Academic literature on the topic 'Public health-based prevention'
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Journal articles on the topic "Public health-based prevention"
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Zhang, Hua-ying, and Tiande Pan. "Public Health Risk Assessment and Prevention Based on Big Data." Journal of Environmental and Public Health 2022 (September 5, 2022): 1–11. http://dx.doi.org/10.1155/2022/7965917.
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In order to improve the ability of public health risk assessment in the context of community collaborative prevention and control, a mathematical model of public health risk assessment in the context of community collaborative prevention and control based on the integration and balanced allocation of big data features in the prevention horizon is proposed. The constraint parameter model of public health risk assessment under the background of community collaborative prevention and control is constructed, the method of dynamic feature analysis of joint prevention and control is adopted to realize the dynamic risk point detection of public health risk assessment data and the integration of constraint mechanism related feature points, and the fuzzy dynamic statistical feature matching method is adopted to carry out the adaptive dynamic statistics and resource balanced allocation analysis of public health risk assessment set under the background of community collaborative prevention and control. A public health risk parameter fusion model is established under the background of community collaborative prevention and control, the methods of balanced resource allocation and joint management and control are combined to realize balanced scheduling and prevention area block matching in the process of dynamic parameter estimation of public health risk evaluation data under the background of community collaborative prevention and control, the correlation distribution of public health risk under the background of community collaborative prevention and control is taken as the cost function, and balanced allocation is realized according to the statistical information sampling results of public health risk evaluation data under the background of community collaborative prevention and control. Combined with differential clustering analysis, the data clustering and attribute merging of public health risk assessment under the background of community collaborative prevention and control are realized, and the mathematical modeling optimization of public health risk assessment under the background of community collaborative prevention and control is realized. The simulation results show that this method has good adaptability, high degree of parameter fusion, and strong ability of matching risk prevention areas and balancing resource allocation in the context of community collaborative prevention and control.
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Thomas, Anne, and Sheila Davies. "School-Based Substance Abuse Prevention: A Public Health Perspective." North Carolina Medical Journal 69, no. 6 (November 2008): 502–4. http://dx.doi.org/10.18043/ncm.69.6.502.
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Swanson, G. Marie. "Cancer Prevention and Control: A Science-Based Public Health Agenda." Journal of Public Health Management and Practice 2, no. 2 (1996): 1–8. http://dx.doi.org/10.1097/00124784-199600220-00003.
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Ham, Carolyn, and Cory Bolkan. "Applying Evidence-Based Violence Prevention Strategies to Elder Abuse in Public Health." Innovation in Aging 4, Supplement_1 (December 1, 2020): 45–46. http://dx.doi.org/10.1093/geroni/igaa057.148.
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Abstract Elder abuse is a growing problem with significant public health implications. Because elder abuse shares root causes with other types of violence (e.g., suicidal behavior, intimate partner violence), awareness of elder abuse as a violence prevention priority is rising among public health professionals. Major limitations, however, affect delivery of effective population-level primary prevention for elder abuse, necessitating increased community partnerships. In Washington State, the Department of Health’s Injury and Violence Prevention Section and the Department of Social and Health Services Adult Protective Services Division are leveraging existing strategies to increase identification and reporting of potential elder abuse from falls and injury prevention partners (i.e., opioids, suicide). We describe: (1) challenges and opportunities in creating unique cross-program collaborations, (2) the combined education and outreach efforts of this partnership, and (3) strategies for sustained collaboration. Additionally, we share results of a scoping literature review on evidence-based violence prevention strategies applicable to elder abuse between 2015 – 2019. In the Pubmed and Academic Search Complete databases, the following terms were searched: elder abuse prevention, primary prevention, shared risk and protective factors. Only six articles were identified that addressed primary prevention efforts. Researchers note that primary prevention of elder abuse is poorly understood and challenges exist in applying methods from other types of violence. Education for key community members on identification of abuse is a promising intervention targeting shared risk and protective factors for public health to pursue. Cross-sector community partnerships and rigorous evaluation of primary prevention approaches are needed.
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Guloksuz, Sinan, and Jim van Os. "Need for evidence-based early intervention programmes: a public health perspective." Evidence Based Mental Health 21, no. 4 (October 3, 2018): 128–30. http://dx.doi.org/10.1136/ebmental-2018-300030.
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This paper attempts to discuss why the early intervention agenda based on the current convention of ‘ultra-high risk’ (UHR) or ‘clinical high risk’ (CHR) for ‘transition’ to psychosis framework has been destined to fall short of generating a measurable and economically feasible public health impact. To summarise: (1) the primary determinant of the ‘transition’ rate is not the predictive value of the UHR/CHR but the degree of the risk-enrichment; (2) even with a significant pre-test risk enrichment, the prognostic accuracy of the assessment tools in help-seeking population is mediocre, failing to meet the bare minimum thresholds; (3) therapeutic interventions arguably prolong the time-to-onset of psychotic symptoms instead of preventing ‘transition’, given that the UHR/CHR and ‘transition’ lie on the same unidimensional scale of positive psychotic symptoms; (4) meta-analytical evidence confirms that specific effective treatment for preventing ‘transition’ (the goal—primary outcome—of the UHR/CHR framework) is not available; (5) the UHR/CHR-‘transition’ is a precarious target for research given the unpredictability driven by the sampling strategies and the natural ebb and flow of psychotic symptoms within and between individuals, leading to false positives; (6) only a negligible portion of those who develop psychosis benefits from UHR/CHR services (see prevention paradox); (7) limited data on the cost-effectiveness of these services exist. Given the pitfalls of the narrow focus of the UHR/CHR framework, a broader prevention strategy embracing pluripotency of early psychopathology seems to serve as a better alternative. Nevertheless, there is a need for economic evaluation of these extended transdiagnostic early intervention programmes.
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Lee, Lisa M. "Public Health Ethics Theory: Review and Path to Convergence." Journal of Law, Medicine & Ethics 40, no. 1 (2012): 85–98. http://dx.doi.org/10.1111/j.1748-720x.2012.00648.x.
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For over 100 years, the field of contemporary public health has existed to improve the health of communities and populations. As public health practitioners conduct their work – be it focused on preventing transmission of infectious diseases, or prevention of injury, or prevention of and cures for chronic conditions – ethical dimensions arise. Borrowing heavily from the ethical tools developed for research ethics and bioethics, the nascent field of public health ethics soon began to feel the limits of the clinical model and began creating different frameworks to guide its ethical challenges. Several public health ethics frameworks have been introduced since the late 1990s, ranging from extensions of principle-based models to human rights and social justice perspectives to those based on political philosophy. None has coalesced as the framework of choice in the discipline of public health. This paper examines several of the most-known frameworks of public health ethics for their common theoretical underpinnings and values, and suggests next steps toward the formulation of a single framework.
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Zhang, Shitao, Chun Chu-ke, Hyunjoo Kim, and Changqiang Jing. "Public View of Public Health Emergencies Based on Artificial Intelligence Data." Journal of Environmental and Public Health 2022 (August 5, 2022): 1–11. http://dx.doi.org/10.1155/2022/5162840.
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In the current environment where the network and the real society are intertwined, the network public view of public emergencies has involved in reality and altered the ecology of communal public views in China. A new online court of influence has been created, and it affected the trend of events. As the main type of public emergencies, public health emergencies are directly related to people’s health and life insurance. Therefore, the public often pays special attention. At present, correct media guidance plays an irreplaceable and important role in calming people’s hearts and stabilizing social order. If news and public view are left unchecked, it is likely to cause panic among the people. However, in reality, public view research has always been a research object that is difficult to intelligentize and quantify. Based on such a realistic background, the article conducts a research on public view of public health emergencies based on artificial intelligence data analysis. This study designs an expert system for network public view and optimizes the algorithm for the key problem: SFC deployment. Finally, the system was put into real news and public opinion research on new coronavirus epidemic prevention, and experimental tests were carried out. The experimental results have shown that in the new coronavirus incident, the nuclear leakage incident, and the epidemic prevention policy, the data obtained by the public through the Internet are 50%, 68.06%, and 64.35%, respectively. For the system function in this study, both ICSO and IPSO are far better than the optimization results of CSO and PSO. For most of the test functions, IPSO is better than ICSO’s optimization results, which better fulfills the needs of the research content. This study will make an in-depth analysis of the evolution process of online public opinion on public emergencies from the macro-, meso-, and micro-perspectives, in order to analyze the dissemination methods and internal evolution mechanism of various public emergencies of online public opinion, which provides countermeasures and suggestions for the government to guide and manage network public opinion.
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Hanzheng, Jiang, Gu Yuhui, Lin Eryi, Liu yu, and Zheng Lihui. "An Intelligent Epidemic Prevention Desk Based on Daily Public Health Protection." International Journal of Computer & Organization Trends 12, no. 1 (April 25, 2022): 20–26. http://dx.doi.org/10.14445/22492593/ijcot-v12i1p305.
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Panter, Jenna, and David Ogilvie. "Cycling and Diabetes Prevention: Practice-Based Evidence for Public Health Action." PLOS Medicine 13, no. 7 (July 12, 2016): e1002077. http://dx.doi.org/10.1371/journal.pmed.1002077.
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Jones, Bruce H., Michelle Canham-Chervak, and David A. Sleet. "An Evidence-Based Public Health Approach to Injury Priorities and Prevention." American Journal of Preventive Medicine 38, no. 1 (January 2010): S1—S10. http://dx.doi.org/10.1016/j.amepre.2009.10.001.
Full textDissertations / Theses on the topic "Public health-based prevention"
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Brooks, Billy, Brian Martin, Paula Masters, and Robert Pack. "Tennessee Public Health Workforce Needs Assessment: A Competency-Based Approach." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/3188.
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Maintaining the health of Tennesseans depends heavily on a well-trained, efficient public health workforce that can work effectively in a complex environment. In order to assess the training needs of this group, the Tennessee Public Health Training Center-LIFEPATH administered a survey to all governmental public health employees in Tennessee during the summer of 2012. This instrument was modeled after previous assessments conducted by health agencies outside of Tennessee which utilized as their rubric the Core Competencies for Public Health Professionals developed by the Council on Linkages between Academia and Public Health Practice. The goal of this research was to inform and streamline educational efforts of the Tennessee Department of Health (TDOH), LIFEPATH and their partners across the state by identifying specific competency driven training opportunities within the workforce. Participants were recruited via email and directed to SurveyMonkey, an online survey toolkit, where they could complete the questionnaire. Of the 5178 TDOH employees who received the recruitment email, 3086 individuals completed at least one of the competency questions for a response rate of 59.6%. The survey assigned questions pertinent to the eight core competency areas to respondents based on one of three Tiers – Tier 1: Entry Level, Tier 2: Management Level, Tier 3: Leadership Level. Once the data were collected, responses from all three tiers were dichotomized to generate a “Needs Score” which when summarized represented the percentage of responses indicating a lack of knowledge or proficiency in a competency area. Tier 1 respondents had an average needs score of 60.46% in each of the eight core competency areas. Tier 2 had an average needs score of 49.50%, and Tier 3 respondents had an average needs score of 28.91%. This trend shows that individuals in leadership positions within TDOH were more likely to be knowledgeable or proficient in the eight core competency areas. Prior to administering the survey, TDOH job classifications were submitted to an expert panel within the health department. This body was tasked with assigning tiers to specific job classifications. Previous needs assessments that used the eight core competencies had respondents self-select their tier. As a test of validity the LIFEPATH survey asked TDOH employees to select their job classification in addition to tier. A Kappa test of agreement between self-selection of tier and their actual tier determined by TDOH leadership showed moderate agreement (Kappa=0.5089), suggesting that while most respondents selected the correct tier; there remained some confusion regarding tier definitions. This must be considered when evaluating the results of previous studies that utilize only the self-selected tiers to drive their survey. This data has already begun to direct training goals at the state, regional and local levels across Tennessee and will serve as a baseline measure for future evaluations of educational programing’s impact on workforce competency.
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Vilches, Silvia L., Beth S. McDaniel, Haley Sherman, Brianna Burks, Allie Merritt, Terra Jackson, and Synithia W. Flowers. "Engaging with a Prevention Approach: System Supports Needed in Child Abuse and Neglect Prevention." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/secfr-conf/2020/schedule/13.
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Public policy has been shifting from child abuse and neglect (CAN) intervention toward prevention, using public health style frameworks, which emphasize shared community and legislative responsibilities to support families (Browne, 2014; CDC, 2014). Analysis of qualitative data from statewide focus groups held in 2019 in Alabama with 99 community-based CAN prevention workers shows strengths in community collaboration, but also, struggles to help families meet basic needs because of lack of community resources, such as transportation and quality child care, and other barriers, including stigma. The results demonstrate confusion between prevention, which is intended to build family resilience to avert crisis, and intervention, meant to reunite families after child protection services involvement. We recommend researchers consistently link CAN research to prevention frameworks so as to build meaningful understanding how to create better prevention programs. Future practitioners should understand prevention, and be prepared to document their work so as to demonstrate need.
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Park, John Jinoh. "The Strategic Prevention Framework: Effectiveness of Substance Abuse Prevention System." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3914.
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The strategic prevention framework (SPF) is a data-driven operating system to assist designing evidence-based substance abuse prevention programs. The study performed here was to assess the effectiveness of the SPF as a prevention planning system. One purpose of this study was to determine the implementation fidelity of the programs that used the SPF process; the other purpose was to assess effectiveness of the SPF process. This study utilized a set of data collected by the national cross site evaluation team on all jurisdictions that implemented the SPF. A subset of communities collected and reported at least 2 pre-implementation and at least 2 post implementation outcomes data. The minimum sample size for the study was determined by using Cohen's d criteria. The assessments were performed using both qualitative and quantitative methods by using data collected from multiple levels with a quasi-experimental design. The qualitative data were analyzed using qualitative software with key word searches to examine implementation processes, and the quantitative data were analyzed using descriptive statistics and inferential methods such as Student t tests to examine and compare outcomes. Results show that the communities in the study implemented the SPF process with fidelity and that there were changes in desired directions. Factors related to improvements include sufficient internal resources and monitoring follow-through. This research has important implications for social change since substance abuse is a major social issue that has consequences across life span. Recent studies have shown that many behavioral problems have similar risk factors and that improvements for some behavioral problems will most likely have beneficial effects on other related problems.
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Thibodeaux, Lee A. "Measuring the Diffusion of a Federal Drug Policy: Implementation of the Principles of Effectiveness in Ohio Public School Districts." University of Akron / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=akron1217258495.
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Hopkins, Laura Lee, and Laura Lee Hopkins. "Using RE-AIM to Evaluate the Potential Public Health Impact of a Community-Based Family-Focused Diabetes Prevention Program." Thesis, The University of Arizona, 2016. http://hdl.handle.net/10150/621180.
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Overweight and obesity in U.S. children has reached epidemic proportions, affecting one in three of children and adolescents (ages 2 to 19). Chronic diseases such as type 2 diabetes, previously linked with adult obesity, are now observed in youth. Early intervention is key to reversing this trend. However, successful translation of clinical obesity prevention interventions to the broader community remains a major challenge, in part, due to ineffective adaptation of interventions from controlled clinical settings to more diverse settings. A process evaluation framework - RE-AIM - was used to guide "real world" translation of a family-focused diabetes prevention trial at the YMCA for overweight and obese 9-12-yr-olds (E.P.I.C. Kids), with particular attention paid to factors influencing adoption, implementation, and maintenance by the program by this established community organization. Preliminary evaluation suggested a moderate to high potential for successful implementation and dissemination of the E.P.I.C. Kids program on a larger scale, thereby laying the foundation for replication in other community settings.
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Armstead, Terra. "The Opioid Epidemic: Assessment of Primary Prevention Interventions in Muskingum County Public Schools." Otterbein University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1596204955483026.
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Gavine, Anna J. "The primary prevention of violence in secondary school pupils in the West of Scotland." Thesis, University of St Andrews, 2014. http://hdl.handle.net/10023/6544.
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Violence is a leading cause of morbidity and mortality amongst young people. Public health approaches are now being increasingly utilised to reduce the risk of young peoples' involvement in violence. One such programme is Medics Against Violence (MAV), which aims to reduce pro-violent attitudes and enhance empathy in secondary school pupils. This thesis aims to investigate whether this approach can be effective in tackling youth violence in secondary school pupils. A mixed-methods approach was adopted to conduct both an outcome and process evaluation of MAV. Four schools took part in the outcome evaluation, which examined whether there was a change in attitudes towards violence or empathy in pupils receiving the MAV programme. The process evaluation consisted of focus groups with school pupils, and open-ended questionnaires and semi-structured interviews with MAV volunteers. There was a small but significant reduction in pro-violent attitudes immediately post-intervention. However, this was not sustained at three months and there was no significant increase in empathy scores. Pupils generally demonstrated anti-violent attitudes, although were more likely to support the use of reactive violence. The pupils appeared to enjoy and generally engage well with the programme. In particular, the use of real footage, interviews with those affected by violence and the Glasgow setting provided a sense of realism for the pupils. Moreover, pupils valued the opportunity to discuss the issues raised by MAV with the volunteers. Volunteers felt engagement was occasionally an issue in the most affluent areas. However, some volunteers adapted the programme to focus on victimisation prevention in the most affluent schools. Further development is therefore needed in terms of establishing who the programme is aimed at (i.e. potential victims or perpetrators), focusing on reactive violence and increasing the sustainability of its effects.
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Kvist, Lindholm Sofia. "The Paradoxes of Socio-Emotional Programmes in School : Young people’s perspectives and public health discourses." Doctoral thesis, Linköpings universitet, Tema Barn, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-122457.
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Over the past decades socio-emotional programmes have been implemented in schools worldwide. Depression in Swedish Adolescents (DISA) and Social and Emotional Training (SET) are two socio-emotional programmes being practised in Swedish schools. The aim of the present dissertation is to explore students’ perspectives on DISA and SET, as well as the programmes’ intentions and strategies. The empirical material consists of interviews with students taking part in DISA and SET, participant observations conducted in an elementary school practising SET, participant observations of DISA and SET instructor courses, and a broad range of textual material concerning the programmes. Article I reports on an inherent contradiction in DISA, where techniques designed as treatment are practised as universal prevention for girls as a group. The girls’ accounts of DISA demonstrate why this contradiction is problematic – it was not up to the girls as course participants to define what problems they were having, but the problems were instead defined for them by the course. Taking part in DISA and SET involves exercises in which the students are expected to selfdisclose in front of their classmates. Article II reports on how this task of self-disclosure had a potential for strengthening students’ peer relations, while it at the same time entailed a risk of triggering already on-going destructive interactions, such as bullying and harassment. Article III demonstrates that the potential of self-disclosure is not equally distributed across the students, but depends on their social status within their peer group. Article III also shows that the norm conveyed by the SET programme – that showing anger is an inappropriate behaviour –functioned locally as a way to justify exclusion and negative positioning of peers who showed anger in response to ill treatment. Article IV provides an in-depth analysis of exchanges in a SET lesson concerning how students should deal with exposure to the negative actions of peers. It demonstrates how the types of questions a teacher is instructed to pose to maintain a neutral attitude in practice involve using more implicit forms of authority to construct ideals concerning desirable behaviours. These ideals were formed by discussing fictive examples, which meant stripping students’ actions of meaning and detaching them from the social and cultural context to which they belong. The present dissertation concludes by giving recommendations for policy practice.Sedan millenniumskiftet har socio-emotionella program kommit att bli allt vanligare i skolor runtom i världen. Depression in Swedish Adolescents (DISA) och Social och Emotionell Träning (SET) utgör två socio-emotionella program som används i svenska skolan. Syftet med denna avhandling är att studera elevers perspektiv på DISA och SET, samt att studera programmens målsättning och design. Analysmaterialet består av intervjuer, deltagande observationer, programmanualer och dokument som beskriver och förklarar programmens utgångspunkter. Avhandlingen innefattar fyra artiklar. Artikel I belyser en konflikt i DISA programmet. DISA programmet lär ut tekniker som har utformats för att behandla depression. Programmet riktas dock till flickor generellt med syftet att förebygga att de utvecklar depression. Flickornas beskrivningar av DISA visar varför denna konflikt i programmet är problematisk. De fick inte själva definiera vilka problem de upplevde, istället var de tvungna att jobba med de problem som programmets övningar tillskrev dem. Övningarna som ingår i DISA och SET innebär moment där eleverna förväntas öppna sig inför varandra. Artikel II och III belyser hur detta fenomen hade potential att stärka elevernas sociala relationer, samtidigt som det också riskerade att leda till mobbning. I SET programmet tränas elever på att kontrollera sin ilska. Artikel III belyser hur normen – att visa ilska är ett olämpligt beteende – användes av eleverna för att rättfärdiga uteslutning av elever som visade ilska. Artikel IV består av en djupanalys av lektionen ’Vad kan du göra’ som handlar om hur elever bör agera om de utsätts för negativa handlingar från kamrater. Artikeln tar utgångspunkt i det dilemma som lärare ställs inför i SET programmet: att å ena sidan träna barnen i att anta socialt accepterade beteenden, och å andra sidan följa programmets krav på neutralitet. Analysen visar att de frågor som SET lärare använder för att åstadkomma en neutral hållning i praktiken medför mer implicita former av styrning där programmets ideal om önskvärda beteenden reproduceras. Önskvärda beteenden konstrueras genom att diskutera fiktiva fall utan att relatera dem till den sociala och kulturella kontext där barnen agerar och hanterar aktuella problem. Avhandlingen avslutas med en diskussion om hur ’barns psykiska hälsa’ och ’barns behov’ förstås och bemöts genom dessa program och vilka slutsatser som kan dras för utformandet av framtida insatser i skolan.
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Nilsen, Per. "Opening the Black Box of Community-Based Injury Prevention Programmes : Towards Improved Understanding of Factors that Influence Programme Effectiveness." Doctoral thesis, Linköping : Univ, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7001.
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Boye-Doe, Sylvia B. "Improving Fall Prevention Strategies in an Acute-Care Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3337.
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Falls with or without injuries among the elderly have become a public health concern, with falls among adults age 65 years and older increasing every year. Nurses play a role in ensuring patient safety by following fall prevention guidelines. The purpose of this evidence-based study was to implement the RE-AIM evaluation tool to determine the impact of the Safe Five program on staff compliance with the program; patients' awareness of the need for falls prevention; and falls among older adults, ages 65 years and older, admitted to an acute care nursing unit. The literature supports implementing a falls prevention program with multifactorial and interdisciplinary components, and an evaluation plan to help decrease falls in acute care settings. The Safe Five falls prevention program was implemented on the acute care nursing unit in an effort to decrease the inpatient falls rate on the unit. The inpatient falls data were collected retrospectively, 2 years pre implementation of the Safe Five program, and 8 to 10 months post implementation. Data were collected from the Safe Five checklists, recorded inpatient fall rates, and high fall risk chart audits provided by staff and nurse manager; they were then analyzed using the RE-AIM evaluation tool. The long-term effects of the Safe Five program include an 18% increase in patients' awareness of the importance of preventing falls, an 18% increase in staff compliance with the program, and a 14% decrease in inpatient fall rate on the unit. It is projected that the decrease in inpatient falls will result in decreased healthcare costs and improved patient satisfaction with the healthcare system, communication among the interdisciplinary team, and health outcomes for the patients.
Books on the topic "Public health-based prevention"
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Banyard, Victoria, and Sherry Hamby. Strengths-based prevention: Reducing violence and other public health problems. Washington: American Psychological Association, 2022. http://dx.doi.org/10.1037/0000267-000.
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Gender-based violence and public health: International perspectives on budgets and policies. Abingdon, Oxon: Routledge, 2013.
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1963-, Derose Kathryn Pitkin, ed. The role of faith-based organizations in HIV prevention and care in Central America. Santa Monica, CA: Rand, 2010.
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Alliance, India HIV/AIDS. Foretelling the crisis: HIV/AIDS, sexual and reproductive health & women in India : a report based on a knowledge, attitudes, and practices (KAP) survey, 2006. New Delhi: India HIV/AIDS Alliance, 2007.
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Works, United States Congress Senate Committee on Environment and Public. Lead and children's health: Hearing before the Committee on Environment and Public Works, United States Senate, One Hundred Tenth Congress, first session, October 18, 2007. Washington: U.S. Government Printing Office, 2013.
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United States. Government Accountability Office. Global health: The global fund to fight AIDS, TB and Malaria is responding to challenges but needs better information and documentation for performance-based funding : report to Congressional Committees. Washington, D.C. (441 G St., NW, Washington 20548): United States Government Accountability Office, 2005.
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A, Israel Barbara, ed. Methods in community-based participatory research for health. San Francisco, CA: Jossey-Bass, 2005.
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Public Health Social Work Institute (1986 University of California, Berkeley). Preventing low birthweight and infant mortality: Programmatic issues for public health social workers : based on the proceedings of the 1986 Public Health Social Work Institute. Berkeley, Calif: Maternal and Child Health Program, Earl Warren Hall, School of Public Health, University of California, Berkeley, 1987.
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B, Murray Richard, and Kimberley Aboriginal Medical Services' Council., eds. Aboriginal primary health care: An evidence-based approach. Melbourne: Oxford University Press, 1999.
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Toxic truth: A scientist, a doctor, and the battle over lead. Boston: Beacon Press, 2008.
Find full textBook chapters on the topic "Public health-based prevention"
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Bowen, Deborah J., and Cassandra Enzler. "Community health and community-based prevention." In Public Health Research Methods for Partnerships and Practice, 50–72. Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2017. http://dx.doi.org/10.1201/9781315155722-3.
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Banyard, Victoria, and Sherry Hamby. "Why doesn’t prevention work better? The state of prevention research." In Strengths-based prevention: Reducing violence and other public health problems., 57–86. Washington: American Psychological Association, 2022. http://dx.doi.org/10.1037/0000267-003.
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Norderyd, Ola, and Åsa Wahlin. "Impact of Risk-Based Prevention on Public Oral Health." In Risk Assessment in Oral Health, 23–29. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-38647-4_3.
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Pearrow, Melissa, and Janine Jones. "School-based behavioral health services: A public health model for prevention." In Promoting mind–body health in schools: Interventions for mental health professionals., 45–60. Washington: American Psychological Association, 2020. http://dx.doi.org/10.1037/0000157-004.
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Gahagan, Jacqueline, and Shari L. Dworkin. "HIV Prevention and the Need for Gender-Transformative Approaches." In Sex- and Gender-Based Analysis in Public Health, 47–57. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71929-6_4.
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Björgvinsson, Thröstur, Myria Ioannou, Eugène Rutembesa, Anastasios Petrou, Georgia Christou, and Alexandros Lordos. "Adapting a transdiagnostic mental health approach based on prescriptive matching in post-genocide Rwanda." In Public Health, Mental Health, And Mass Atrocity Prevention, 203–24. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003105084-16.
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Banyard, Victoria, and Sherry Hamby. "Using a social justice lens for prevention." In Strengths-based prevention: Reducing violence and other public health problems., 115–37. Washington: American Psychological Association, 2022. http://dx.doi.org/10.1037/0000267-005.
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Banyard, Victoria, and Sherry Hamby. "The past, present, and future of prevention." In Strengths-based prevention: Reducing violence and other public health problems., 3–21. Washington: American Psychological Association, 2022. http://dx.doi.org/10.1037/0000267-001.
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Banyard, Victoria, and Sherry Hamby. "Theoretical models for prevention: Strengths and weaknesses." In Strengths-based prevention: Reducing violence and other public health problems., 25–55. Washington: American Psychological Association, 2022. http://dx.doi.org/10.1037/0000267-002.
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Banyard, Victoria, and Sherry Hamby. "The prevention portfolio model: From risks to strengths." In Strengths-based prevention: Reducing violence and other public health problems., 141–66. Washington: American Psychological Association, 2022. http://dx.doi.org/10.1037/0000267-006.
Full textConference papers on the topic "Public health-based prevention"
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Safitri, Denanda Agnes, Setyo Sri Rahardjo, and Bhisma Murti. "Effect of Peer-Based Intervention on Unwanted Pregnancy Prevention Behavior in Adolescents: A Meta-Analysis." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.43.
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Background: Prevalence of adolescents’ unwanted pregnancy is relatively high in Asia (43%), Africa (45%), and both Latin America and Caribbean (74%). Unwanted pregnancy at an early age is correlated with social consequences as well as increased health risks for both mother and infants. Peer-based intervention is a program to promote sexual and reproductive health, including the prevention of unwanted pregnancy. This study aimed to assess the influence of peer-based intervention on unwanted pregnancy prevention behaviors in adolescents. Subject dan Method: Meta-analysis was conducted based on PRISMA guidelines. Articles with randomized controlled trial design published in 2000-2020 were included for meta-analysis. These articles were searched from PubMed, Science Direct, Research Gate, and Google Scholar databases. Keyword used “peer education” OR “peer led” OR “peer counseling” OR “peer approach” OR “peer teaching” OR “peer mentoring” AND “unwanted pregnancy” AND adolescent AND “randomized controlled trial”. Articles that met eligibility criteria were analyzed using Revman 5.4. Results: Ten articles met the criteria for a meta-analysis with sample size 15,439. This study showed that peer-based intervention (RR=1.12; 95% CI=0.95 to 1.32; p=0.160) improved unwanted pregnancy prevention behavior in adolescents, but it was statistically non-significant. Conclusion: Peer-based intervention improves unwanted pregnancy prevention behavior in adolescents, but it is statistically non-significant. Keywords: peer-based intervention, unwanted pregnancy, adolescents Correspondence: Denanda Agnes Safitri. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indosesia. Email: denandagnesafitri@gmail.com. DOI: https://doi.org/10.26911/the7thicph.02.43
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Hubaybah, Hubaybah, and Adelina Fitri. "Evaluation of Hiv-Aids Prevention Program in Homosexual Men in Jambi." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.34.
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Background: Human Immunodeficiency Virus (HIV) infection remains a global public health concern. According to data in 2018, 37.9 million people in the world are infected with HIV. In Indonesia, the three most risky populations of HIV infection were injecting drug users (56%), homosexual men (18%), heterosexual (17%), and the others (9%), from April to June 2019. The reported data from the Integrated Biological and Behavioral Survey (IBBS) in 2015 showed that the significantly increased number of 2.5 times in the prevalence of HIV infection among homosexual men compared to the data from 2013. This study aimed to investigate the evaluation of HIV-AIDS prevention program in homosexual men in Jambi. Subjects and Method: This was a qualitative study conducted at Kanti Sehati Sejati Foundation, Jelutung, Jambi, from April to July 2020. The study informants were head of the foundation, head of population outreach program, field accessor of the population outreach program, and assisted homosexual client. The data were collected by in-depth interviews and document reviews. The data were analyzed by reduction, displaying, and drawing conclusions/ verification. Results: The input of the HIV-AIDS prevention was systematically programmed, including education on the used of lubricants and protection/ condoms, budget monitoring and evaluation, and counseling to homosexual men. The process of program had been implemented in accordance with the existing program implementation guidelines. The inhibiting factor of the program was the stigma of homosexual men families not supporting to seek health services. The output of the HIV-AIDS prevention program showed that homosexual men had improved the awareness of not changing partners, using condoms while having sex, and finding new cases of HIV. Conclusion: HIV-AIDS prevention programs have been well implemented based on input, process, and output system approach. Peer group support is needed to persuade understanding of families from homosexual men to overcome the inhibiting factor of the program implementation. Keywords: HIV-AIDS, prevention program, homosexual men Correspondence: Hubaybah. Faculty of Medicine and Health Sciences, Universitas Jambi. Jl. Letjend Soeprapto No 33 Telanai Pura Jambi. Email: hubaybah@unja.ac.id. Mobile: +628117453224. DOI: https://doi.org/10.26911/the7thicph.02.34
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Suwandono, Adji, Ari Natalia Probandari, and Ratih Puspita Febrinasari. "Fraud Prevention Strategy With A Medicolegal Approach in Electronic-Based Data Collection of the Health System: A Systematic Review." In The 8th International Conference on Public Health 2021. Masters Program in Public Health, Universitas Sebelas Maret, 2021. http://dx.doi.org/10.26911/ab.management.icph.08.2021.13.
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Geng, Hong, and Zaiyu Fan. "Study on the mechanism of public service emergency response to public health emergency. Take Wuhan as example." In Post-Oil City Planning for Urban Green Deals Virtual Congress. ISOCARP, 2020. http://dx.doi.org/10.47472/btuz6610.
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With the frequent occurrence of epidemic diseases such as “SARS”, “H1N1”, “MERS”and“COVID19”, public health emergencies, which are characterized by large-scale, high risk, strong persistence and high risk, have become more and more obvious threats to the life and health of urban residents and put forward a huge test to the urban public service system. As the first city of COVID-19 human infection, the core of the epidemic spread and the worst-hit area, Wuhan is an ideal case study. Based on the analysis of the epidemic prevention and control actions in the first three months of the outbreak in Wuhan, this paper evaluates the vulnerability of the public service system and facilities in Wuhan. The results show that Wuhan is faced with many problems, such as the failure of community-level public service facilities, the imbalance of public service allocation in the central city, and the significant gap of graded service supply, when dealing with public health emergencies. Further studies found that due to the lack of dynamic early warning mechanism, the decoupling of public service construction from the urbanization process, the difficulty of service turnover and subsidence and other factors, the public service response was delayed. Based on these practical difficulties, this paper puts forward the construction path of the emergency response mechanism for the city level public service system, specifically including the following six key contents: (1) Improving the emergency plan path of the public service system; (2) Establishing the organizational structure of the emergency management system according to the administrative divisions; (3) Building a community-based mobilization system; (4) Establishing the regional joint defense and control interaction mechanism in public health emergencies; (5) Reserving appropriate strategic construction space; (6) Strengthening the emergency infrastructure construction. Finally, based on the path of emergency response mechanism, this paper proposes the corresponding city wide spatio-temporal prevention and control network strategy, so as to provide a reference for the realization of city health and order.
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Wijayanti, Yuni, and Anik Setyo Wahyuningsih. "The Effects of Skills-Based Health Education on the Knowledge of the Students , Attitude, and Behavior towards the Prevention of Environment-Based Diseases." In International Seminar on Public Health and Education 2018 (ISPHE 2018). Paris, France: Atlantis Press, 2018. http://dx.doi.org/10.2991/isphe-18.2018.55.
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Nurlaili, Riftiani Nikmatul, Yulia Lanti Retno Dewi, and Rita Benya Adriani. "School-Based Intervention to Reduce the Risk of Obesity in Children: A Meta-Analysis." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.126.
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ABSTRACT Background: Childhood obesity remains a serious nutritional problem in both developed and developing countries. The prevalence of school-age children with obesity has increased more than ten times, from 11 million in 1975 to 124 million in 2016. One of the efforts to overcome the increase in childhood obesity is providing school-based intervention. This study aimed to estimate the effect of a school-based intervention to reduce the risk of obesity in children according to data from primary studies. Subjects and Method: This was a meta analysis and systematic review. Studies published from 2007 to 2018 were collected from Google Scholar, PubMed, BMJ, ScienceDirect, BMC, and Sage databases. Keywords used (preschool OR school) AND (intervention OR program OR prevention) AND (“children obesity” OR “children overweight”) AND “randomized control trials”. The inclusion criteria were full text, in English language, using randomized controlled trial study design, and reporting risk ratio. The selected articles were analyzed by PRISMA guideline and Revman 5.3. Results: 8 studies from China (3), Meksiko, United States (2), Portugal, and German showed that school-based intervention reduced the risk of obesity in children (RR= 0.91; CI 95%= 0.84 to 0.99; p=0.040) with (I2=35%; p=0.150). Conclusion: School-based intervention can reduce the risk of obesity in children. Keywords: school-based intervention, obesity, children Correspondence: Riftiani Nikmatul Nurlaili. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: riftiani.nurlaili@gmail.com. Mobile: 085746737137. DOI: https://doi.org/10.26911/the7thicph.03.126
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Tepriandy, R, Septo, Kintoko Rochadi, and Etti Sudaryati. "The Effect of Education through Google Meet Media on Knowledge and Attitude about Balanced Diet in Youth during Covid-19 Pandemic in Medan, North Sumatera." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.18.
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Background: In the era of technology 4.0, the rapid and instantaneous development of information media affects people’s lifestyles and consumption patterns. This study aims to analyze the effect of online-based health education media on knowledge and attitudes about balanced diet in youth during the COVID-19 pandemic in Medan. Subjects and Method: This was a quasi-experiment study with pretest-posttest control group design. This study was located in MAN 1 Medan and MAN 2 Model Medan, from March to September 2020. A total sample of 40 students was selected by simple random sampling. Furthermore, the sample was given treatment, namely providing health education through Google Meet media to see differences in student knowledge and attitudes before and after being given health education. The data were analyzed by paired t-test. Result: Mean of the adolescent knowledge after given education of balanced diet through Google Meet (Mean= 42.05; SD= 2.43) was higher than before education (Mean= 38.90; SD = 3.024), it was statistically significant (p< 0.05). Mean of the attitude of adolescents after given education of balanced diet through Google Meet (Mean= 49.60; SD= 3.32) was higher than before given education (Mean= 45.50; SD= 3.10), it was statistically significant (p< 0.05). Conclusion: It is hoped that the Medan City Health Office can design a prevention strategy for the problems caused by not knowing and implementing balanced nutrition during the COVID-19 pandemic by increasing a healthy lifestyle by using Google Meet media, which is packaged attractively to the public, especially teenagers in Medan City. Keywords: health education media, google meet, balanced diet in youth, covid-19 Correspondence: Septo Tepriandy. Faculty of Public Health, University of North Sumatra. Jl. University No.32, Padang Bulan, Kec. Medan Baru, Medan City, North Sumatra. Email: stsimamora@gmail.com. Mobile: 085358863555 DOI: https://doi.org/10.26911/the7thicph.02.18
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Fatkhurokhman, Moh Andi, and Budi Hidayat. "Preparedness of the Bhakti Wiratantama Army Hospital Semarang in Facing Covid-19." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.07.
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ABSTRACT Background: On March 11, 2020, World Health Organization (WHO) established Covid-19 as a pandemic. Coronavirus is one of the large family of viruses that cause illnesses ranging from mild symptoms such as fever, coughing and shortness of breath, some of the case without symptoms. Coronavirus severe symptoms such as pneumonia, acute respiratory syndrome, kidney failure, and even can cause death. Coronavirus is transmitted between animals and humans. The average incubation period is about 6 to14 days. This study aimed to describe the preparedness of the Bhakti Wira Tantama Army Hospital Semarang, Central Java in facing the Covid-19 outbreak. Subjects and Method: A mix method study was conducted at Bhakti Wira Tantama Army Hospital Semarang, Central Java. The process of organizing data in this study began with the literature study of health regulatory and laws in Indonesia. The instrument of this study was based on the Hospital Readiness checklist from WHO guidelines. The other data were collected using in-depth interviews. The data then analyzed descriptively. Results: Bhakti Wira Tantama Hospital was sufficient for a maximum capacity of 48 Covid-19 patients. In details, it showed that communication (87.49%), continuity of essential health services and patient care (100%), surge capacity (57.02%), human resources (56.40%), logistic and management of supplies including pharmaceuticals (51.51%), surveillance early warning and monitoring (100%), essential support services (95.23%), case management (59.88%), infection prevention and control (58.96%), and laboratory services (53.85%). Conclusion: Bhakti Wira Tantama Army Hospital already have a very good level of preparedness in facing the Covid-19 pandemic. Keywords: Covid-19, hospital readiness, world health organization Correspondence: Moh. Andi Fatkhurokhman. Hospital Administration Studies, Faculty of Public Health University of Indonesia, Depok, West Java, Indonesia. Email: andi.sptht@gmail.com. Mobile: 082135806088 DOI: https://doi.org/10.26911/the7thicph.04.07
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Silva, Nickolas Souza, Maria Luisa Damasceno Silva, Ana Rebeca Sousa de Freitas, Antonia Cristiane Ferreira Torres, Erislândia Maria Campos Paiva, Francisco Gabriel Santos da Silva, Raimundo Luan da Silva Moraes, Robson Mesquita Gomes, and Luiz Odorico Monteiro de Andrade. "The digital solution development process in health about the stroke." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.460.
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Background: Stroke is one of main causes of morbimortality in Brazil, even though it has prevention and care strategies, showing need to improve strategies1 . Digital Health Solutions (DHS) can implement stroke prevention strategies, strengthening patient care and management2 . Objective: To describe initial process of developing DHS with stroke theme (ST) based on public research. Methodology: Cross-sectional study based on form with 12 questions, which outline a profile of users about DHS with ST. Form was aimed at people over 18 year-old who did not have an academic background in human health. Study carried out by the Google Forms® between January and April 2021. Results: With 80 participants, 51.2% women and 48.8% men. 20% under 20 years, 73.8% between 20 and 40, 2.5% between 40 and 60, and 3.7% over 60 years. 62.4% seek knowledge about health from unofficial sources. 62.5% report they rarely seek health information. 67.5% do not have knowledge to detect stroke. Although 32.5% have a DHS on their phones, 97.5% consider it important to learn about stroke in DHS, and 83.8% are interested in it. 55% would use it to recognize a stroke, 25% to have prevention information, 8.8% to use it in urgency, and 11.2% marked three items. 85% never used DHS with ST. Conclusion: Findings shows DHS with ST would educate in health and help people with suspected stroke. DHS would assist in creation of health promotion and stroke prevention.
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Laramie, Olivia, Alexander Colby, Hailey Pensky, Samantha Doonan, and Julie Johnson. "Responsible Vendor Training as a Macro-Level Prevention Tool– A Case Study of the Massachusetts Cannabis Industry." In 2022 Annual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.02.000.19.
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As of March 2022, adult-use cannabis is legal in 18 states and medical-use is legal for certain patients in 37 states. Unlike the illicit market(s), legal market(s) present new opportunities to embed public health strategies in varying levels of policy and regulation, such as Public Awareness Campaigns or Responsible Vendor Training (RVT). Using the Social Ecological Model (SEM) as a guiding framework, we conceptualize state-implemented public health strategies as operating at the macro-level through public policy or regulations, and interacting within and across varying social environments to impact individual behaviors. Macro-level prevention and intervention tools that aim to reduce and prevent adverse cannabis outcomes, such as developing cannabis use disorder and cannabis impaired driving, are imperative to more safely implement cannabis legalization. RVT programs are an under-studied, yet critical macro- level intervention, in many new cannabis industries that sell varying cannabis products with both known and unknown effects on the human body. RVT programs, operated by varying education providers and curriculums, are trainings provided to cannabis industry employees (“agents”) involved in the handling and sale of cannabis. Training may include, but is not limited to, learning the law and regulations, identifying fake identification cards (IDs), health effects of cannabis, and other public health and safety practices. At the implementation level, RVT training may affect individual change by shaping industry employees’ perceptions of their role in order to better support public health, clarifying the latest research on health effects, and roleplaying judgement-free strategies to provide public health education. Currently, 31 states have RVT programs, however, Massachusetts is currently the only state with both legalized adult-use and medical markets that mandates an RVT program by regulation [935 CMR 500 and 935 CMR 501]. As of February 2022, Massachusetts certified 22 RVT program vendors and trained 10,142 out of 23,772 (42.7%) agents in the medical and adult-use workforce. RVT programs have the potential to counteract potential unsafe cannabis use behaviors following cannabis legalization implementation. However, the effectiveness of RVT programs is largely unknown. Guided by the SEM, this presentation will take a holistic view of the overlapping social environments surrounding an individual, to assess the potential of RVT programs operating at the macro-level to interact across social levels, including meso- and individual-levels, in order to prevent adverse outcomes (Bronfenbrenner, 1977). This presentation provides a theoretical model and potential quantifiable metrics of study for researchers to better assess RVT program effectiveness. To reduce potential health and safety risks of cannabis legalization, policymakers and regulators can embed varying public health strategies in legal cannabis markets, including RVT programs. It is imperative that research assist policymakers and regulators to assess the effectiveness of current RVT programs to ensure RVT program(s) have the intended public health outcomes, in order to facilitate evidence-based cannabis policy in these new and emerging cannabis markets.
Reports on the topic "Public health-based prevention"
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Hilbrecht, Margo, Sally M. Gainsbury, Nassim Tabri, Michael J. A. Wohl, Silas Xuereb, Jeffrey L. Derevensky, Simone N. Rodda, McKnight Sheila, Voll Jess, and Gottvald Brittany. Prevention and education evidence review: Gambling-related harm. Edited by Margo Hilbrecht. Greo, September 2021. http://dx.doi.org/10.33684/2021.006.
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This report supports an evidence-based approach to the prevention and education objective of the National Strategy to Reduce Harm from Gambling. Applying a public health policy lens, it considers three levels of measures: universal (for the benefit of the whole population), selective (for the benefit of at-risk groups), and indicated (for the benefit of at-risk individuals). Six measures are reviewed by drawing upon a range of evidence in the academic and grey literature. The universal level measures are “Regulatory restriction on how gambling is provided” and “Population-based safer gambling/responsible gambling efforts.” Selective measures focus on age cohorts in a chapter entitled, “Targeted safer gambling campaigns for children, youth, and older adults.” The indicated measures are “Brief internet delivered interventions for gambling,” “Systems and tools that produced actual (‘hard’) barriers and limit access to funds,” and “Self-exclusion.” Since the quantity and quality of the evidence base varied by measure, appropriate review methods were selected to assess publications using a systematic, scoping, or narrative approach. Some measures offered consistent findings regarding the effectiveness of interventions and initiatives, while others were less clear. Unintended consequences were noted since it is important to be aware of unanticipated, negative consequences resulting from prevention and education activities. After reviewing the evidence, authors identified knowledge gaps that require further research, and provided guidance for how the findings could be used to enhance the prevention and education objective. The research evidence is supplemented by consultations with third sector charity representatives who design and implement gambling harm prevention and education programmes. Their insights and experiences enhance, support, or challenge the academic evidence base, and are shared in a separate chapter. Overall, research evidence is limited for many of the measures. Quality assessments suggest that improvements are needed to support policy decisions more fully. Still, opportunities exist to advance evidence-based policy for an effective gambling harm prevention and education plan.
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Herbert, Sian. Reducing Criminal Violence Through Public Sector-led Multisectoral Approaches. Institute of Development Studies, October 2021. http://dx.doi.org/10.19088/k4d.2022.043.
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The last decades have seen increased consensus for the need to understand and address violence through a public health approach, and a preventative approach, as embodied by Sustainable Development Goal (SDG) 16. This necessitates a multi-sector and multi-stakeholder approach, yet poor governance continues to threaten progress on this agenda. Many policy approaches to urban violence tend to take an approach that is either place-based; people-based; or behaviour-based and include a range of initiatives. The INSPIRE initiative is a key global response to tackling violence against women (VAW) and violence against children (VAC) A multisector approach is needed to address the complexity and multifactorial origins of violence. Yet multisector engagement can complicate institutional responses due to different goals, concepts, instruments, etc. Increased collaboration and joined-up approaches across government departments have led to changes in institutions and approaches. The literature base on violence prevention initiatives is varied and uneven across the different types of violence, e.g. with more literature available on interventions focussed on interpersonal and urban violence compared to organised crime-related violence. Evaluations are limited and face many methodological challenges (Cuesta & Alda, 2021) – e.g. the scale and complexity of violence limits the extent to which interventions can be rigorously evaluated or comparable, and most focus on interventions in the Global North. Most importantly, the literature base for this specific question – focussed on the wider institutional context and lessons for a multisectoral approach – is very limited, as most of the available literature focusses on lessons relating to the outcomes of the interventions. In line with the operational focus of this paper, this review draws mainly on practitioner and policy publications. The approaches, interventions, and lessons detailed below are illustrative and are not comprehensive of the many complex lessons relating to this broad area of programming.
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Xie, Yunhui, and Peng Pang. A Systematic Review and Network Meta-Analysis: Effect of of GLP-1 drugs on weight loss in obese people. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2022. http://dx.doi.org/10.37766/inplasy2022.6.0074.
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Review question / Objective: 1、Whether GLP-1 drugs have weight loss effect on obese people ? 2、Which GLP-1 drugs are most effective in weight loss among obese people ? Condition being studied: Obesity is an important public health issue that has been on the rise over the last decades. It calls for effective prevention and treatment. Bariatric surgery is the most effective medical therapy for weight loss in morbid obesity, but we are in need for less aggressive treatments. Glucagon-like-peptide-1 receptor agonists are a group of incretin-based drugs that have proven to be productive for obesity treatment. Through activation of the GLP-1 receptor they not only have an important role stimulating insulin secretion after meals, but with their extrapancreatic actions, both peripheral and central, they also help reduce body weight by promoting satiety and delaying gastric emptying.
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Lehtimaki, Susanna, Aisling Reidy, Kassim Nishtar, Sara Darehschori, Andrew Painter, and Nina Schwalbe. Independent Review and Investigation Mechanisms to Prevent Future Pandemics: A Proposed Way Forward. United Nations University International Institute for Global Health, April 2021. http://dx.doi.org/10.37941/rr/2021/1.
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The COVID-19 pandemic has created enormous challenges for national economies, livelihoods, and public services, including health systems. In January 2021, the World Health Organization proposed an international treaty on pandemics to strengthen the political commitment towards global pandemic preparedness, control, and response. The plan is to present a draft treaty to the World Health Assembly in May 2021. To inform the design of a support system for this treaty, we explored existing mechanisms for periodic reviews conducted either by peers or an external group as well as mechanisms for in-country investigations, conducted with or without country consent. Based on our review, we summarized key design principles requisite for review and investigation mechanisms and explain how these could be applied to pandemics preparedness, control, and response in global health. While there is no single global mechanism that could serve as a model in its own right, there is potential to combine aspects of existing mechanisms. A Universal Periodic Review design based on the model of human rights treaties with independent experts as the authorized monitoring body, if made obligatory, could support compliance with a new pandemic treaty. In terms of on-site investigations, the model by the Committee on Prevention of Torture could lend itself to treaty monitoring and outbreak investigations on short notice or unannounced. These mechanisms need to be put in place in accordance with several core interlinked design principles: compliance; accountability; independence; transparency and data sharing; speed; emphasis on capabilities; and incentives. The World Health Organization can incentivize and complement these efforts. It has an essential role in providing countries with technical support and tools to strengthen emergency preparedness and response capacities, including technical support for creating surveillance structures, integrating non-traditional data sources, creating data governance and data sharing standards, and conducting regular monitoring and assessment of preparedness and response capacities.
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Zhao, Fangfang, Chunli Lu, Luying Chen, Yaxin Guo, Lijie Lu, Yuerong Jiang, Jianping Liu, and Keji Chen. Red yeast rice preparations for dyslipidemia: A protocol for an overview of systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2022. http://dx.doi.org/10.37766/inplasy2022.3.0032.
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Review question / Objective: What is the quality of systematic reviews/meta-analysis of red yeast rice (RYR) preparations for dyslipidemia? What is the comparative benefit of red yeast rice preparations on dyslipidemia compared to other lipid-lowering drugs? Based on the current controversies in dyslipidemia guidelines and clinical practice, to explore the relative benefits of red yeast rice compared with other lipid-lowering drugs, we plan to perform an overview of existing SRs/MAs. Condition being studied: Red yeast rice (RYR) has been used as an alternative to statin therapy in treating patients with dyslipidemia, particularly in those considered to be statin intolerant due to statin-associated myalgia (SAM), and clinical studies suggest that RYR is well-tolerated, safe, and effective for cardiovascular disease (CVD) primary prevention. Several studies support the beneficial effect of RYR on blood lipid profiles. Dyslipidemia is a worldwide public health challenge because of its high prevalence, leading to significant economic and social burdens. Many systematic reviews (SRs) /meta-analysis (MAs) have been performed to prove the effects of RYR on dyslipidemia during the past several years. High-quality SRs/MAs can provide clinicians, patients, and other decision-makers with a reliable scientific basis. However, existing SRs/MAs showed varied and heterogeneous results.
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Jigjidsuren, Altantuya, Bayar Oyun, and Najibullah Habib. Supporting Primary Health Care in Mongolia: Experiences, Lessons Learned, and Future Directions. Asian Development Bank, January 2021. http://dx.doi.org/10.22617/wps210020-2.
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ince the early 1990s, the Asian Development Bank (ADB) has broadly supported health sector reforms in Mongolia. This paper describes primary health care (PHC) in Mongolia and ADB support in its reform. It highlights results achieved and the lessons drawn that could be useful for future programs in Mongolia and other countries. PHC reform in Mongolia aimed at facilitating a shift from hospital-based curative services toward preventive approaches. It included introducing new management models based on public–private partnerships, increasing the range of services, applying more effective financing methods, building human resources, and creating better infrastructure. The paper outlines remaining challenges and future directions for ADB support to PHC reform in the country.
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Rankin, Nicole, Deborah McGregor, Candice Donnelly, Bethany Van Dort, Richard De Abreu Lourenco, Anne Cust, and Emily Stone. Lung cancer screening using low-dose computed tomography for high risk populations: Investigating effectiveness and screening program implementation considerations: An Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the Cancer Institute NSW. The Sax Institute, October 2019. http://dx.doi.org/10.57022/clzt5093.
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Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.
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Long-term youth suicide prevention programs can have sustained effects. ACAMH, September 2019. http://dx.doi.org/10.13056/acamh.10652.
Full textAbstract:
The Garrett Lee Smith (GLS) Memorial Suicide Prevention Act was passed in 2004 to address the public health issue of suicide in the USA. Since then, numerous programs have been funded via the GLS program to provide comprehensive, community-based suicide prevention programs to adolescents and emerging adults aged 10-24 years.
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Reproductive tract infections: A guide for programme managers. Population Council, 2001. http://dx.doi.org/10.31899/rh2001.1026.
Full textAbstract:
Reproductive tract infections (RTIs) including sexually transmitted infections represent a silent worldwide pandemic that adversely impacts the reproductive health (RH) of women and men. Various community- and hospital-based studies in India have provided insights into the magnitude of the problem. The International Conference on Population and Development (1994) emphasized integration of RH services to meet the needs of men and women especially with prevention and management of RTIs/STIs. The emergence of HIV and the identification of STIs as a risk factor for the spread of HIV have further lent a sense of urgency for a programmatic response to address this public health problem. Programmatic evidence from developing countries indicates that integration of RTI/STI prevention and management with existing health services is both feasible and cost effective. The National Population Policy 2000 also highlights the need for programs that include provision of RTI/STI and HIV/AIDS prevention, screening, and management in RH care settings. This report reviews global and regional experiences and provides strategic directions likely to be the most effective in addressing these problems in India.