scholarly journals Knowledge, attitudes and potential response to menu labelling in an urban public health clinic population

2009 ◽  
Vol 13 (4) ◽  
pp. 550-555 ◽  
Author(s):  
Jennifer Piron ◽  
Lisa V Smith ◽  
Paul Simon ◽  
Patricia L Cummings ◽  
Tony Kuo
Keyword(s):  
Public Health ◽  
Los Angeles ◽  
Low Income ◽  
Fast Food ◽  
Health Clinic ◽  
Potential Response ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Clinic Population ◽  
Public Health Clinic

AbstractObjectiveThe present study examines the receptivity to and potential effects of menu labelling on food choices of low-income and minority individuals – a group often at disproportionate risk for preventable, lifestyle-related health conditions (e.g. obesity, diabetes and CVD).DesignWe conducted a cross-sectional survey to examine the knowledge, attitudes and potential response to menu labelling in an urban public health clinic population.SettingUnited States.SubjectsA total of 639 clinic patients were recruited in the waiting rooms of six, large public health centres in Los Angeles County (2007–2008). These centres provide services to a largely uninsured or under-insured, low-income, Latino and African-American population.ResultsAmong those approached and who met eligibility criteria, 88 % completed the survey. Of the 639 respondents, 55 % were overweight or obese based on self-reported heights and weights; 74 % reported visiting a fast food restaurant at least once in the past year, including 22 % at least once a week; 93 % thought that calorie information was ‘important’; and 86 % thought that restaurants should be required to post calorie information on their menu boards. In multivariate analyses, respondents who were obese, female, Latino and supportive of calorie postings were more likely than others to report that they would choose food and beverages with lower calories as a result of menu labelling.ConclusionsThese findings suggest that clinic patients are receptive to this population-based strategy and that they would be inclined to change their food selections in response to menu labelling.

Knowledge, attitudes, and beliefs about seasonal influenza and H1N1 vaccinations in a low-income, public health clinic population

Vaccine ◽  
2012 ◽  
Vol 30 (2) ◽  
pp. 454-458 ◽  
Author(s):  
Matthew D. Redelings ◽  
Jennifer Piron ◽  
Lisa V. Smith ◽  
Amy Chan ◽  
Julia Heinzerling ◽  
...  
Keyword(s):  
Public Health ◽  
Low Income ◽  
Seasonal Influenza ◽  
Health Clinic ◽  
Attitudes And Beliefs ◽  
Clinic Population ◽  
Public Health Clinic

scholarly journals 542. Los Angeles County Acute Care Regional Antibiogram Suggests Changing Landscape of MDRO Threats Between 2015 and 2017

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S258-S259
Author(s):  
James McKinnell ◽  
Chelsea Foo ◽  
Kelsey OYong ◽  
Janet Hindler ◽  
Sandra Ceja ◽  
...  
Keyword(s):  
Public Health ◽  
Los Angeles ◽  
Acute Care ◽  
Los Angeles County ◽  
Multivariable Analysis ◽  
Multidrug Resistant ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Level Data ◽  
Facility Level

Abstract Background National surveillance for multidrug-resistant organisms (MDRO) are limited by narrow geographic sampling, few hospitals, and failure to account for local epidemiology. A Los Angeles County (LAC) regional antibiogram was created to inform public health interventions and provide a baseline for susceptibility patterns countywide. We present data to compare the 2015 and 2017 LAC regional antibiogram. Methods We conducted a cross-sectional survey of cumulative facility-level antibiograms from all hospitals in LAC; 83 hospitals (AH) and 9 Long-term Acute Care (LTAC). For 2015, submission was voluntary, 2017 data were collected by public health order. Non-respondents were contacted by phone and in person. Isolates from sterile sources were pooled. Countywide susceptibility was calculated by weighting each facility’s isolate count by its reported susceptibility rate with minimum–maximim observed (2015) and Interquartile range (IQR) for 2017. Change from 2015 mean susceptibility is reported. Results Seventy-five (75) facilities submitted antibiograms for 2015 and 86 facilities for 2017. Among non-respondents in 2017, two facilities could not provide an adequate antibiogram and 4 were specialty hospitals with too few cultures to create an antibiogram. Regional summmary tables are presented in Tables 1–4. Klebsiella pneumoniae (n = 50 hospitals/19,382 isolates) % S to meropenem was 97% (IQR 94–100%), no change from 2015. Pseudomonas aeruginosa (PA) (n = 52 hospitals/17,770 isolates)% S to meropenem was 84% (IQR 74–93%), no change from 2015. Susceptibility to Acinetobacter baumannii (AB) was reported by 48 hospitals, including 1,4361 isolates,% S to meropenem was 39% (IQR 25–75%), 14% lower than 2015. Streptococcus agalactiae (n = 13 hospitals/647 isolates)% S to clindamycin was 43% (IQR 13–59%), a 22% increase from 2015. Conclusion LAC regional antibiograms identified stable patterns of antimicrobial resistance for most pathogens, but concerning results with AB and PA. Analysis of highly drug-resistant pathogens such as AB and PA would be improved with patient-level data to generate a combination antibiogram. We favor presenting IQR %S as done for 2017. Ongoing analysis will include multivariable analysis of observed changed S controlling for hospital characteristics. Disclosures All authors: No reported disclosures.

THE RELATIONSHIP OF VITAMIN D 25(OH)D LEVELS WITH THE INCIDENCE OF HYPERTENSION ON THE ELDERLY AT PUBLIC HEALTH CLINIC

2020 ◽  
Vol 1 (2) ◽  
pp. 9-12
Author(s):  
Ikram S. Akbar ◽  
Irfan K. Pratama ◽  
Achmad Zaki ◽  
Sayyid Ridho ◽  
Dede Moeswir ◽  
...  
Keyword(s):  
Public Health ◽  
Vitamin D ◽  
Serum Vitamin ◽  
The Elderly ◽  
Health Clinic ◽  
Anthropometric Measurement ◽  
Cross Sectional ◽  
Serum Vitamin D ◽  
The Relationship ◽  
Public Health Clinic

Introduction: Hypertension is a chronic disease which its presence is often not known until occurrence of other diseases. Several studies had previously investigated the relationship between vitamin D concentration and hypertension. However, no concluding result is obtained. This paper aimed to determine the relationship between vitamin D 25(OH)D concentration and hypertension onelderly at a public health clinic located at Reni Jaya, South Tangerang.Methods: This was cross-sectional study conducted in a public health clinic between January 2017 to January 2018. One hundred and fifty subjects were recruited by consecutive sampling after informed consent were obtained.Anamnesis, physical examination, and anthropometric measurement were performed by general practitioners. The following day serum vitamin D 25(OH)D examination were collected and examined at certied laboratory. The data werethen analyzed using Chi-Square test.Results : As many as 80 (53.4%) subjects had insufficient vitamin D 25(OH)D concentration (25-50 nmol/L). Stage I and II hypertension were found in 51 (34.0%) and 34 (22.7%) subjects, respectively. Age was significantly associated with hypertension (p=0.048). No significant association was observed between vitamin D 25 (OH)D and hypertension p=0.347.Conclusions: There was no significant association between serum vitamin D 25(OH)D and hypertension.

scholarly journals Clinic staff attitudes towards the use of mHealth technology to conduct perinatal depression screenings: a qualitative study

2014 ◽  
Vol 32 (2) ◽  
pp. 211-215 ◽  
Author(s):  
Maria Pineros-Leano ◽  
Karen M Tabb ◽  
Heather Sears ◽  
Brandon Meline ◽  
Hsiang Huang
Keyword(s):  
Public Health ◽  
Focus Group ◽  
Low Income ◽  
Perinatal Depression ◽  
Depression Screening ◽  
Health Clinic ◽  
Staff Attitudes ◽  
Staff Members ◽  
Mhealth Technology ◽  
Public Health Clinic

Abstract Background. The use of mHealth technology is an innovative approach for screening low-income mothers for depression. Past studies show that the use of technology removes barriers such as literacy issues, language challenges, concerns about privacy and lack of transportation and can also increase reliability. However, little is known about staff attitudes and perceptions towards using mHealth technology for screening low-income women for depression in clinics. Methods. Four focus groups were conducted with staff members in a supplemental nutrition program for women, infants and children located in a public health clinic. A semi-structured focus group interview guide was used to examine staff perceptions related to depression screening with tablet technology. All interviews were audio recorded and transcribed verbatim. Thematic analysis was used to analyse all focus group data. Results. Three major benefits and two major barriers were found. The benefits of using technology for perinatal depression screenings were reduction of literacy and language barriers, reduction of redundancy and errors and increased privacy for clients. The barriers were increased network issues and responsibility for technology, which included fear of the devices being lost, stolen or broken. Implications. Before implementing mHealth tablet technology for depression screening in a public health clinic, it is important to address the concerns of staff members to make the transition more effective. This study provides timely information on staff-perceived benefits and barriers when implementing mHealth technology in a public health setting.

scholarly journals Psychological distress, gender and dietary factors in South Asians: a cross-sectional survey

2013 ◽  
Vol 17 (7) ◽  
pp. 1538-1546 ◽  
Author(s):  
Mimi Bhattacharyya ◽  
Louise Marston ◽  
Kate Walters ◽  
Gladstone D'Costa ◽  
Michael King ◽  
...  
Keyword(s):  
Public Health ◽  
Psychological Distress ◽  
Low Income ◽  
South Asians ◽  
Dietary Factors ◽  
Low Income Countries ◽  
Public Health Issue ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Distress Scale

AbstractObjectivePsychological distress, defined as symptoms of depression and anxiety, is an increasingly important public health issue in developing countries. Little is known about the extent to which adverse dietary factors are associated with psychological distress in South Asians. Our aim was to compare the associations of diet and psychological distress in men and women in Goa, India.DesignCross-sectional study of consecutive attendees in nine urban and rural general practices in Goa, India in 2004–2005. All participants completed an FFQ on their dietary intake in a typical week. Psychological distress was measured using the Kessler Psychological Distress Scale (K10), a WHO-validated screening instrument.ResultsConsecutive attendees (n 1512; 601 men and 911 women) aged 30 to 75 years participated. Moderate and high scores of psychological distress were detected in significantly more women than men (eighty-eight men v. 264 women, unadjusted OR = 0·39; 95 % CI 0·29, 0·52). Those who ate one or more portions of fish weekly had nearly half the prevalence of distress in both sexes (women, OR = 0·52; 95 % CI 0·29, 0·91; men, OR = 0·50; 95 % CI 0·25, 0·99) and this was independent of age, marital status, education, income, religion and living alone.ConclusionsPsychological distress is significantly lower with fish intake in both sexes. Further longitudinal work is needed to establish temporal relationships. Addressing psychological distress is becoming an increasingly significant public health priority in both high- and low-income countries.

scholarly journals Knowledge and Concerns of Parents Regarding Childhood Fever at a Public Health Clinic in Kuching, East Malaysia

2018 ◽  
Vol 6 (10) ◽  
pp. 1928-1933
Author(s):  
Wan-Tsien Bong ◽  
Chai-Eng Tan
Keyword(s):  
Public Health ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Health Clinic ◽  
Parental Anxiety ◽  
Cross Sectional ◽  
East Malaysia ◽  
Public Health Clinic ◽  
Childhood Fever

BACKGROUND: Parental anxiety regarding fever may be unwarranted as most cases are owing to self-limiting causes. AIM: To assess the level of knowledge and concerns regarding childhood fever among parents with young children in a public health clinic in Kuching, East Malaysia. METHODS: This cross-sectional study was conducted among parents recruited from a maternal and child health clinic, with children aged 6 months to 6 years. The participants completed a self-administered questionnaire regarding their knowledge and concerns about childhood fever. Descriptive statistical analyses were performed, and associations between dependent and independent variables were determined. RESULTS: Only 26.1% of participants were found to have good knowledge. Knowledge regarding childhood fever was significantly associated with parent’s ethnicity, education level, and household income. About 72% of parents were always worried about their child’s illness. Three major reasons for their concerns were persistently rising temperature; discomfort caused by the fever, and feared complications of fever. CONCLUSION: Excessive parental anxiety due to poor knowledge and misconceptions about fever may lead to poor quality of life and inappropriate management of fever. Healthcare providers may help by educating parents about fever and serious signs that indicate the need to seek healthcare advice.

scholarly journals Living conditions and public health status in three urban slums of Lagos, Nigeria

2014 ◽  
Vol 3 (1) ◽  
pp. 36-41 ◽  
Author(s):  
OP Akinwale ◽  
AK Adeneye ◽  
AZ Musa ◽  
KS Oyedeji ◽  
MA Sulyman ◽  
...  
Keyword(s):  
Public Health ◽  
Low Income ◽  
Living Conditions ◽  
Personal Hygiene ◽  
Cross Sectional Survey ◽  
Southwestern Nigeria ◽  
Cross Sectional ◽  
Units Of Analysis ◽  
Service Sectors ◽  
The Government

Lagos metropolis, southwestern Nigeria, is faced with environmental problems ranging from slums and informal settlements, to crime and delinquency. The aim of the study was to explore the demographic characteristics, migra-tion history and living conditions of 2,434 residents of Ajegunle, Ijora Oloye and Makoko in Lagos metropolis. A cross-sectional survey was conducted between June 2010 and October 2012 using a semi-structured questionnaire. Units of analysis used were households. Many of the respondents are low-income earners working in the informal service sectors, and living in unhygienic conditions. The communities are densely populated, with more than five people living in a room. Residents make use of poor and overstressed facilities and inadequate water and electricity supplies. They also lack appropriate garbage disposal facilities and good drainage. Personal hygiene habits are very poor; open defecation in ditches and the lagoon is widely practiced. Respondents are faced with perennial flooding due to blocked drainage systems resulting in a number of diseases, such as malaria, diarrhea, cold and cough. Migra-tion has led to uncontrolled and unplanned developments of slums in metropolitan Lagos. This in turn has led to poverty, unemployment, illiteracy, polluted environment, uncontrolled population growth and health problems in the slums as are observed in this study. There is an urgent need for comprehensive interventions from the government and other organizations to strengthen existing programs to improve the health and quality of life of this vulnerable population. South East Asia Journal of Public Health 2013; 3(1): 36-41 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17709

scholarly journals Overweight in urban, low-income, African American and Hispanic children attending Los Angeles elementary schools: research stimulating action

2005 ◽  
Vol 8 (2) ◽  
pp. 141-148 ◽  
Author(s):  
Wendelin M Slusser ◽  
William G Cumberland ◽  
Ben L Browdy ◽  
Donna M Winham ◽  
Charlotte G Neumann
Keyword(s):  
At Risk ◽  
Elementary Schools ◽  
Los Angeles ◽  
Low Income ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Policy Makers ◽  
Elementary School Age ◽  
Low Income Children ◽  
Design And Methods

AbstractObjectiveThis study was undertaken to establish the prevalence and severity of nutritional problems among low-income children of elementary school age in the Los Angeles Unified School District (LAUSD) in order to collect baseline data to inform policy-makers.Design and methodsA cross-sectional survey of children in 14 elementary schools was conducted from January to June, 1998. Nine hundred and nineteen children were measured and interviewed. The planning, design and data analysis were carried out in collaboration with key LAUSD policy-makers.ResultsMore than 35% of the sample was classified as being at risk for overweight or overweight according to body mass index.ConclusionThere is a high prevalence of children who are at risk for overweight or who are overweight in Los Angeles. This finding has triggered the development of multiple school-based intervention programmes.

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