Community Health and Preventive Medicine Commons^™

Provider Imposed Restrictions To Clients' Access To Family Planning In Urban Uttar Pradesh, India: A Mixed Methods Study, Lisa S. Calhoun, Ilene S. Speizer, Rajiv N. Rimal, Pooja Sripad, Nilesh Chatterjee, Pranita Achyut, Priya Nanda

Prevention and Community Health Faculty Publications

Background

Medical barriers refer to unnecessary policies or procedures imposed by health care providers that are not necessarily medically advised; these restrictions impede clients' access to family planning (FP). This mixed methods study investigates provider imposed barriers to provision of FP using recent quantitative and qualitative data from urban Uttar Pradesh, India.

Methods

Baseline quantitative data were collected in six cities in Uttar Pradesh, India from service delivery points (SDP), using facility audits, exit interviews, and provider surveys; for this study, the focus is on the provider surveys. More than 250 providers were surveyed in each city. Providers were asked …

Treatment-As-Prevention In Aids Control: Why Communication Still Matters, Rupali J. Limaye, Jeffrey Bingenheimer, Rajiv N. Rimal, Susan Krenn, Claudia Vondrasek

Prevention and Community Health Faculty Publications

Treatment-as-prevention is a term used to describe an HIV prevention method that uses antiretroviral treatment to minimize the chance of HIV transmission, with the idea that treatment can decrease the viral load of those infected to a level where transmission risk is minimal. However, for treatment-as-prevention to be a success, individuals must get tested, know their status, seek care, and adhere to their antiretroviral regimen. Communication plays a role in each of these steps, as communication can be used to create demand for health-seeking behavior and as a means to increase quality and support on the supply side, at the …

Development And Assessment Of Traditional And Innovative Media To Reduce Individual Hiv/Aids-Related Stigma Attitudes And Beliefs In India, Caricia Catalani, Diego Castaneda, Freya Spielberg

Prevention and Community Health Faculty Publications

Although stigma is considered a major barrier to effective response to the HIV/AIDS epidemic, there is a lack of evidence on effective interventions. This media intervention took place among key HIV-vulnerable communities in Southern India. Two HIV stigma videos were created using techniques from traditional film production and new media digital storytelling. A series of 16 focus group discussions were held in 4 rural and 4 urban sites in South India, with specific groups for sex workers, men who have sex with men, young married women, and others. Focus groups with viewers of the traditional film (8 focus groups, 80 …

Pilot Evaluation Of The Text4baby Mobile Health Program, William D. Evans, Jasmine L. Wallace, Jeremy Snider

Prevention and Community Health Faculty Publications

Background

Mobile phone technologies for health promotion and disease prevention have evolved rapidly, but few studies have tested the efficacy of mobile health in full-fledged programs. Text4baby is an example of mobile health based on behavioral theory, and it delivers text messages to traditionally underserved pregnant women and new mothers to change their health, health care beliefs, practices, and behaviors in order to improve clinical outcomes. The purpose of this pilot evaluation study is to assess the efficacy of this text messaging campaign.

Methods

We conducted a randomized pilot evaluation study. All participants were pregnant women first presenting for care …

Developing A Business Plan For Sustaining School Mental Health Services: Three Success Stories, Donna Behrens, Julia Graham Lear, Olga Acosta Price

Prevention and Community Health Faculty Publications

No abstract provided.

Trends In Condom Use Among Female Sex Workers In Andhra Pradesh, India: The Impact Of A Community Mobilisation Intervention, Jennifer T. Erausquin, Monica Biradavolu, Elizabeth Reed, Rebekah Burroway, Kim M. Blankenship

Prevention and Community Health Faculty Publications

Background

Community mobilisation interventions for HIV prevention among female sex workers (FSWs) aim to organise FSWs for collective action and challenge the structures of power that underlie HIV risk. Assessing intervention impact is challenging because the importance of direct individual exposure to intervention components may decrease over time as change occurs at social-normative, policy and other structural levels. In this paper, the authors examine changes over time in consistent condom use among FSWs in Rajahmundry, Andhra Pradesh, the location of a long-standing community mobilisation intervention.

Methods

The authors analyse cross-sectional data collected among FSWs at three time points (n=2276) using …

Are Dutch Patients Willing To Be Seen By A Physician Assistant Instead Of A Medical Doctor?, Luppo Kuilman, Roos M.B. Nieweg, Cees P. Van Der Schans, Jaap H. Strijbos, Roderick S. Hooker

Prevention and Community Health Faculty Publications

Background

The employment of physician assistants (PAs) is a strategy to improve access to care. Since the new millennium, a handful of countries have turned to PAs as a means to bridge the growing gap between the supply and demand of medical services. However, little is known about this new workforce entity from the patient’s perspective. The objective of this study was to assess the willingness of Dutch patients to be treated by a PA or a medical doctor (MD) under various time constraints and semi-urgent medical scenarios.

Methods

A total of 450 Dutch adults were recruited to act as …

Perceptions Of The Food Shopping Environment Are Associated With Greater Consumption Of Fruits And Vegetables, Jonathan L. Blitstein, Jeremy Snider, W. Douglas Evans

Prevention and Community Health Faculty Publications

Objective

The present study examined whether characteristics such as quality, selection and convenience are associated with dietary intake of fruits and vegetables independent of perceived costs in an inner-city, low-income population.

Design

Secondary analysis of baseline data from a social marketing intervention designed to change household dietary practices among parents of 3- to 7-year-old children.

Setting

A community sample drawn from six low-income, primarily minority neighbourhoods in Chicago, IL, USA.

Subjects From the parent study, 526 respondents completed the baseline survey and were eligible for inclusion. Of this number, 495 provided complete data on sociodemographic characteristics, fruit and vegetable consumption, …

Multi-Person Sex Among A Sample Of Adolescent Female Urban Health Clinic Patients, Emily F. Rothman, Michele R. Decker, Elizabeth Miller, Elizabeth Reed, Anita Raj, Jay G. Silverman

Prevention and Community Health Faculty Publications

Adolescent sexual activity involving three or more people is an emerging public health concern. The goal of this exploratory, cross-sectional study was to describe the prevalence, correlates, and context of multiple-person sex among a sample of adolescent females seeking health care from an urban clinic. Because sex involving multiple people may either be consensual (i.e., “three-ways” or “group sex”) or forced (i.e., “gang rape”), we use the term “multi-person sex” (MPS) to encompass these experiences. Subjects were 328 females, ages 14–20 years old, who utilized a Boston-area community- or school-based health clinic between April and December of 2006, and completed …

Development Of Unicef Latin America/Caribbean (Lac) Well-Being Indicators, Mark Edberg

Prevention and Community Health Faculty Publications

No abstract provided.

The Rise In Stunting In Relation To Avian Influenza And Food Consumption Patterns In Lower Egypt In Comparison To Upper Egypt: Results From 2005 And 2008 Demographic And Health Surveys, Justine A. Kavle, Fatima El-Zanaty, Megan Landry, Rae Galloway

Prevention and Community Health Faculty Publications

Background

A 2006 avian influenza (AI) outbreak resulted in mass removal of chickens in Lower Egypt, which decreased the household supply of poultry. Poultry, a key animal-source food, contains nutrients critical for child growth. This paper examines determinants of stunting between 2006 and 2008 in children 6 to 59 months of age within the context of the AI outbreak.

Methods

The 2005 and 2008 nationally representative Egypt Demographic and Health Surveys (EDHS) were used to analyse anthropometric data from 7,794 children in 2005 and 6,091 children in 2008. Children, 6–59 months of age, with length for age Z-score < −2 S.D. were categorized as stunted. Predictors of stunting were examined by bivariate and multivariable analyses, focusing on Lower Egypt, where a rise in stunting occurred, and Upper Egypt, where stunting declined.

Results

Between …