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Author Roldos, M.I.; Hopenhayn, C.; Sacoto, F.; Bustamante, K. url  doi
openurl 
  Title Developing local health policy: Profiling needs and opportunities in the Municipality of Quito, Ecuador Type Journal Article
  Year 2017 Publication Journal of Public Health Policy Abbreviated Journal J Public Health Policy  
  Volume Issue Pages (up)  
  Keywords Quito; local health policy; municipality; policy development; public health  
  Abstract We describe the steps taken and analysis applied in developing a local health policy agenda for the city of Quito, in Ecuador. In 2014, the Health Commissioner's Office of the Municipality of Quito analyzed the city's epidemiological health profiles, social determinants of health, the legal authority of the Municipality, and relevant literature to understand the city's health burden and develop a Ten-Year Health Plan (2015-2025). Results revealed that Quito's population suffered from noncommunicable chronic diseases (diabetes and hypertension) and identified the primary risk factors (poor nutrition, physical inactivity, and resulting overweight or obesity). Other common conditions included respiratory diseases, mental health conditions, deaths and injuries from motor vehicles, violence, and physical insecurity. The plan emphasized health promotion and disease prevention with the aim of transforming citizens' health perceptions with their active participation by fostering public and private intersectoral commitment to improve the quality of life of the population .  
  Address Epidemiology Surveillance, Health Commissioner's Office, Municipality of Quito, Ecuador  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0197-5897 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:28242874 Approved no  
  Call Number ref @ user @ Serial 97335  
Permanent link to this record
 

 
Author Navarrete-Reyes, A.P.; Medina-Rimoldi, C.T.; Avila-Funes, J.A. url  doi
openurl 
  Title Correlates of subjective transportation deficiency among older adults attending outpatient clinics in a tertiary care hospital in Mexico City Type Journal Article
  Year 2017 Publication Geriatrics & Gerontology International Abbreviated Journal Geriatr Gerontol Int  
  Volume Issue Pages (up)  
  Keywords Latin America; disability; mobility; older adults; transportation  
  Abstract AIM: Older adults frequently report problems of transportation. Little is known about the correlates of transportation deficiency in Latin America. Therefore, the aim of the present study was to determine the correlates of subjective transportation deficiency (STD) among community-dwelling older adults attending a tertiary care hospital in Mexico City. METHODS: Cross-sectional study of 228 participants aged >/=70 years being followed in any of the outpatient clinics of a tertiary care hospital in Mexico City. Data were obtained through a structured questionnaire. Univariate and multivariate logistic regression analyses were carried out in order to identify the correlates of STD. RESULTS: The mean age of the participants was 79.8 years (SD 6.4) and 67.1% were women. STD was present in 46% of participants. The multivariate logistic regression model showed that female sex, illiteracy, mobility disability and the use of an assistive walking device had an independent and statistically significant association with STD. CONCLUSIONS: Female sex, illiteracy, mobility disability and the use of an assistive walking device were independent correlates of STD in the present study. Identifying the frequency and correlates of transportation deficiency in vulnerable populations will allow for the identification and implementation of useful public policies, as well as for the optimization of prevention and treatment strategies in an attempt to preserve mobility and autonomy, especially in low- and middle-income countries where previous work on transportation deficiency is lacking. Geriatr Gerontol Int 2016; : -**.  
  Address Research Center INSERM, Bordeaux, France  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1447-0594 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:28190303 Approved no  
  Call Number ref @ user @ Serial 97336  
Permanent link to this record
 

 
Author Safon, C.; Keene, D.; Guevara, W.J.U.; Kiani, S.; Herkert, D.; Munoz, E.E.; Perez-Escamilla, R. url  doi
openurl 
  Title Determinants of perceived insufficient milk among new mothers in Leon, Nicaragua Type Journal Article
  Year 2017 Publication Maternal & Child Nutrition Abbreviated Journal Matern Child Nutr  
  Volume 13 Issue 3 Pages (up)  
  Keywords Baby-friendly hospital initiative; breastfeeding; breastfeeding promotion; breastfeeding support; perceived insufficient milk; qualitative methods  
  Abstract Breastfeeding has been shown to improve maternal and child health. In Nicaragua, the primary risk of death and disability-adjusted life years among children under 5 years of age is suboptimal breastfeeding. Although the Nicaraguan Ministry of Health promotes exclusive breastfeeding from within the first half hour through the first 6 months of life, less than a third of children in the country under 6 months of age are exclusively breastfed. As part of a larger, mixed-methods study, 21 semi-structured, in-depth interviews were conducted with new mothers recruited from three primary health centers between June and August 2015 in order to identify the social, cultural, and structural factors that contribute to infant feeding practices and the discrepancy between recommendations and practices among mothers who delivered at an urban public hospital in Leon, Nicaragua. Audio recordings were transcribed verbatim, and interview transcripts were coded and analyzed by a three-member team using a grounded theory approach. Findings highlight a widespread perception of insufficient milk among mothers that influenced early cessation of exclusive breastfeeding and other infant feeding practices. This perception stemmed from anxiety about meeting infant nutritional needs and infant satiety, anxiety about maternal nutrition, advice from and role modeling of family members about mixed feeding, and perceived infant feeding norms. Results suggest that support modeled after the 10 steps of the Baby-friendly Hospital Initiative as well as strengthened policy-level support are needed. Community interventions that address cultural and structural barriers to improve breastfeeding practices may also help to increase breastfeeding rates.  
  Address Yale School of Public Health, New Haven, Connecticut, USA  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1740-8695 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:27650889 Approved no  
  Call Number ref @ user @ Serial 97340  
Permanent link to this record
 

 
Author Florindo, A.A.; Barrozo, L.V.; Cabral-Miranda, W.; Rodrigues, E.Q.; Turrell, G.; Goldbaum, M.; Cesar, C.L.G.; Giles-Corti, B. url  doi
openurl 
  Title Public Open Spaces and Leisure-Time Walking in Brazilian Adults Type Journal Article
  Year 2017 Publication International Journal of Environmental Research and Public Health Abbreviated Journal Int J Environ Res Public Health  
  Volume 14 Issue 6 Pages (up)  
  Keywords Adolescent; Adult; Bicycling; Brazil; Child; Cities; City Planning; Cluster Analysis; Demography; Environment Design; Family Characteristics; Female; Geographic Information Systems; Health Surveys; Humans; Logistic Models; Male; Middle Aged; Parks, Recreational; Residence Characteristics/*statistics & numerical data; Surveys and Questionnaires; Walking/*statistics & numerical data; Young Adult; Brazil; adults; built environment; leisure-time walking; public open spaces  
  Abstract Access to public open space is important to increase leisure-time walking (LTW) in high-income countries, but there is little evidence in middle-income countries. We conducted a cross-sectional analysis to examine the relationship between LTW and the presence of different public open spaces (parks, bike paths, and squares) and the mix of these recreational destinations near the homes of adults participating in the Sao Paulo Health Survey (n = 3145). LTW was evaluated by a questionnaire. We delineated buffers (500, 1000, and 1500 m) from the geographic coordinates of the adults' residential addresses using a geographic information system. We used multilevel logistic regression taking account of clustering by census tracts and households, and with adjustment for social, demographics, and health characteristics. The main results showed that the presence of at least two recreational destinations within a 500-m buffer of participants' homes were associated with an increased odds of LTW compared with no destinations present (OR = 1.65; 95% CI 1.09-2.55). No associations were found for destinations further away. These results support actions outlined in the new urban plan for Sao Paulo city and could be used to highlight the importance access to a mix of public open spaces to promote physical activity in megacities of middle-income countries.  
  Address Adjunct, School of Population and Global Health, University of Melbourne, Melbourne 3010, Australia. billie.giles-corti@rmit.edu.au  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1660-4601 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:28545242 Approved no  
  Call Number ref @ user @ Serial 97447  
Permanent link to this record
 

 
Author Navarrete-Reyes, A.P.; Medina-Rimoldi, C.T.; Avila-Funes, J.A. url  doi
openurl 
  Title Correlates of subjective transportation deficiency among older adults attending outpatient clinics in a tertiary care hospital in Mexico City Type Journal Article
  Year 2017 Publication Geriatrics & Gerontology International Abbreviated Journal Geriatr Gerontol Int  
  Volume Issue Pages (up)  
  Keywords Latin America; disability; mobility; older adults; transportation  
  Abstract AIM: Older adults frequently report problems of transportation. Little is known about the correlates of transportation deficiency in Latin America. Therefore, the aim of the present study was to determine the correlates of subjective transportation deficiency (STD) among community-dwelling older adults attending a tertiary care hospital in Mexico City. METHODS: Cross-sectional study of 228 participants aged >/=70 years being followed in any of the outpatient clinics of a tertiary care hospital in Mexico City. Data were obtained through a structured questionnaire. Univariate and multivariate logistic regression analyses were carried out in order to identify the correlates of STD. RESULTS: The mean age of the participants was 79.8 years (SD 6.4) and 67.1% were women. STD was present in 46% of participants. The multivariate logistic regression model showed that female sex, illiteracy, mobility disability and the use of an assistive walking device had an independent and statistically significant association with STD. CONCLUSIONS: Female sex, illiteracy, mobility disability and the use of an assistive walking device were independent correlates of STD in the present study. Identifying the frequency and correlates of transportation deficiency in vulnerable populations will allow for the identification and implementation of useful public policies, as well as for the optimization of prevention and treatment strategies in an attempt to preserve mobility and autonomy, especially in low- and middle-income countries where previous work on transportation deficiency is lacking. Geriatr Gerontol Int 2016; : -**.  
  Address Research Center INSERM, Bordeaux, France  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1447-0594 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:28190303 Approved no  
  Call Number ref @ user @ Serial 97448  
Permanent link to this record
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