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全球健康杂志（英文）
全球健康杂志（英文）

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全球健康杂志（英文）/Journal Global Health Journal
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收录年代

    Building a transdisciplinary science of One Health with a global vision

    Xiaonong ZhouJinxin Zheng
    99-102页
    查看更多>>摘要：One Health has been recognized as a cost-effectiveness approach that intricate connections between human health,animal health,and ecosystem health.This holistic perspective is crucial for addressing complex health challenges that arise at the intersection of these domains,such as emerging infectious diseases,antimicrobial resistance,food safety & food security,and environmental degradation.The beneficiaries of the One Health ap-proach have been demonstrated by many case studies worldwide,and summarized by The World Bank that not only support poverty alleviation in developing countries,but also can reduce pandemic risk globally.It is essential for us to understand the means of promoting the initiatives in building the transdisciplinary science of One Health that requires a global vision with integration of various disciplines,stakeholders,and resources.Therefore,we introduce the role of the transdisciplinary science of One Health,and the key steps and strategies necessary to implement One Health approach in the real world.We also propose three research priorities,including empha-sizing climate change and health,enhancing global health security,and promoting equity and inclusivity which is crucial for the success of One Health initiatives.Hence,building a transdisciplinary science of One Health will not only improve holistic health between human,animal,and environmental domains,but also contribute to the global health security and sustainable development.
      原文链接:
    • 万方数据
    • 维普

    Mobile health interventions for improving maternal and child health outcomes in South Africa:a systematic review

    Elliot MbungeMaureen Nokuthula Sibiya
    103-112页
    查看更多>>摘要：Background:Maternal and child health(MCH)remains a significant public health concern globally despite pre-vious efforts made to improve MCH services.Initiatives such as antenatal care,postnatal care services exclusive breastfeeding,child vaccination and supplements have been rolled out to improve MCH outcomes.However,inadequate maternal healthcare,socioeconomic factors,obstetric haemorrhaging,complications of hypertension during pregnancy,lack of maternal information,poor universal health coverage and uptake of MCH services exac-erbate maternal mortality and child mortality rates,especially in resource-constrained areas in many sub-Saharan African countries including South Africa.Objective:This study aimed to review mobile health(mHealth)interventions deployed to improve maternal and child health outcomes.Methods:The study adopted the Preferred Reporting Items for Systematic Reviews and Meta-Analyses model to search and retrieve relevant literature from reputable,prominent electronic databases(Google Scholar,Scopus,PubMed,Embase,CINAHL,Web of Science,etc.).A total of 26 papers were selected and analyzed.Results:The findings revealed several mHealth interventions such as MomConnect,Mobile Alliance for Maternal Action,NurseConnect,ChildConnect,CommCare,Road to Health Application and Philani Mobile Video Interven-tion for Exclusive Breastfeeding have been utilized by healthcare workers and women to improve access to MCH services.However,inadequate digital infrastructure,digital divide,resistance to change,inadequate funding,language barriers,short message service and data costs,lack of digital skills and support,compatibility,scalabil-ity and interoperability issues,legislative and policy compliance,lack of mHealth awareness,data security and privacy concerns hinder uptake and utilisation of mHealth interventions.There is a need to scale up and sustain mHealth interventions and update existing regulatory framework,policies and strategies.Conclusion:mHealth interventions offer unprecedented opportunities to improve access to maternal information and substantially improve maternal and child health services.Stakeholder engagement and the development of sustainable funding strategies are important for successfully implementing and scaling mHealth projects while addressing existing and emerging key issues.
      原文链接:
    • 万方数据
    • 维普

    Plain language in the healthcare of Japan:a systematic review of"plain Japanese"

    Hatsune KidoSoichiro SaekiMayu HiraiwaMasashi Yasunaga...
    113-118页
    查看更多>>摘要：Objective:Despite the decrease in the number of foreign visitors and residents in Japan due to the coronavirus dis-ease 2019,a resurgence is remarkable from 2022.However,Japan's medical support system for foreign patients,especially residents,is inadequate,with language barriers potentially causing health disparities.Comprehen-sive interpretation and translation services are challenging,but"plain Japanese"may be a viable alternative for foreign patients with basic Japanese language skills.This study explores the application and obstacles of plain Japanese in the medical sector.Methods:A literature review was performed across these databases:Web of Science,PubMed,Google Scholar,Scopus,CINAHL Plus,Springer Link and Ichushi-Web(Japanese medical literature).The search covered themes related to healthcare,care for foreign patients,and scholarly articles,and was conducted in July 2023.Results:The study incorporated five papers.Each paper emphasized the language barriers foreign residents in Japan face when accessing healthcare,highlighting the critical role and necessity of plain Japanese in medical environments.Most of the reports focused on the challenges of delivering medical care to foreign patients and the training of healthcare professionals in using plain Japanese for communication.Conclusion:The knowledge and application of plain Japanese among healthcare professionals are inadequate,and literature also remains scarce.With the increasing number of foreign residents in Japan,the establishment of a healthcare system that effectively uses plain Japanese is essential.However,plain Japanese may not be the optimal linguistic assistance in certain situations,thus it is imperative to encourage more research and reports on healthcare services using plain Japanese.
      原文链接:
    • 万方数据

    Demographic and socioeconomic determinants of urinary arsenic concentration for elementary school children in Bangladesh

    Raisa SaraKhalid M.KhanShelbin MattathilMunachimso Nwankwo...
    119-127页
    查看更多>>摘要：Background:Arsenic(As)is a toxic element that can lead to various health issues in humans.The primary exposure to As is through the consumption of water contaminated with high As levels,particularly in Bangladesh.Previous studies have shown that urinary arsenic(UAs)concentration can reflect As exposure and metabolism in individuals.However,little is known about how other factors,such as age,sex,and socioeconomic status,may affect UAs concentrations in children.Objective:This study aimed to investigate the influence of factors such as age,sex,and socioeconomic status on UAs concentrations in children,in addition to the impact of drinking water arsenic(WAs)levels.Methods:We conducted our study on elementary school-going children aged 8-11 years from rural Araihazar in Bangladesh.We measured UAs(available for a subset of 391 children)and WAs levels and collected information on demographic and socioeconomic characteristics.We employed regression analysis and t-tests to analyze the data.Results:Our findings revealed that younger children(β=197.95,95％confidence interval[CI]:111.97 to 283.94),female children(β=93.95,95％CI:8.49 to 179.40),and children with less educated fathers(β=138.03,95％CI:26.47 to 249.58)had higher UAs levels,particularly when they consumed water with high As content.Conclusion:The study concludes that children's As exposure and UAs concentration may vary depending on their age,sex,and socioeconomic status.Therefore,these factors should be considered when assessing the health risks associated with As.
      原文链接:
    • 万方数据
    • 维普

    Workplace harassment faced by female Nepalese migrants working aboard

    Padam P SimkhadaEdwin van TeijlingenManju GurungSamjhana Bhujel...
    128-132页
    查看更多>>摘要：Background:Nepal has a long history of labour migration over the years.Migrants can experience a range of problems in their destination countries,and women are more at risk than men.This paper is the first to explore the problems faced by Nepalese women migrants while working abroad.Methods:This study was conducted among 1,889 women who were registered as migrant returnees at an organi-sation called Pourakhi Nepal.The study extracted and analysed data from a non-governmental organisation that supports returning female migrant workers in Nepal.Results:Around half(43.1％)of the women were 35 or older,30.9％were illiterate,and 63.6％were in their first overseas job.More than one-third(38.5％)had self-reported workplace harassment.Physical violence was the most prevalent(68％),followed by verbal abuse(37.5％),mental stress(29.7％),and sexual abuse(14.1％).Women who were illiterate(adjusted odds ratio[AOR]1.25,95％confidence interval[Cl]:1.01 to 1.55),unmarried(AOR 1.27,95％CI:1.05 to 1.56),worked abroad twice or more(AOR 1.35,95％CI:1.10 to 1.66),changed their place of work(AOR 2.38,95％CI:1.42 to 4.01),lived without documents(AOR 1.24,95％CI:1.03 to 1.50),worked as domestics(AOR 3.56,95％CI:2.03 to 6.23),worked in other than Gulf Cooperation Council countries(AOR 1.45,95％CI:1.06 to 1.99),women who did not have a fixed salary(AOR 1.64,95％CI:1.28 to 2.10)and did not receive salary(AOR 3.71,95％CI:2.88 to 4.77)were more likely to be harassed at work.Conclusion:Our findings suggest that the host governments should introduce and enforce policies protecting women in the workplace.Migrant women should be provided with better information about health risks and hazards as well as how to improve preventive measures in destination countries to reduce workplace harassment.
      原文链接:
    • 万方数据
    • 维普

    Epidemiology and control of monkeypox outbreak in Houston,Texas

    Abisola M.OladimejiAbayomi Joseph AfeLouis CarilloCourtney Hundley...
    133-139页
    查看更多>>摘要：Background:In the 2022-2023 global outbreak,the United States and state of Texas recorded a total of 31,277 and 3,085 confirmed monkeypox(Mpox)cases respectively as of November 2023.This study aims to investigate the demographic characteristics and risk factors of Mpox outbreak in Houston and document the epidemiologic control measures implemented with their outcomes.Methods:Houston Health Department received reports of suspected Mpox cases via electronic case reports and laboratory reports from healthcare providers within Houston.These were then investigated and reclassified as either positive or negative using DNA polymerase chain reaction tests.All the reported cases received between May 2022 and January 2023 were included in this study using convenient sampling methods.Descriptive statistics using frequency distribution was used to analyze the sociodemographic,clinical features and travel history of the cases.A two-sided Chi-squared test was used to determine association between Mpox test results and risk factors with significant level set at P＜0.05.Other infection control measures such as community engagement,health education,tracking and contact tracing,vaccination,referrals and laboratory sample logistics support were implemented by the health department.Results:Out of the total of 1,625 suspected persons investigated for Mpox,724(44.6％)tested positive.Among the 724 confirmed cases,male was 700(96.7％),females 20(2.8％),transgender male 1(0.1％),transgender female 3(0.4％).Age groups 30-39 years constituted 43.6％,18-29 years 27.4％,40-49 years 18.2％,50-59 years was 8％.Race distribution of positive cases was Whites 43.4％,African American 38.7％,Asian 1.4％.Risk factors with P＜0.05 included male gender,age groups 30-39 years and 40-49 years,travel history to Mpox endemic areas,recent sexual contact with known or suspected Mpox cases,human immunodeficiency virus seropositivity.Identifying as gay and bisexual were also statistically significant risk factors for Mpox infection.Conclusion:The timely implementation of primary and secondary prevention measures targeted at the most at-risk populations was very effective at curtailing the spread of Mpox infection within the city of Houston.
      原文链接:
    • 万方数据
    • 维普

    Shared decision making in rural general practices:a qualitative exploration of older rural South Australians'perceived involvement in clinical consultations with doctors

    Mohammad HamiduzzamanNoore SiddiqueeHarry James GaffneyFrances Barraclough...
    140-146页
    查看更多>>摘要：Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices.Methods:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research design.Participants who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted.Results:Telephone interviews were held with 27 participants.Four themes were identified around older rural adults'involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to SDM.Understanding of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the"opportunity to ask questions"and the"treatment choices"offered to them.Alongside the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new findings.Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices.Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers.Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implemen-tation of SDM in rural general practices of South Australia.Innovative strategies by general practitioners pro-moting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general.
      原文链接:
    • 万方数据

    Combating obesity in Southeast Asia countries:current status and the way forward

    E Siong TeeSiok Hui Voon
    147-151页
    查看更多>>摘要：Obesity is gaining prominence as a serious public health challenge in the Southeast Asia(SEA)region,with an alarming rate of increase in its prevalence.Countries in the region have shown commitment to curbing the rise of obesity by establishing policies,strategies,and action plans.This paper summarises the current situation and strategies undertaken to combat obesity and related chronic diseases.Although a range of policies and strate-gies have been developed,including national nutrition action plans,community intervention programmes,fiscal measures,nutrition labelling to promote healthier choices,countries in the region are struggling to make signifi-cant progress toward halting the scourge of obesity.It is imperative to strengthen existing health systems with a paradigm shift from a focus on"sick care"to and enhancing nutrition initiatives to support obesity prevention.A comprehensive and coordinated approach is essential,one that emphasises high-level coordination across all lev-els of government and multiple sectors,and a unified plan rather than fragmented initiatives.For strategies to be effective and sustainable,they must address the fundamental environmental determinants of poor dietary choices and nutritional inequalities.A more holistic approach is clearly needed to improve the entire food environment,which in SEA countries must include the multitude of eating places where large segments of the population"eat out"everyday to meet their energy and nutrient needs.There is a recognised need for more comprehensive measures to promote healthy eating among school children and ensure a supportive environment for lifelong healthy habits.This paper calls for a whole-of-government,whole-of-society approach that combines changes to the fundamental food environment and accompanied by systematic monitoring and surveillance systems to achieve long-lasting health outcomes.
      原文链接:
    • 万方数据
    • 维普