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Author Roldos, M.I.; Hopenhayn, C.; Sacoto, F.; Bustamante, K.
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
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
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Publisher Place of Publication Editor
Language English Summary Language Original Title
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Series Volume Series Issue Edition
ISSN 0197-5897 ISBN Medium
Area Expedition Conference
Notes PMID:28242874 Approved no
Call Number ref @ user @ Serial 97335
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Author Navarrete-Reyes, A.P.; Medina-Rimoldi, C.T.; Avila-Funes, J.A.
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
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
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ISSN 1447-0594 ISBN Medium
Area Expedition Conference
Notes PMID:28190303 Approved no
Call Number ref @ user @ Serial 97336
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Author Moimaz, S.A.S.; Rocha, N.B.; Garbin, C.A.S.; Rovida, T.A.; Saliba, N.A.
Title Factors affecting intention to breastfeed of a group of Brazilian childbearing women Type Journal Article
Year 2017 Publication Women and Birth : Journal of the Australian College of Midwives Abbreviated Journal Women Birth
Volume 30 Issue 2 Pages e119-e124
Keywords Adult; Age Factors; Brazil; Breast Feeding/*psychology; Female; Humans; Mothers/*psychology; Pregnancy; Retrospective Studies; Socioeconomic Factors; Young Adult; Brazil; Breastfeeding; Breastfeeding difficulties; Breastfeeding initiation; Pregnancy
Abstract BACKGROUND: Knowing the intention of mothers is important to plan actions to improve exclusive breastfeeding rates. AIM: The objective of this retrospective study was to verify the intention to breastfeed and the intended breastfeeding duration of a group of women participating in a public prenatal dental care program in the city of Aracatuba, Brazil. METHODS: The records of 933 childbearing women were analyzed and their intention to breastfeed and intended breastfeeding duration were associated to women's age, ethnicity, marital status, education, employment, number of gestations, previous breastfeeding experience, previous breastfeeding guidance, presence of complications during pregnancy, and systemic diseases. Data were inserted into Epi Info 2000 and analyzed with Biostat, at a 5% level of significance, and confidence interval of 95%. FINDINGS: Participants mean age was 26.1+/-5.9years. The majority of women (96.5%) declared their intention to breastfeed their babies. The main variables to affect the intention to breastfeed were the number of gestations (p=0.001), previous breastfeeding experience (p=0.03), and previous breastfeeding guidance (p=0.01). Intended breastfeeding duration was significantly affected by women's age (p=0.04), employment (0.02), the number of gestations (p=0.001), and previous breastfeeding experience (p=0.04). CONCLUSIONS: Previous positive breastfeeding experience and guidance during prenatal examinations positively affected women's intention to breastfeed; while older, unemployed women in their second or more gestation and previous breastfeeding experience intended to breastfeed their children for longer periods of time.
Address Preventive and Social Dentistry Department, School of Dentistry, Sao Paulo State University (UNESP), Aracatuba, Brazil. Electronic address: nemre@foa.unesp.br
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
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Series Volume Series Issue Edition
ISSN 1871-5192 ISBN Medium
Area Expedition Conference
Notes PMID:27840072 Approved no
Call Number ref @ user @ Serial 97339
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Author Safon, C.; Keene, D.; Guevara, W.J.U.; Kiani, S.; Herkert, D.; Munoz, E.E.; Perez-Escamilla, R.
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
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
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Language English Summary Language Original Title
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ISSN 1740-8695 ISBN Medium
Area Expedition Conference
Notes PMID:27650889 Approved no
Call Number ref @ user @ Serial 97340
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Author McCloskey, M.L.; Tarazona-Meza, C.E.; Jones-Smith, J.C.; Miele, C.H.; Gilman, R.H.; Bernabe-Ortiz, A.; Miranda, J.J.; Checkley, W.
Title Disparities in dietary intake and physical activity patterns across the urbanization divide in the Peruvian Andes Type Journal Article
Year 2017 Publication The International Journal of Behavioral Nutrition and Physical Activity Abbreviated Journal Int J Behav Nutr Phys Act
Volume 14 Issue 1 Pages 90
Keywords 24-h recall; Chronic diseases; Low- and middle income countries; Nutrition transition; Overweight; Urbanization
Abstract BACKGROUND: Diet and activity are thought to worsen with urbanization, thereby increasing risk of obesity and chronic diseases. A better understanding of dietary and activity patterns across the urbanization divide may help identify pathways, and therefore intervention targets, leading to the epidemic of overweight seen in low- and middle-income populations. Therefore, we sought to characterize diet and activity in a population-based study of urban and rural residents in Puno, Peru. METHODS: We compared diet and activity in 1005 (503 urban, 502 rural) participants via a lifestyle questionnaire. We then recruited an age- and sex-stratified random sample of 50 (25 urban, 25 rural) participants to further characterize diet and activity. Among these participants, diet composition and macronutrient intake was assessed by three non-consecutive 24-h dietary recalls and physical activity was assessed using Omron JH-720itc pedometers. RESULTS: Among 1005 participants, we found that urban residents consumed protein-rich foods, refined grains, sugary items, and fresh produce more frequently than rural residents. Among the 50 subsample participants, urban dwellers consumed more protein (47 vs. 39 g; p = 0.05), more carbohydrates (280 vs. 220 g; p = 0.03), more sugary foods (98 vs. 48 g, p = 0.02) and had greater dietary diversity (6.4 vs 5.8; p = 0.04). Rural subsample participants consumed more added salt (3.1 vs 1.7 g, p = 0.006) and tended to consume more vegetable oil. As estimated by pedometers, urban subsample participants burned fewer calories per day (191 vs 270 kcal, p = 0.03). CONCLUSIONS: Although urbanization is typically thought to increase consumption of fat, sugar and salt, our 24-h recall results were mixed and showed lower levels of obesity in rural Puno were not necessarily indicative of nutritionally-balanced diets. All subsample participants had relatively traditional lifestyles (low fat intake, limited consumption of processed foods and frequent walking) that may play a role in chronic disease outcomes in this region.
Address Biomedical Research Unit, A.B. PRISMA, Lima, Peru. wcheckl1@jhmi.edu
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor (down) Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1479-5868 ISBN Medium
Area Expedition Conference
Notes PMID:28693514 Approved no
Call Number ref @ user @ Serial 97446
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