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The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on public health or other clinical topics then use Trip today.
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More talk than action: gender and ethnic diversity in leading publichealth universities. Improving the career progression of women and ethnic minorities in publichealth universities has been a longstanding challenge, which we believe might be addressed by including staff diversity data in university rankings. We present findings from a mixed methods investigation of gender-related and ethnicity-related differences in career progression at the 15 highest ranked social sciences and public (...) health universities in the world, including an analysis of the intersection between sex and ethnicity. Our study revealed that clear gender and ethnic disparities remain at the most senior academic positions, despite numerous diversity policies and action plans reported. In all universities, representation of women declined between middle and senior academic levels, despite women outnumbering men at the junior level. Ethnic-minority women might have a magnified disadvantage because ethnic-minority
Publichealth interventions may offer society a return on investment of £14 for each £1 spent Publichealth interventions may offer society a return on investment of £14 for each £1 spent Discover Portal Discover Portal Publichealth interventions may offer society a return on investment of £14 for each £1 spent Published on 18 July 2017 doi: Each £1 invested in publichealth interventions could offer an average return on investment to the wider health and social care economy of £14 (...) return, within 18 months. These findings apply to high-income countries. There are some limitations to the data, as a variety of calculation techniques were used and the quality of the included studies varied. However, these are unlikely to alter the direction or approximate size of these effects. The study shows how cost-effective publichealth interventions can be and should inspire future research into how to better implement what is already known. Share your views on the research. Why
Law enforcement and publichealth: recognition and enhancement of joined-up solutions. Public security and law enforcement have a crucial but often largely unacknowledged role in protecting and promoting publichealth. Although the security sector is a key partner in many specific publichealth programmes, its identity as an important part of the publichealth endeavour is rarely recognised. This absence of recognition has resulted in a generally inadequate approach to research (...) and investigation of ways in which law enforcement, especially police at both operational and strategic levels, can be effectively engaged to actively promote and protect publichealth as part of a broader multisectoral publichealth effort. However, the challenge remains to engage police to consider their role as one that serves a publichealth function. The challenge consists of overcoming the continuous and competitive demand for police to do so-called policing, rather than serve a broader publichealth
Mobile self-compassion programme for promotion of public mental health: a randomised controlled trial. 30674702 2019 01 24 1024-2708 25 Suppl 2 2019 Feb Hong Kong medical journal = Xianggang yi xue za zhi Hong Kong Med J Mobile self-compassion programme for promotion of public mental health: a randomised controlled trial. 15-17 Mak W Ws WW Department of Psychology, The Chinese University of Hong Kong. Wong C Cy CC Department of Psychology, The Chinese University of Hong Kong. Chan A Ty (...) AT Department of Psychology, The Chinese University of Hong Kong. Lau J Tf JT Jockey Club School of PublicHealth and Primary Care, The Chinese University of Hong Kong. eng Journal Article China Hong Kong Med J 9512509 1024-2708 2019 1 25 6 0 2019 1 25 6 0 2019 1 25 6 0 ppublish 30674702
Publichealth guidance on prevention and control of blood-borne viruses in prison settings SCIENTIFIC ADVICE www.ecdc.europa.eu Publichealth guidance on prevention and control of blood-borne viruses in prison settings Prevention and control of communicable diseases in prison settingsECDC AND EMCDDA SCIENTIFIC ADVICE Publichealth guidance on prevention and control of blood-borne viruses in prison settings Prevention and control of communicable diseases in prison settings ii This report (...) also like to acknowledge Viktor Mravcik (Czech Republic), Daniela Rojas Castro and Laurent Michel (France), Margherita Errico (Italy), Patrick Hoffmann (Luxembourg), Erica Cardoso and Rui Morgado (Portugal), Sharon Hutchinson and Eamonn O’Moore (United Kingdom) for their contributions to the case studies presented in this guidance. Suggested citation: European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Publichealth guidance on prevention
Publichealth guidance on screening and vaccination for infectious diseases in newly arrived migrants within the EU/EEA SCIENTIFIC ADVICE Publichealth guidance on screening and vaccination for infectious diseases in newly arrived migrants within the EU/EEA www.ecdc.europa.euECDC SCIENTIFIC ADVICE Publichealth guidance on screening and vaccination for infectious diseases in newly arrived migrants within the EU/EEA ii This report from the European Centre for Disease Prevention and Control (ECDC (...) and strongyloidiasis. Charles Hui and Jessica Dunn led the systematic review and provided an initial draft of the chapter on vaccine-preventable diseases. Eric N. Agbata is a doctoral candidate for PhD in Methodology of Biomedical Research and PublicHealth (Department of Paediatrics, Obstetrics, Gynaecology and Preventive Medicine), Universidad Autònoma de Barcelona, Barcelona, Spain. His contributions to the section on schistosomiasis and strongyloidiasis guidance will form part of his thesis. ECDC would
Publichealth guidance on HIV, hepatitis B and C testing in the EU/EEA SCIENTIFIC AD VICE www.ecdc.europa.eu Publichealth guidance on HIV, hepatitis B and C testing in the EU/EEA An integrated approachECDC SCIENTIFIC ADVICE Publichealth guidance on HIV, hepatitis B and C testing in the EU/EEA An integrated approach ii This guidance was commissioned by the European Centre for Disease Prevention and Control (ECDC), coordinated by Andrew J Amato-Gauci and Lara Tavoschi with the support of Helena (...) de Carvalho Gomes from ECDC and the ECDC Library, and produced by a consortium led by CHIP/Region H, Rigshospitalet, University of Copenhagen (CHIP/Region H) with PublicHealth England (PHE), St Stephen’s AIDS Trust (SSAT) and the European Aids Treatment Group (EATG), framework contract ECDC/2016/035. Authors Ann Sullivan, SSAT, Ayla van Ahee, Pallas Health Research and Consultancy (Pallas (HRC), Caroline Rae, SSAT, Dorthe Raben, CHIP/Region H, Rigshospitalet, Lauren Combs, CHIP/Region H, Lauren
Briefing paper 54: the publichealth implications of rising debt BRIEFING PAPER 54 October 2018 www.gcph.co.uk • Unsecure personal debt, including; credit cards, overdrafts and short-term loans, is at its highest level in the UK since before the 2008 economic recession; with the level projected to rise higher still in the coming years. • The high level of unsecure personal debt is related to the economy, labour market conditions, government policy and the re-emergence of irresponsible lending (...) practice. • Approximately 4.5 million borrowers with personal unsecure debt suffer moderate to severe ‘financial d istress’, experiencing financial difficu lties or other issues such as mental health problems from the strain of repaying their debts • The evidence reviewed makes clear the risks to publichealth; those with this form of debt are significantly more likel y to experience mental d isorders compared with the wider population and there are also proven links to worsened physical health
Opportunities and challenges in public and community engagement: the connected for cognitive health in later life (CHILL) project Two goals of publichealth research are to understand what causes disease and ill health, and what can be done to prevent it. To develop appropriate and effective actions, we need to know what resources are available to communities, and what are the beliefs and values that influence behaviour. This means that research needs to be carried out close to the people (...) of the challenges in attempting to involve people in shaping research and intervention development, before offering some conclusions and suggested next steps for researchers.Background Identifying risk of disease and ill health, and developing prevention strategies, are key objectives in publichealth research. However, poor understanding of the impact of local context, including cultural and ethnic differences, challenges our ability to develop actions that are acceptable and meaningful to local communities
Knowledge translation for publichealth in low- and middle- income countries: a critical interpretive synthesis Effective knowledge translation allows the optimisation of access to and utilisation of research knowledge in order to inform and enhance publichealth policy and practice. In low- and middle- income countries, there are substantial complexities that affect the way in which research can be utilised for publichealth action. This review attempts to draw out concepts in the literature (...) that contribute to defining some of the complexities and contextual factors that influence knowledge translation for publichealth in low- and middle- income countries.A Critical Interpretive Synthesis was undertaken, a method of analysis which allows a critical review of a wide range of heterogeneous evidence, through incorporating systematic review methods with qualitative enquiry techniques. A search for peer-reviewed articles published between 2000 and 2016 on the topic of knowledge translation for public
Guidelines for the public on how to provide mental health first aid: narrative review Expert-consensus guidelines have been developed for how members of the public should assist a person with a mental health problem or in a mental health crisis.This review aimed to examine the range of guidelines that have been developed and how these have been implemented in practice.A narrative review was carried out based on a systematic search for literature on the development or implementation (...) of the guidelines.The Delphi method has been used to develop a wide range of guidelines for English-speaking countries, Asian countries and a number of other cultural groups. The primary implementation has been through informing the content of training courses.Further work is needed on guidelines for low- and middle-income countries.A.F.J. is an unpaid member of the Board of Mental Health First Aid International (trading as Mental Health First Aid Australia), which is a not-for-profit organisation.
Building the case for embedding global health security into universal health coverage: a proposal for a unified health system that includes publichealth. In the wake of the recent west African Ebola epidemic, there is global consensus on the need for strong health systems; however, agreement is less apparent on effective mechanisms for establishing and maintaining these systems, particularly in resource-constrained settings and in the presence of multiple and sustained stresses (eg, conflict (...) , famine, climate change, and globalisation). The construction of the International Health Regulations (2005) guidelines and the WHO health systems framework, has resulted in the separation of publichealth functions and health-care services, which are interdependent in actuality and must be integrated to ensure a continuous, unbroken national health system. By analysing efforts to strengthen health systems towards attaining universal health coverage and investments to improve global health security
Credibility of subgroup analyses by socioeconomic status in publichealth intervention evaluations: An underappreciated problem? There is increasing interest amongst researchers and policy makers in identifying the effect of publichealth interventions on health inequalities by socioeconomic status (SES). This issue is typically addressed in evaluation studies through subgroup analyses, where researchers test whether the effect of an intervention differs according to the socioeconomic status (...) of participants. The credibility of such analyses is therefore crucial when making judgements about how an intervention is likely to affect health inequalities, although this issue appears to be rarely considered within publichealth. The aim of this study was therefore to assess the credibility of subgroup analyses in published evaluations of publichealth interventions. An established set of 10 credibility criteria for subgroup analyses was applied to a purposively sampled set of 21 evaluation studies
Collaborative governance of publichealth in low- and middle-income countries: lessons from research in public administration Multisectoral governance, one of many terms used to describe collaborative, cross-boundary approaches to solving complex public problems, is being applied broadly in several policy arenas, most notably in environmental and natural resource management, but increasingly in publichealth in multiple settings and scales around the globe. This paper explores how to transfer (...) knowledge about collaborative governance to challenging publichealth settings found in low-income and moderate-income countries (LMICs). This paper presents a general background on collaborative governance, summarises some relevant empirical findings on the performance of collaborative governance and lays out some of the challenges and considerations for thinking about improving collaborative publichealth governance in LMICs.
Public attitudes towards mobile health in Singapore: a cross-sectional study Smartphone-mediated mobile health (mHealth) may assist patients with medication adherence, and disease monitoring. This study aimed to describe awareness and usage of, and attitudes towards, mHealth among the public in Singapore who own a smartphone. It also aimed to identify factors that influenced the above in the study population.An online cross-sectional survey was administered via convenience sampling in November (...) could help improve their health, but only 13.1% were willing to pay for it. Being employed (OR 3.71) was associated with higher mHealth usage, adjusted for baseline smartphone usage. Participants living in non-subsidized housing were more keen to try (OR 3.18), and willing to pay (OR 3.36) for mHealth.Participants generally held positive attitudes towards mHealth, although usage was low. Lack of willingness to pay, and socioeconomic factors, are potential barriers to the widespread adoption
Evaluation of a digital health resource providing physiotherapy information for postnatal women in a tertiary public hospital in Australia Pregnancy and childbirth have a profound and lasting effect on the female body. Reduced length of postnatal hospital stay has impacted the ability of physiotherapy staff to provide early intervention and education on postnatal recovery and rehabilitation. A novel method of providing physiotherapy education to postnatal women was implemented in an attempt (...) to meet consumer needs in the changing hospital environment. A digital health resource was developed and evaluated to determine consumer satisfaction and access.Postnatal women admitted to the postnatal ward were invited to participate in a survey of the digital health resource during a 17-day recruitment period. A participant information sheet was provided to the patient and a signed consent form collected from those willing to participate. Online surveys were emailed to women at approximately 2
Integration of HIV and reproductive health services in public sector facilities: analysis of client flow data over time in Kenya Integration of HIV/AIDS with reproductive health (RH) services can increase the uptake and efficiency of services, but gaps in knowledge remain about the practice of integration, particularly how provision can be expanded and performance enhanced. We assessed the extent and nature of service integration in public sector facilities in four districts in Kenya.Between (...) , particularly within antenatal, FP and HIV counselling services, but a need for sustained systems and health worker support over time.NCT01694862.
Building the case for housing policy: Understanding public beliefs about housing affordability as a key social determinant of health The current housing crisis in the U.S. requires the consideration and promotion of policies that improve the circumstances of severe housing cost burdens. Building public awareness of the health impacts associated with housing affordability may be a key prerequisite for policy change.Quantitative and qualitative data from a national survey were used to investigate (...) public understandings about housing affordability as a key driver of health. Quantitative and qualitative findings were integrated to test whether any relationships existed between respondents' considerations and concerns about housing affordability and their perceptions about housing affordability as a social determinant of health.These data support four key findings. First, understandings of the relationship between affordable housing and health are partisan and income-based driven
Identifying Community Assessment Practices for PublicHealth: A Rapid Review Identifying Community Assessment Practices for PublicHealth A Rapid Review Julie Richardson, Analyst, Research and Policy Nancy Ramuscak, Program Manager Sondra Davis, Analyst, Research and Policy Teresa Ho, Advisor July 2018 i Table of Contents Key Messages 1 Executive Summary 2 1 Issue 4 2 Context 4 3 Literature Review Question 5 4 Literature Search 5 5 Relevance Assessment 6 6 Results of the Search 7 7 Critical (...) collection methods may include surveys, interviews, focus groups, community forums and observation. 2 Executive Summary Issue and Context End-to-End PublicHealth Practice (E2EPHP) is a strategic priority at Region of Peel- PublicHealth (ROP-PH) to ensure that publichealth decisions support population-level health outcomes. Community assessment is included in the E2EPHP model as one way to define a publichealth problem. Currently, ROP-PH lacks a consistent and rigorous approach to conduct community