scholarly journals EPIDEMILOGY OF ENT DISORDERS IN ADULT POPULATION OF AGRICULTURAL REGION

2021 ◽  
Vol 74 (5) ◽  
pp. 1229-1236
Author(s):  
Vladyslav A. Smiianov ◽  
Tetiana V. Yemets ◽  
Yevhen V. Smiianov ◽  
Polina O. Hornostaieva
Keyword(s):  
Public Health ◽  
Adult Population ◽  
Health Board ◽  
Prevalence Rates ◽  
Medical Reform ◽  
State Administration ◽  
Statistical Report ◽  
Agricultural Regions ◽  
Current Stage ◽  
Ent Disorders

The aim:TostudyandanalyzeSumy region population morbidity dynamics taking into account current stage of medical reform. Sumy region here is represented as one of the main agricultural regions of Ukraine. The prevalence of ENT disorders (otolaryngologic diseases) was studied. Materials and methods: During the study we used data of statistical report of Public Health Board, Sumy State Administration for the period from 2015 to 2019 years by administrative territories. Obtainedresults wereprocessed, usinggeneral statistics methodsandanalyzed, usingstructural-logicalanalysis. Conclusions: The study found that the morbidity rates of ENT disorders in adult population during the study period increased and had levels of 2113.0 and 122.1 per 100 thousand adult population, respectively, and the prevalence rates and the prevalence rates ofENT disorders among the adult population decreased , respectively to 167.7; 2113,0; 665.1 and 389.9. All indicators have reliable differences in terms of administrative territories of the region. The results of the study should be taken into account in the process of reforming the otolaryngological service in the region.

Can increases in Twitter posts predict increases in cumulative incidence of COVID-19 in the United States? Evidence that social media can inform epidemic surveillance. (Preprint)

2020 ◽  
Author(s):  
Ruoyan Sun ◽  
Henna Budhwani
Keyword(s):  
Public Health ◽  
United States ◽  
Cumulative Incidence ◽  
Hot Spots ◽  
Adult Population ◽  
State Level ◽  
The United States ◽  
Education Attainment ◽  
Public Health Systems ◽  
Per Capita

BACKGROUND Though public health systems are responding rapidly to the COVID-19 pandemic, outcomes from publicly available, crowd-sourced big data may assist in helping to identify hot spots, prioritize equipment allocation and staffing, while also informing health policy related to “shelter in place” and social distancing recommendations. OBJECTIVE To assess if the rising state-level prevalence of COVID-19 related posts on Twitter (tweets) is predictive of state-level cumulative COVID-19 incidence after controlling for socio-economic characteristics. METHODS We identified extracted COVID-19 related tweets from January 21st to March 7th (2020) across all 50 states (N = 7,427,057). Tweets were combined with state-level characteristics and confirmed COVID-19 cases to determine the association between public commentary and cumulative incidence. RESULTS The cumulative incidence of COVID-19 cases varied significantly across states. Ratio of tweet increase (p=0.03), number of physicians per 1,000 population (p=0.01), education attainment (p=0.006), income per capita (p = 0.002), and percentage of adult population (p=0.003) were positively associated with cumulative incidence. Ratio of tweet increase was significantly associated with the logarithmic of cumulative incidence (p=0.06) with a coefficient of 0.26. CONCLUSIONS An increase in the prevalence of state-level tweets was predictive of an increase in COVID-19 diagnoses, providing evidence that Twitter can be a valuable surveillance tool for public health.

scholarly journals 31.B. Workshop: Public health and urban design: an interdisciplinary approach to promote autism friendly environments

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Environmental Factors ◽  
Built Environment ◽  
Urban Design ◽  
Significant Role ◽  
Prevalence Rates ◽  
Environmental Characteristics ◽  
The Relationship

Abstract Autism is a set of heterogeneous neurodevelopmental conditions, characterised by early-onset difficulties in social communication and restricted, repetitive behaviour and interests. The worldwide population prevalence is about 1% with an increasing incidence and prevalence rates. Autism affects more male than female individuals, and comorbidity is common (>70% have concurrent conditions). Determinants of these changes in incidence and prevalence rates may also be related to exposure to environmental factors and to modifications in diagnostic concepts and criteria. In spite of the uncertainty in determinants of incidence of autisms, there is evidence that environmental characteristics play a significant role both as autism risk factors and as potential obstacles that influence the capabilities of autonomously and fully “using” everyday spaces. The workshop aims to provide a framework on risk factors of autism and explore the relationship with the built environment, focusing on the quality of the everyday spaces and projecting the effects that it could have in the long term on achieving a desirable level of quality of life. The 11th Sustainable Development Goals of United Nations “Make cities inclusive, safe, resilient and sustainable” underlines the necessity of designing policies and projects acting to enhance and promote healthy cities and communities by addressing the needs of the most vulnerable groups of inhabitants. Herewith we bring together the discipline of Public Health and Urban Design to promote an interdisciplinary debate on a little explored topic investigating how the approaches adopted during childhood to promote the wellbeing of people with ASD can be related or strengthen by focusing also on built environment design intervention to pursue and reach the same objectives even during adulthood. The workshop will consist of four presentations. The first focuses on giving an overview on current knowledge of intervention for people with autism, presenting also criteria for evidence-based interventions. The second explores the relationship between autism and built environment by providing an exhaustive framework of the available research literature in order to identify a first set of spatial requirements for autism friendly cities. The third examines the impact of built environment on ASD users with the aim of developing a specific evaluation tool for healthcare spaces and best practices formulation according to the specific sensorial hypo- or hyper-activation of people with autism. Finally, the fourth reports the results of a two years Research & Development project called “GAP REDUCE” finalized at developing an Assistive Technology tool to support people with ASD, adult and high-functioning, to plan urban itineraries towards daily destinations. Key messages World's incidence of autism is about 1% with an increasing incidence whose determining rates may also be related to environmental factors and to modifications in diagnostic concepts and criteria. Environmental characteristics play a significant role also as potential obstacles that influence the capabilities of people with autism of autonomously and fully “using” everyday spaces.

scholarly journals Impact assessment of the public health product tax in Hungary

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Zámbó ◽  
M Bakacs ◽  
É Illés ◽  
A Varga ◽  
E Sarkadi Nagy ◽  
...  
Keyword(s):  
Public Health ◽  
Health Communication ◽  
Energy Content ◽  
Adult Population ◽  
Food Choices ◽  
Development Project ◽  
Economic Effects ◽  
Health Product ◽  
The Law ◽  
The Impact

Abstract Many countries apply fiscal policies to promote healthy diets to reduce the risk factors of NCDs. In 2011, a public health product tax (PHPT) was introduced in Hungary, taxing non-staple food products that carry proven health risks when consumed. The objectives of PHPT were to promote healthier eating habits by increasing the availability of healthy choices; to encourage reformulation; and to increase revenues for public health. With the purpose of evaluating the social and economic effects of PHPT, impact assessments (IAs) were conducted in 2012, 2014, and in 2018. The IA in 2018 was conducted within the framework of an EU-cofunded development project. To measure the awareness of the population on the law; to assess the population's attitude towards PHPT; to map the consumption patterns and to examine the major factors influencing food choices were fundamental parts of the IAs. We aim to present the findings of the latest IA and compare them to the results of the previous studies. Population surveys with questionnaires including the same questions were applied in the three assessments, hence changes during the 6 years could be detected. A sample of the adult population was involved in form of personal interviews in each IA. Based on the results, the awareness of PHPT was less (66%) in 2018 than in 2012 (72%). The adult population's consumption of the taxed products increased in all categories between 2012 and 2018 (except for salty condiments). Sociodemographic factors and awareness of the law correlated with the consumption of certain PHPT products. Taste was the primary determinant of food choice both in 2012 and 2018. The role of the price and the energy content in food choices were decreased significantly by 2018. A higher proportion of people identified the aims of PHPT correctly and agreed with them in 2018. The results draw attention to the importance of further interventions and the need of targeted health communication. Key messages The impact of the PHPT should continue to be monitored and evaluated. To achieve the aims of PHPT in the long term, it is needed to use more effective health communication, furthermore harmonized intersectoral actions should be also implied to promote healthy diet.

From epidemiology to public health decision making: analysis on IMD & vaccination strategy in Italy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Igidbashian ◽  
F Caracci ◽  
P Bonanni ◽  
P Castiglia ◽  
M Conversano ◽  
...  
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Adult Population ◽  
Vaccination Strategy ◽  
Healthcare Services ◽  
Steady Increase ◽  
Vaccine Preventable Disease ◽  
Preventable Disease ◽  
Italian Regions ◽  
Age Range

Abstract Introduction Invasive Meningococcal Disease (IMD) is one of the most severe vaccine-preventable disease, with high fatality rate and severe sequelae in up to 20% of survivors. MenB, MenC and MenACWY vaccines are available in Italy, but recommendations vary among Italian regions in terms of type of vaccines and targeted age groups. The aim of the study is to describe epidemiology of IMDs in order to provide the best vaccination strategy. Methods IMDs surveillance data in the period 2011-2017 from the Italian National Health Institute were explored. Excel was used to present trend analysis, stratifying by age and serogroups. Results In Italy, during the period 2011-2017, IMDs overall incidence increased from 0.25 cases/100,000 inhabitants in 2011 to 0.33 in 2017. Most cases after 2013 were caused by non-B serogroups (52%, 52%, 66%, 64%, 59% from 2013 to 2017). Although incidence is highest in 1 years old children, the number of cases is highest in the age range 25-64. The number of cases in this age-range had a steady increase after 2013 (36 cases in 2011, 79 in 2017), with serogroups C, W and Y present in more than 65% of cases in 25+ age ranges after 2012. Conclusions IMD is a rare but severe vaccine-preventable disease. The key role of public health is to monitor disease serogroups, trends and outbreaks and strengthen methodological evidence-based tools for decision-making processes, public health policies, planning of healthcare services and intervention measures, including immunization. The increase in incidence shown in the period 2011-2017 in Italy, although probably due to better surveillance, highlighted the high circulation also of non-B serogroups and the importance of the disease in the adult population. Based on our analysis we believe that anti-meningococcal vaccination plan in Italy should include the highest number of preventable serogroups and be aimed to the whole population through a multicohort strategy, including boosters in children and in adults. Key messages Anti-meningococcal vaccination plan in Italy should include all the preventable serogroups and be aimed to the whole population with a multicohort strategy including boosters in children and in adults. The increase in incidence of IMD in the period 2011-2017 in Italy highlighted the high circulation also of non-B serogroups and the importance of the disease in the adult population.

HIV and AIDS in Africa

2021 ◽  
Author(s):  
Krista Johnson
Keyword(s):  
Adult Population ◽  
Hiv Prevalence ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Prevalence Rates ◽  
African Countries ◽  
Effective Prevention ◽  
Aids Pandemic ◽  
Historical Processes ◽  
Women And Girls

Africa has the largest number of people living with HIV, with an estimated 25.7 million HIV-positive people in Africa by the end of 2018. This figure represents over two-thirds of infected people globally. African women and girls represent a majority of those infected, and Africa is home to three-fourths of all HIV-infected women and girls. Across African countries, there are differences in the sizes and trajectories of HIV epidemics. Southern Africa has the worst epidemic, with the numbers infected still rising in some countries. Prompting a development and governance crisis in many southern African countries, HIV prevalence rates are as high as 20 percent of the adult population in some countries and nearing 50 percent of the adult population in certain communities. East Africa too has been hit hard by HIV, leading to high mortality and morbidity rates in that region as well. In most of West and North Africa, there has been limited spread of HIV, with most countries in these regions having HIV prevalence rates of less than 3 percent. Africa’s encounter with HIV and AIDS began before it was first identified as a medical condition early in the 1980s. However, it was not recognized as an epidemic in most parts of Africa until much later. Framed largely as a public health crisis rather than a developmental one, much of the world’s focus on the AIDS pandemic in Africa has centered on access to treatment, and developing effective prevention strategies that have principally focused on behavior change practices for targeted populations. However, the HIV and AIDS pandemic in Africa did not emerge in a vacuum. It is the consequence of longer historical processes such as massive demographic growth, urbanization, and social change, as well as global inequalities and historical legacies of colonialism and imperialism. In this regard, a historical account of HIV in Africa offers an important corrective to the dominant biomedical response to AIDS in Africa. It is important to take note of longer historical processes that have shaped both the virus and the human response to it.

scholarly journals Addressing physical inactivity in Omani adults: perceptions of public health managers

2013 ◽  
Vol 17 (3) ◽  
pp. 674-681 ◽  
Author(s):  
Ruth M Mabry ◽  
Zakiya Q Al-Busaidi ◽  
Marina M Reeves ◽  
Neville Owen ◽  
Elizabeth G Eakin
Keyword(s):  
Public Health ◽  
Physical Inactivity ◽  
Ecological Model ◽  
Adult Population ◽  
Arabian Gulf ◽  
Sitting Time ◽  
Structured Interviews ◽  
Prolonged Sitting ◽  
Culturally Sensitive Interventions ◽  
Health Managers

AbstractObjectiveTo explore barriers and solutions to addressing physical inactivity and prolonged sitting in the adult population of Oman.DesignQualitative study involving semi-structured interviews that took place from October 2011 to January 2012. Participants were recruited through purposive sampling. Data collection and analysis was an iterative process; later interviews explored emerging themes. Interviews were audio-recorded and transcribed and continued until data saturation; this occurred by the tenth interviewee. Thematic content analysis was carried out, guided by an ecological model of health behaviour.SettingMuscat, Oman.SubjectsTen mid-level public health managers.ResultsBarriers for physical inactivity were grouped around four themes: (i) intrapersonal (lack of motivation, awareness and time); (ii) social (norms restricting women's participation in outdoor activity, low value of physical activity); (iii) environment (lack of places to be active, weather); and (iv) policy (ineffective health communication, limited resources). Solutions focused on culturally sensitive interventions at the environment (building sidewalks and exercise facilities) and policy levels (strengthening existing interventions and coordinating actions with relevant sectors). Participants’ responses regarding sitting time were similar to, but much more limited than those related to physical inactivity, except for community participation and voluntarism, which were given greater emphasis as possible solutions to reduce sitting time.ConclusionsGiven the increasing prevalence of chronic disease in Oman and the Arabian Gulf, urgent action is required to implement gender-relevant public health policies and programmes to address physical inactivity, a key modifiable risk factor. Additionally, research on the determinants of physical inactivity and prolonged sitting time is required to guide policy makers.

scholarly journals How Do They Feel About It? Testing a New Mixed Methods Survey Tool to Assess Collective Emotional Status

2020 ◽  
Author(s):  
Michael Schwab ◽  
Vasileios Margaritis
Keyword(s):  
Public Health ◽  
Mixed Methods ◽  
Adult Population ◽  
Emotional Responses ◽  
Public Health Problem ◽  
Prima Facie ◽  
Emotional Status ◽  
Self Assessment ◽  
Survey Tool ◽  
Public Health Professionals

Emotions are now widely accepted as important elements of qualitative research, in studies of individuals and communities. However, collective emotional status—what a community feels about a given situation or proposition—can be challenging to assess. In this study, we examined the validity and acceptability of a new mixed methods survey tool, primarily qualitative, to address this challenge—the Assessment of Collective Emotional Status (ACES). The tool begins with an adjustable set of questions about emotion, to draw respondents’ attention to their own feelings. These are followed by an emotional self-assessment, in which respondents select and prioritize five emotional responses to a standardized stimulus, drawing from a new taxonomy of emotion words. In this study, the stimulus was a proposition that gun violence should be approached as a public health problem. We tested the tool in an international survey of public health professionals, mostly in the US and Europe (n=160). Qualitative and quantitative data were collected on knowledge and importance of emotion, adequacy of the taxonomy, emotional responses to the stimulus, and use of the tool. Scores were high for knowledge and importance of emotion. Perceived adequacy of the taxonomy was also high, especially with Black and Hispanic respondents, signifying good construct validity. The total weighted frequency of emotions in response to the stimulus was highest for encouraged (92.2%), open (78.8%), hope (77.2%) and interest (77.2%). Qualitative data yielded six themes—on knowledge of emotion, the taxonomy, responses to the stimulus, and use of the tool, which many respondents found easy and interesting to use. This study demonstrates the prima facie validity and acceptability of the ACES with an educated adult population.

scholarly journals Should there be a Mandate to Consistently and Systematically Report Asthma Occurrences within Minority-Underserved Communities in the State of Mississippi?

2019 ◽  
Vol 6 (3) ◽  
pp. 5355-5364
Author(s):  
Lolita D Gray ◽  
Ananda Collins
Keyword(s):  
Public Health ◽  
African Americans ◽  
Effective Treatment ◽  
Adult Population ◽  
The State ◽  
Newly Diagnosed ◽  
Underserved Communities ◽  
Current Asthma ◽  
Current Prevalence ◽  
Critical Public Health

The epidemic of asthma has become one of the most critical public health threats within the state of Mississippi.  In Mississippi, the most current prevalence of adult asthma is 12.0% for lifetime asthma and 8.6% for current asthma.  Among African-Americans, the adult population represents the leading rates in overall asthma burden, with the highest percent of adult lifetime asthma being 14.6% and current asthma being 11.0%.  This study asserts that a mandate to systematically and consistently report newly diagnosed cases of asthma among minority-underserved communities can provide a pathway to decrease this asthma disparity, effective treatment, and healthier lives.  Based upon the findings, the participants, overall, agree that asthma disproportionately occurs among minority-underserved communities; and, mandated systematic and consistent reporting should be implemented.  Additionally, these actions can lead to a decrease in this asthma disparity, an implementation of targeted public policies, effective treatment and a pathway to healthier lives.

scholarly journals Prevalence of personality disorders in the general adult population in Western countries: systematic review and meta-analysis

2018 ◽  
Vol 213 (6) ◽  
pp. 709-715 ◽  
Author(s):  
Jana Volkert ◽  
Thorsten-Christian Gablonski ◽  
Sven Rabung
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Meta Analysis ◽  
Adult Population ◽  
Epidemiological Studies ◽  
Sensitivity Analyses ◽  
Prevalence Rates ◽  
Efficient Treatment ◽  
Random Effects Models ◽  
Western Countries

BackgroundPersonality disorder is a severe health issue. However, the epidemiology of personality disorders is insufficiently described and surveys report very heterogeneous rates.AimsWe aimed to conduct a meta-analysis on the prevalence of personality disorders in adult populations and examine potential moderators that affect heterogeneity.MethodWe searched PsycINFO, PSYNDEX and Medline for studies that used standardised diagnostics (DSM-IV/-5, ICD-10) to report prevalence rates of personality disorders in community populations in Western countries. Prevalence rates were extracted and aggregated by random-effects models. Meta-regression and sensitivity analyses were performed and publication bias was assessed.ResultsThe final sample comprised ten studies, with a total of 113 998 individuals. Prevalence rates were fairly high for any personality disorder (12.16%; 95% CI, 8.01–17.02%) and similarly high for DSM Clusters A, B and C, between 5.53 (95% CI, 3.20–8.43%) and 7.23% (95% CI, 2.37–14.42%). Prevalence was highest for obsessive–compulsive personality disorder (4.32%; 95% CI, 2.16–7.16%) and lowest for dependent personality disorder (0.78%; 95% CI, 0.37–1.32%). A low prevalence was significantly associated with expert-rated assessment (versus self-rated) and reporting of descriptive statistics for antisocial personality disorder.ConclusionsEpidemiological studies on personality disorders in community samples are rare, whereas prevalence rates are fairly high and vary substantially depending on samples and methods. Future studies investigating the epidemiology of personality disorders based on the DSM-5 and ICD-11 and models of personality functioning and traits are needed, and efficient treatment should be a priority for healthcare systems to reduce disease burden.Declaration of interestNone.

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