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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 Signal - Publichealth interventions may offer society a return on investment of £14 for each £1 spent Dissemination Centre Discover Portal NIHR DC Discover Publichealth interventions may offer society a return on investment of £14 for each £1 spent Published on 18 July 2017 Each £1 invested in publichealth interventions could offer an average return on investment to the wider health and social care (...) provided the quickest 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
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
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
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 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
Opportunities and challenges in public and community engagement: the connected for cognitive health in later life (CHILL) project 30479832 2018 11 29 2056-7529 4 2018 Research involvement and engagement Res Involv Engagem Opportunities and challenges in public and community engagement: the connected for cognitive health in later life (CHILL) project. 42 10.1186/s40900-018-0127-x Two goals of publichealth research are to understand what causes disease and ill health, and what can be done (...) , 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. This suggests a need for research embedded in sub-populations, seeking to better understand context, understanding and interpretation of health and health risk. Methods Against a backdrop of wide inequalities in health, the Connected for Cognitive Health
Knowledge translation for publichealth in low- and middle- income countries: a critical interpretive synthesis 30377666 2018 11 14 2397-0642 3 2018 Global health research and policy Glob Health Res Policy Knowledge translation for publichealth in low- and middle- income countries: a critical interpretive synthesis. 29 10.1186/s41256-018-0084-9 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
Guidelines for the public on how to provide mental health first aid: narrative review 30450221 2018 12 07 2056-4724 4 6 2018 Nov BJPsych open BJPsych Open Guidelines for the public on how to provide mental health first aid: narrative review. 427-440 10.1192/bjo.2018.58 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 (...) BMC Geriatr. 2016 Jul 07;16:129 27387756 Psychiatr Serv. 2018 Apr 1;69(4):492 29607772 J Affect Disord. 2018 Jan 1;225:569-576 28886497 Psychiatry Clin Neurosci. 2016 Jan;70(1):62-70 26303330 Early Interv Psychiatry. 2018 Apr;12(2):229-233 27578164 Aust N Z J Psychiatry. 2015 Oct;49(10):906-13 26310264 BMC Psychol. 2017 Aug 2;5(1):27 28768547 Int J Ment Health Syst. 2009 Sep 07;3(1):19 19735575 BMC PublicHealth. 2016 Feb 25;16:187 26911725 Int J Ment Health Syst. 2010 Feb 19;4:4 20167125 Int J
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? 30417067 2018 12 07 2352-8273 6 2018 Dec SSM - population health SSM Popul Health Credibility of subgroup analyses by socioeconomic status in publichealth intervention evaluations: An underappreciated problem? 245-251 10.1016/j.ssmph.2018.09.010 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
Collaborative governance of publichealth in low- and middle-income countries: lessons from research in public administration 30364438 2018 11 14 2059-7908 3 Suppl 4 2018 BMJ global health BMJ Glob Health Collaborative governance of publichealth in low- and middle-income countries: lessons from research in public administration. e000381 10.1136/bmjgh-2017-000381 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
Evaluation of a digital health resource providing physiotherapy information for postnatal women in a tertiary public hospital in Australia 30363748 2018 11 14 2306-9740 4 2018 mHealth Mhealth Evaluation of a digital health resource providing physiotherapy information for postnatal women in a tertiary public hospital in Australia. 42 10.21037/mhealth.2018.09.03 Pregnancy and childbirth have a profound and lasting effect on the female body. Reduced length of postnatal hospital stay has impacted (...) of Interest: The author has no conflicts of interest to declare. 2018 07 22 2018 08 29 2018 10 27 6 0 2018 10 27 6 0 2018 10 27 6 1 epublish 30363748 10.21037/mhealth.2018.09.03 mh-04-2018.09.03 PMC6182030 J Health Commun. 2012;17 Suppl 3:122-40 23030566 Am J PublicHealth. 1999 Aug;89(8):1228-31 10432911 Aust J Prim Health. 2011;17(3):240-9 21896260 Obstet Gynecol Clin North Am. 2016 Mar;43(1):1-13 26880504 Cochrane Database Syst Rev. 2003;(4):CD003716 14583990 Cochrane Database Syst Rev. 2017 Dec 22;12
Public attitudes towards mobile health in Singapore: a cross-sectional study 30363776 2018 11 14 2306-9740 4 2018 mHealth Mhealth Public attitudes towards mobile health in Singapore: a cross-sectional study. 41 10.21037/mhealth.2018.09.02 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 (...) important factors influencing participants' willingness to use mHealth. Most (64.3%) participants were keen to learn to use mHealth in future, 49.7% believed mHealth 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
Integration of HIV and reproductive health services in public sector facilities: analysis of client flow data over time in Kenya 30245866 2018 11 14 2059-7908 3 5 2018 BMJ global health BMJ Glob Health Integration of HIV and reproductive health services in public sector facilities: analysis of client flow data over time in Kenya. e000867 10.1136/bmjgh-2018-000867 Integration of HIV/AIDS with reproductive health (RH) services can increase the uptake and efficiency of services, but gaps (...) 29615443 Health Policy Plan. 2017 Nov 1;32(suppl_4):iv6-iv12 29194541 Health Policy Plan. 2017 Nov 1;32(suppl_4):iv13-iv26 28666336 BMC Health Serv Res. 2013 Jan 11;13:18 23311431 Health Policy Plan. 2017 Nov 1;32(suppl_4):iv91-iv101 29194543 BMC Womens Health. 2015 Nov 13;15:104 26563220 Stud Fam Plann. 2017 Jun;48(2):201-218 28470971 Health Policy Plan. 2017 Nov 1;32(suppl_4):iv48-iv56 28204500 BMC PublicHealth. 2012 Nov 13;12:973 23148456 Stud Fam Plann. 2017 Jun;48(2):153-177 28337766 Health
Building the case for housing policy: Understanding public beliefs about housing affordability as a key social determinant of health 30225335 2018 11 14 2352-8273 6 2018 Dec SSM - population health SSM Popul Health Building the case for housing policy: Understanding public beliefs about housing affordability as a key social determinant of health. 63-71 10.1016/j.ssmph.2018.08.008 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
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
Improving Disaster Resilience Among Older Adults: Insights from PublicHealth Departments and Aging-in-Place Efforts 30083424 2018 11 14 2162-8254 8 1 2018 Aug Rand health quarterly Rand Health Q Improving Disaster Resilience Among Older Adults: Insights from PublicHealth Departments and Aging-in-Place Efforts. 3 This study uses interview data collected from publichealth departments and aging-in-place efforts-specifically, from coordinators of age-friendly communities and village executive (...) directors-to explore how current aging-in-place efforts can be harnessed to strengthen the disaster resilience of older adults and which existing programs or new collaborations among publichealth departments and these organizations show promise for improving disaster resilience for older populations. Interviews with stakeholders revealed that most age-friendly communities and senior villages did not place a high priority on promoting disaster preparedness. While most publichealth departments conducted