scholarly journals Dietary patterns in the French adult population: a study from the second French national cross-sectional dietary survey (INCA2) (2006–2007)

2016 ◽  
Vol 116 (2) ◽  
pp. 300-315 ◽  
Author(s):  
R. Gazan ◽  
C. Béchaux ◽  
A. Crépet ◽  
V. Sirot ◽  
P. Drouillet-Pinard ◽  
...  
Keyword(s):  
Public Health ◽  
Food Consumption ◽  
Dietary Patterns ◽  
Adult Population ◽  
Health Policies ◽  
Dietary Survey ◽  
Cross Sectional ◽  
Potential Health ◽  
Contaminant Exposure ◽  
Public Health Policies

AbstractIdentification and characterisation of dietary patterns are needed to define public health policies to promote better food behaviours. The aim of this study was to identify the major dietary patterns in the French adult population and to determine their main demographic, socio-economic, nutritional and environmental characteristics. Dietary patterns were defined from food consumption data collected in the second French national cross-sectional dietary survey (2006–2007). Non-negative-matrix factorisation method, followed by a cluster analysis, was implemented to derive the dietary patterns. Logistic regressions were then used to determine their main demographic and socio-economic characteristics. Finally, nutritional profiles and contaminant exposure levels of dietary patterns were compared using ANOVA. Seven dietary patterns, with specific food consumption behaviours, were identified: ‘Small eater’, ‘Health conscious’, ‘Mediterranean’, ‘Sweet and processed’, ‘Traditional’, ‘Snacker’ and ‘Basic consumer’. For instance, the Health-conscious pattern was characterised by a high consumption of low-fat and light products. Individuals belonging to this pattern were likely to be older and to have a better nutritional profile than the overall population, but were more exposed to many contaminants. Conversely, individuals of Snacker pattern were likely to be younger, consumed more highly processed foods, had a nutrient-poor profile but were exposed to a limited number of food contaminants. The study identified main dietary patterns in the French adult population with distinct food behaviours and specific demographic, socio-economic, nutritional and environmental features. Paradoxically, for better dietary patterns, potential health risks cannot be ruled out. Therefore, this study demonstrated the need to conduct a risk–benefit analysis to define efficient public health policies regarding diet.

Public health terminology: Hindrance to a Health in All Policies approach?

2017 ◽  
Vol 46 (1) ◽  
pp. 68-73 ◽  
Author(s):  
Ellen S. Synnevåg ◽  
Roar Amdam ◽  
Elisabeth Fosse
Keyword(s):  
Public Health ◽  
Systematic Approach ◽  
Local Level ◽  
Health Policies ◽  
Health In All Policies ◽  
Health Work ◽  
Cross Sectional ◽  
Public Health Policies ◽  
National Public Health ◽  
The One

Aim: National public health policies in Norway are based on a Health in All Policies (HiAP) approach. At the local level, this means that public health, as a cross-sectional responsibility, should be implemented in all municipal sectors by integrating public health policies in municipal planning and management systems. The paper investigates these local processes, focusing on the use of public health terminology and how this terminology is translated from national to local contexts. We ask whether the terms ‘public health’ and ‘public health work’ are suitable when implementing an HiAP approach. Methods: A qualitative case study based on analyses of interviews and planning documents was performed in three Norwegian municipalities. Results: The results present dilemmas associated with using public health terminology when implementing an HiAP approach. On the one hand, the terms are experienced as wide, complex, advanced and unnecessary. On the other hand, the terms are experienced as important for a systematic approach towards understanding public health ideology and cross-sectional responsibility. One municipality used alternative terminology. Conclusions: This paper promotes debate about the appropriateness of using the terms ‘public health’ and ‘public health work’ at the local level. It suggests that adaptation is suitable and necessary, unless it compromises knowledge, responsibility and a systematic approach. This study concludes that the use of terminology is a central factor when implementing the Norwegian Public Health Act at the local level.

scholarly journals Decreased prevalence of hypercholesterolaemia and stabilisation of obesity trends in 5-year-old children: possible effects of changed public health policies

2014 ◽  
Vol 170 (2) ◽  
pp. 293-300 ◽  
Author(s):  
Katarina Sedej ◽  
Primož Kotnik ◽  
Magdalena Avbelj Stefanija ◽  
Urh Grošelj ◽  
Andreja Širca Čampa ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Overweight And Obesity ◽  
Health Policies ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
Public Health Policies ◽  
Logistic Regression Models ◽  
Obesity Trends ◽  
The Impact

BackgroundOverweight/obesity in children is a worldwide public health problem. Together with hypercholesterolaemia they are associated with early atherosclerotic complications.ObjectivesIn this study, we aimed to investigate the anthropometric characteristics and total cholesterol (TC) levels in a population of 5-year-old children, to determine trends in the prevalence of overweight/obesity and hypercholesterolaemia in 5-year-old children over a period of 8 years (2001–2009) and to assess the impact of modified national nutritional guidelines for kindergartens implemented in 2005.DesignCross-sectional studies of overweight/obesity prevalence in the years 2001, 2003–2005 and 2009, and hypercholesterolaemia in years 2001 and 2009, in 5-year-old children.SubjectsAltogether, 12 832 (6308 girls/6524 boys) children were included.MethodsOverweight/obesity was defined by IOTF criteria. Hypercholesterolaemia was defined by TC level >5 mmol/l. Multivariable logistic regression models were used.ResultsNo correlation between BMI values and TC levels was found. Overweight and obesity prevalence were stabilised from 2001 to 2009 (odds ratio (OR) (95% CI): 1.13 (0.99–1.3) and 1.13 (0.89–1.42) respectively). Girls were more frequently overweight/obese than boys (OR (95% CI): 0.71 (0.65–0.79) and 0.75 (0.64–0.89) respectively). Prevalence of hypercholesterolaemia significantly decreased from 2001 to 2009 (OR (95% CI): 0.47 (0.41–0.55)). It was less frequent in boys than in girls (OR (95% CI): O.7 (0.61–0.8)).ConclusionsThis is the first study to describe a negative trend in the prevalence of hypercholesterolaemia in pre-pubertal children. In addition, the prevalence of overweight/obesity in these children has been stabilised. Nationwide changes in public health policies could have influenced these observations.

scholarly journals Prevalence of Physical Activity among Adolescents from 105 Low, Middle, and High-Income Countries

2020 ◽  
Vol 17 (9) ◽  
pp. 3145 ◽  
Author(s):  
Adilson Marques ◽  
Duarte Henriques-Neto ◽  
Miguel Peralta ◽  
João Martins ◽  
Yolanda Demetriou ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Physical Inactivity ◽  
Health Policies ◽  
Activity Levels ◽  
Cross Sectional ◽  
Public Health Policies ◽  
Age Related ◽  
Timor Leste ◽  
National Prevalence

Introduction: Physical activity (PA) is a beneficial health behaviour, however most adolescents worldwide are physically inactive. Updated information on the prevalence and trends of PA is important to inform national and international authorities and support countries’ public health policies and actions. This study aimed to present the worldwide, regional, and national prevalence of PA participation according to its frequency in adolescents. Methods: This study is based on cross-sectional surveys of adolescents’ populations from several countries and all regions worldwide. The sample comprised 520,533 adolescents (251,788 boys; 268,745 girls), from 105 countries and regions. Results: Most adolescents engaged in PA up to 3 days/week (57.1%; 95% CI: 56.9; 57.2). The prevalence of engaging in PA every day decreases over the age from 28.2% at age of 11–12 years (95% CI: 27.4; 29.0) to 21.2% at age of 16–17 years (95% CI: 20.3; 22.0) among boys; and from 19.4% (95% CI: 18.5; 20.2) to 11.1% (95% CI: 10.1; 12.0) among girls. For boys and girls who engaged in PA 5-6 days/week, the prevalence increases from countries with the lowest human development index to countries with the highest. Cambodia (7.3%, 95% CI: 3.8; 10.8), Philippines (7.7%, 95% CI: 5.6; 9.7), Sudan (8.8%, 95% CI: 4.7; 12.9), Timor-Leste (8.9%, 95% CI: 5.5; 12.3), and Afghanistan (10.1%, 95% CI: 6.1; 14.1) were the countries with the lowest prevalence of sufficient PA. Conclusions: National, regional, and worldwide data on the prevalence of physical activity in adolescents highlights the importance of improving the global levels of PA, especially in girls. Identifying the factors causing the age-related decrease in physical activity levels will permit public health entities to define priority actions and policies against physical inactivity.

scholarly journals Quality of life of individuals with stroke and their caregivers in a city of Triângulo Mineiro

2014 ◽  
Vol 17 (2) ◽  
pp. 453-464 ◽  
Author(s):  
Mary Lícia de Lima ◽  
Jair Lício Ferreira Santos ◽  
Namie Okino Sawada ◽  
Lívia Aparecida Pereira de Lima
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Negative Impact ◽  
Reference Group ◽  
Health Policies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public Health Policies ◽  
Stroke Group

Objective: To compare the quality of life (QoL) of individuals with stroke and their caregivers. Methods: This is an observational cross-sectional survey, involving 83 individuals who suffered a stroke. The participants were divided into four groups: group of individuals with stroke who have caregivers (44), group of individuals with stroke without caregivers (39), group of caregivers (44) and a reference group (83) in the period of March to May 2010. To assess QoL, the instrument used was the WHOQOL-bref. Results: The highest scores for the four fields were observed increasingly for the group of individuals with stroke with caregivers, the stroke group without caregivers followed by the group of caregivers and the reference group. The comparison of scores between groups showed that the presence of stroke and the fact of being caregiver affect QoL in all domains of WHOQOL-bref. Conclusion: It was possible to understand the negative impact that stroke causes in the lives of the affected ones and their caregivers, in order to better target public health policies.

scholarly journals COVID-19 conspiracy beliefs, health behaviors, and policy support

2020 ◽  
Vol 10 (4) ◽  
pp. 850-856 ◽  
Author(s):  
Valerie A Earnshaw ◽  
Lisa A Eaton ◽  
Seth C Kalichman ◽  
Natalie M Brousseau ◽  
E Carly Hill ◽  
...  
Keyword(s):  
Public Health ◽  
Health Behaviors ◽  
Online Survey ◽  
Policy Support ◽  
Health Policies ◽  
Cross Sectional ◽  
Conspiracy Theories ◽  
Public Health Policies ◽  
Conspiracy Beliefs ◽  
Multivariable Regression

Abstract Conspiracy theories have been proliferating during the COVID-19 pandemic. Evidence suggests that belief in conspiracy theories undermines engagement in pro-health behaviors and support for public health policies. Moreover, previous work suggests that inoculating messages from opinion leaders that expose conspiracy theories as false before people are exposed to them can help to prevent belief in new conspiracies. Goals of this study were to: (a) explore associations between COVID-19 conspiracy beliefs with SARS-CoV-2 vaccine intentions, cooperation with public health recommendations, and support for public health policies among U.S. adults and (b) investigate trusted sources of COVID-19 information to inform strategies to address conspiracy beliefs. A cross-sectional, online survey was conducted with 845 U.S. adults in April 2020. Data were analyzed using analyses of variance and multivariable regressions. One-third (33%) of participants believed one or more conspiracies about COVID-19. Participants who believed conspiracies reported that their intentions to vaccinate were 3.9 times lower and indicated less support for COVID-19 public health policies than participants who disbelieved conspiracies. There were no differences in cooperation with public health recommendations by conspiracy belief endorsement in the multivariable regression analysis. Although there were some key differences in trusted sources of COVID-19 information, doctor(s) were the most trusted source of information about COVID-19 overall with 90% of participants trusting doctor(s). Doctor(s) may play a role in addressing COVID-19 conspiracy theories before people are exposed to them to promote COVID-19 prevention efforts.

scholarly journals Proportion of people identified as transgender and non-binary gender in Brazil

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Giancarlo Spizzirri ◽  
Raí Eufrásio ◽  
Maria Cristina Pereira Lima ◽  
Hélio Rubens de Carvalho Nunes ◽  
Baudewijntje P. C. Kreukels ◽  
...  
Keyword(s):  
Public Health ◽  
Latin America ◽  
Representative Sample ◽  
Adult Population ◽  
Health Policies ◽  
Sociodemographic Characteristics ◽  
Public Health Policies ◽  
Gender Diverse ◽  
Geographic Regions ◽  
Binary Gender

AbstractStudies estimate that gender-diverse persons represent 0.1 to 2% of populations investigated, but no such assessment was performed in Latin America. In a representative sample of Brazil’s adult population (n = 6000), we investigated participants' sociodemographic characteristics and possible associations between these and current gender identity, categorized as cisgender, transgender or non-binary gender. We also investigated transgender individuals' distress associated with gender-related body characteristics. As main results, we found that transgender individuals represented 0.69% (CI95% = 0.48–0.90) of the sample, whereas non-binary persons were 1.19% (CI95% = 0.92–1.47). These percentages were not different among Brazil’s 5 geographic regions. Preliminary analyses showed that transgender individuals were on average younger (32.8 ± 14.2 years, CI95% = 28.5–37.1), compared to cisgender (42.2 ± 15.9, CI95% = 42.5–42.8) and non-binary (42.1 ± 16.5 years, CI95% = 38.3–46.5) groups. Non-binary persons are less likely to be in a relationship compared to cisgender individuals (OR = 0.57, CI95% = 0.35–0.93). In the transgender group, 85% of transgender men and 50% of transgender women reported distress due to gender-related body characteristics. Our main findings draw attention that gender-diverse Brazilian individuals represent around 2% of the country's adult population (almost 3 million people), and are homogeneously located throughout the country, reiterating the urgency of public health policies for these individuals in the five Brazilian sub-regions.

scholarly journals Population simulations of COVID-19 outbreaks provide tools for risk assessment and continuity planning

JAMIA Open ◽  
2021 ◽  
Author(s):  
Bo Peng ◽  
Rowland W Pettit ◽  
Christopher I Amos
Keyword(s):  
Public Health ◽  
Risk Assessment ◽  
Emergency Response ◽  
Robustness Analysis ◽  
Health Policies ◽  
Command Line ◽  
Public Health Policies ◽  
Continuity Planning ◽  
Quantitative Estimates ◽  
Community Infection

Abstract Objectives We developed COVID-19 Outbreak Simulator (https://ictr.github.io/covid19-outbreak-simulator/) to quantitatively estimate the effectiveness of preventative and interventive measures to prevent and battle COVID-19 outbreaks for specific populations. Materials and methods Our simulator simulates the entire course of infection and transmission of the virus among individuals in heterogeneous populations, subject to operations and influences, such as quarantine, testing, social distancing, and community infection. It provides command-line and Jupyter notebook interfaces and a plugin system for user-defined operations. Results The simulator provides quantitative estimates for COVID-19 outbreaks in a variety of scenarios and assists the development of public health policies, risk-reduction operations, and emergency response plans. Discussion Our simulator is powerful, flexible, and customizable, although successful applications require realistic estimation and robustness analysis of population-specific parameters. Conclusion Risk assessment and continuity planning for COVID-19 outbreaks are crucial for the continued operation of many organizations. Our simulator will be continuously expanded to meet this need.

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