养时间超过一年。超过三分之一的母亲母乳喂养了 18-23 个月,30%的母亲母乳喂养的时间更长。到 8 岁时,42% 的儿童比所在年级超龄两岁。年级超龄三岁或三岁以上的比例从 9 岁时的 19% 上升到 12 岁时的 56%。调整和未调整的估计值一致显示,与母乳喂养 0-6 个月的儿童相比,母乳喂养 7-12 个月、13-17 个月、18-23 个月和大于 23 个月的儿童超龄 2 年、3 年或 3 年以上或任何年级的几率都有所降低。没有证据支持母乳喂养持续时间与年级超龄之间存在整体关联。在性别和年龄分组分析中,也没有证据表明两者之间存在关联。结论 尽管我们没有发现母乳喂养持续时间与教育程度之间存在关联,但母乳喂养对儿童的健康和营养仍然非常重要,因此应鼓励和支持母亲按照建议的持续时间进行母乳喂养。
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引用次数: 0
Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China 孕期食用自制花生油对低出生体重儿和早产儿结局的影响:中国西南地区的一项队列研究
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-17 DOI: 10.1080/16549716.2024.2336312
Yanxu Zhong, Huan Lu, Yuyan Jiang, Minyan Rong, Xiangming Zhang, Tippawan Liabsuetrakul
Homemade peanut oil is widely consumed in rural areas of Southwestern China, which is easily contaminated by aflatoxins (AFs) and associated with adverse birth outcomes.To identify the effect of ex...
自制花生油在中国西南农村地区被广泛食用,它很容易受到黄曲霉毒素(AFs)的污染,并与不良出生结局相关。
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引用次数: 0
Embedding research capacity strengthening in multi-country studies in low-and middle-income countries: learnings from sexual and reproductive health research 将加强研究能力纳入中低收入国家的多国研究:从性健康和生殖健康研究中汲取的经验教训
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-12 DOI: 10.1080/16549716.2024.2338634
Anne M. Khisa, Hesborn Wao, Vanessa Brizuela, Rachidatou Compaoré, Adama Baguiya, Alejandra López Gómez, Mercedes Bonet, Seni Kouanda, Anna Thorson, Evelyn Gitau
Research capacity strengthening (RCS) can empower individuals, institutions, networks, or countries to define and prioritize problems systematically; develop and scientifically evaluate appropriate...
加强研究能力(RCS)可以增强个人、机构、网络或国家的能力,使其能够系统地界定问题并确定问题的轻重缓急;开发并科学地评估适当的研究方法和工具,以解决这些问题。
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引用次数: 0
Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional study 乌干达成年癌症患者的健康相关生活质量--一项横断面研究
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-10 DOI: 10.1080/16549716.2024.2325728
Allen Naamala, Lars E. Eriksson, Jackson Orem, Gorrette K. Nalwadda, Zarina Nahar Kabir, Lena Wettergren
The study aimed to investigate the prevalence and factors associated with poor health-related quality of life in adults with cancer in Uganda.This cross-sectional study surveyed 385 adult patients ...
这项研究旨在调查乌干达成年癌症患者健康相关生活质量低下的发生率和相关因素。
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引用次数: 0
Ghanaian women’s experience of intimate partner violence (IPV) during group antenatal care: a brief report from a cluster randomised controlled trial 加纳妇女在集体产前护理期间遭受亲密伴侣暴力 (IPV) 的经历:群组随机对照试验的简要报告
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1080/16549716.2024.2325250
Samia J. Abdelnabi, Michelle L. Munro-Kramer, Cheryl A. Moyer, John E.O. Williams, Jody R. Lori
Intimate partner violence (IPV) impacts women of reproductive age globally and can lead to significant negative consequences during pregnancy. This study describes an exploratory aim of a cluster r...
亲密伴侣暴力(IPV)对全球育龄妇女都有影响,并可能在怀孕期间导致严重的负面后果。本研究介绍了一项探索性群组研究的目的,该研究的目的是在全球范围内了解女性在怀孕期间遭受亲密伴侣暴力的情况。
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引用次数: 0
Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal 尼泊尔公立医院在分娩期间使用 Moyo 胎儿心率监测仪的障碍和促进因素
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1080/16549716.2024.2328894
Ashish KC, Mikaela Rönnbäck, Urja Humgain, Omkar Basnet, Pratiksha Bhattarai, Anna Axelin
Globally, every year, approximately 1 million foetal deaths take place during the intrapartum period, fetal heart monitoring (FHRM) and timely intervention can reduce these deaths.This study evalua...
全球每年约有 100 万名胎儿在产前死亡,胎心监护(FHRM)和及时干预可减少这些死亡。
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引用次数: 0
Life Science 2.0: reframing the life science sector for ‘the benefit on mankind’ 生命科学 2.0:为 "造福人类 "重塑生命科学领域
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1080/16549716.2024.2330758
Michaela Vallin, Göran Tomson, Beate Kampmann, Eivind Engebretsen, Stefan Swartling Peterson, Rhoda K. Wanyenze, Ole Petter Ottersen
The COVID-19 pandemic put the life science sector to the test. Vaccines were developed at unprecedented speed, benefiting from decades of fundamental research and now honoured by a Nobel Prize. How...
COVID-19 大流行给生命科学领域带来了考验。受益于数十年的基础研究,疫苗以前所未有的速度被开发出来,如今还获得了诺贝尔奖。如何...
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引用次数: 0
Multisectoral interventions for urban health in Africa: a mixed-methods systematic review 促进非洲城市健康的多部门干预措施:混合方法系统审查
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1080/16549716.2024.2325726
Meelan Thondoo, Ebele R. I. Mogo, Lambed Tatah, Monica Muti, Kim R. van Daalen, Trish Muzenda, Rachel Boscott, Omar Uwais, George Farmer, Adelaide Yue, Sarah Dalzell, Gudani Mukoma, Divya Bhagtani, Sostina Matina, Philip M. Dambisya, Kufre Okop, Charles Ebikeme, Lisa Micklesfield, Tolu Oni
Increasing evidence suggests that urban health objectives are best achieved through a multisectoral approach. This approach requires multiple sectors to consider health and well-being as a central ...
越来越多的证据表明,实现城市健康目标的最佳途径是采用多部门方法。这种方法要求多个部门将健康和福祉作为中心问题来考虑...
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引用次数: 0
Quality of active case-finding for tuberculosis in India: a national level secondary data analysis. 印度结核病活跃病例发现质量:国家级二级数据分析。
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2023-12-31 Epub Date: 2023-09-21 DOI: 10.1080/16549716.2023.2256129
Hemant Deepak Shewade, G Kiruthika, Prabhadevi Ravichandran, Swati Iyer, Aniket Chowdhury, S Kiran Pradeep, Kathiresan Jeyashree, S Devika, Joshua Chadwick, Jeromie Wesley Vivian, Dheeraj Tumu, Amar N Shah, Bhavin Vadera, Venkatesh Roddawar, Sanjay K Mattoo, Kiran Rade, Raghuram Rao, Manoj V Murhekar

Background: India has been implementing active case-finding (ACF) for TB among marginalised and vulnerable (high-risk) populations since 2017. The effectiveness of ACF cycle(s) is dependent on the use of appropriate screening and diagnostic tools and meeting quality indicators.

Objectives: To determine the number of ACF cycles implemented in 2021 at national, state (n = 36) and district (n = 768) level and quality indicators for the first ACF cycle.

Methods: In this descriptive study, aggregate TB program data for each ACF activity that was extracted was further aggregated against each ACF cycle at the district level in 2021. One ACF cycle was the period identified to cover all the high-risk populations in the district. Three TB ACF quality indicators were calculated: percentage population screened (≥10%), percentage tested among screened (≥4.8%) and percentage diagnosed among tested (≥5%). We also calculated the number needed to screen (NNS) for diagnosing one person with TB (≤1538).

Results: Of 768 TB districts, ACF data for 111 were not available. Of the remaining 657 districts, 642 (98%) implemented one, and 15 implemented two to three ACF cycles. None of the districts or states met all three TB ACF quality indicators' cut-offs. At the national level, for the first ACF cycle, 9.3% of the population were screened, 1% of the screened were tested and 3.7% of the tested were diagnosed. The NNS was 2824: acceptable (≤1538) in institutional facilities and poor for population-based groups. Data were not consistently available to calculate the percentage of i) high-risk population covered, ii) presumptive TB among screened and iii) tested among presumptive.

Conclusion: In 2021, India implemented one ACF cycle with sub-optimal ACF quality indicators. Reducing the losses between screening and testing, improving data quality and sensitising stakeholders regarding the importance of meeting all ACF quality indicators are recommended.

背景:自2017年以来,印度一直在边缘化和弱势(高危)人群中实施结核病主动病例发现(ACF)。ACF周期的有效性取决于使用适当的筛查和诊断工具以及满足质量指标。目标:确定2021年在国家、州(n = 36)和地区(n = 768)水平和质量指示符。方法:在这项描述性研究中,针对2021年地区层面的每一个ACF周期,进一步汇总提取的每一项ACF活动的结核病项目汇总数据。ACF的一个周期是确定覆盖该地区所有高危人群的时期。计算了三个TB ACF质量指标:筛查人群百分比(≥10%)、筛查人群中检测百分比(≥4.8%)和检测人群中诊断百分比(≥5%)。我们还计算了诊断一名结核病患者所需的筛查人数(≤1538)。结果:在768个结核病地区中,111个地区的ACF数据不可用。在剩下的657个区中,642个(98%)实施了一个,15个实施了两到三个ACF周期。没有一个地区或州达到所有三个结核病ACF质量指标的截止值。在国家一级,在第一个ACF周期,9.3%的人口接受了筛查,1%的筛查者接受了检测,3.7%的检测者被确诊。NNS为2824:在机构设施中可接受(≤1538),在人群群体中较差。数据不一致,无法计算i)覆盖的高危人群、ii)筛查中的推定结核病和iii)推定结核病中的检测百分比。结论:2021年,印度实施了一个ACF周期,ACF质量指标次优。建议减少筛选和测试之间的损失,提高数据质量,并让利益相关者意识到满足所有ACF质量指标的重要性。
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Global Health Action
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