A Model Approach for Developing Effective Local Public Health Policies

Building heavily on the Health in All Policies (HiAP) approach, Norway implemented the Public Health Act in 2012 to reduce social inequalities in health. Local public health coordinators (PHCs) at municipal levels were seen as tools to provide local intersectoral public health work. In this study, we examine factors related to intersectoral agency and if intersectoral work is understood as relevant to securing social justice in local policy outcomes. A national web-based survey in 2019 of all Norwegian PHCs (n = 428) was conducted with a response rate of 60%. Data were analysed through multiple linear regression, hierarchical regression modelling and structural equation modelling. Neither factors relating to community contexts nor individual characteristics were associated with intersectoral agency. Organisational factors, especially position size, being organised at the top level and having a job description, were significantly associated with perceptions of intersectoral agency. PHCs seeing themselves as intersectoral agents also found themselves able to affect annual budgets and policy outcomes. We conclude that municipal PHC positions can be important HiAP tools in local public health policies. However, organisational factors affect how PHCs perceive their influence and role in the municipal organisation and thereby their possibilities to influence local policymaking through intersectoral agency.

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Prevalence of Hyperuricemia and Gout in Mainland China from 2000 to 2014: A Systematic Review and Meta-Analysis

BioMed Research International ◽

10.1155/2015/762820 ◽

2015 ◽

Vol 2015 ◽

pp. 1-12 ◽

Cited By ~ 91

Author(s):

Rui Liu ◽

Cheng Han ◽

Di Wu ◽

Xinghai Xia ◽

Jianqiu Gu ◽

...

Keyword(s):

Public Health ◽

Systematic Review ◽

Meta Analysis ◽

Mainland China ◽

Health Policies ◽

Local Public Health ◽

Public Health Policies ◽

Economic Level ◽

Pooled Prevalence ◽

Trim And Fill

We systematically identified the prevalence of hyperuricemia and gout in mainland China and provided informative data that can be used to create appropriate local public health policies. Relevant articles from 2000 to 2014 were identified by searching 5 electronic databases: PubMed, Google Scholar, Chinese Wanfang, CNKI, and Chongqing VIP. All of the calculations were performed using the Stata 11.0 and SPSS 20.0 software. The eligible articles (n=36; 3 in English and 33 in Chinese) included 44 studies (38 regarding hyperuricemia and 6 regarding gout). The pooled prevalence of hyperuricemia and gout was 13.3% (95% CI: 11.9%, 14.6%) and 1.1% (95% CI: 0.7%, 1.5%), respectively. Although publication bias was observed, the results did not change after a trim and fill test, indicating that that impact of this bias was likely insignificant. The prevalence of hyperuricemia and gout was high in mainland China. The subgroup analysis suggested that the geographical region, whether the residents dwell in urban or rural and coastal or inland areas, the economic level, and sex may be associated with prevalence.

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Person, Place, and Time: Monitoring the Geographical and Temporal Context of Public Health Policies

PsycEXTRA Dataset ◽

10.1037/e507502013-086 ◽

2012 ◽

Author(s):

Michael Chaiton

Keyword(s):

Public Health ◽

Health Policies ◽

Temporal Context ◽

Public Health Policies

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

JAMIA Open ◽

10.1093/jamiaopen/ooaa074 ◽

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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Results from the European Union MAPEC_LIFE cohort study on air pollution and chromosomal damage in children: are public health policies sufficiently protective?

Environmental Sciences Europe ◽

10.1186/s12302-020-00352-3 ◽

2020 ◽

Vol 32 (1) ◽

Cited By ~ 1

Author(s):

Elisabetta Ceretti ◽

◽

Francesco Donato ◽

Claudia Zani ◽

Milena Villarini ◽

...

Keyword(s):

Public Health ◽

Air Pollution ◽

European Union ◽

Cohort Study ◽

Health Policies ◽

The European Union ◽

Chromosomal Damage ◽

Public Health Policies

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Characterization of death from colorectal cancer in Mato Grosso State/Legal Amazon/Brazil, 2000-2016

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1130 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

R S Caló ◽

B S N Souza ◽

N D Galvão ◽

R A G Souza ◽

J C S Oliveira ◽

...

Keyword(s):

Public Health ◽

Colorectal Cancer ◽

International Classification Of Diseases ◽

Health Policies ◽

Rectosigmoid Junction ◽

Mato Grosso ◽

Public Health Policies ◽

Goods And Services ◽

Classification Of Diseases ◽

Using Data

Abstract Background Colorectal cancer has been one of the cancers that most contributed to mortality, in both sexes in the world. In Brazil, cancer is among the top five causes of death and colorectal cancer is ranked on the fifth position. Of the Federative Units belonging to the Legal Amazon, Mato Grosso stands out for the higher adjusted incidence of colorectal cancer for both sexes. Thus, the objective is to characterize deaths from colorectal cancer, according to sociodemographic variables in Mato Grosso from 2000 to 2016. Methods A descriptive study was carried out, using data from the Mortality Information System, made available by the Department of Health of the Mato Grosso State. Deaths of all ages were selected, whose basic cause was identified by the codes from the International Classification of Diseases: (C.18) colon cancer, (C.19) rectosigmoid junction cancer, (C.20) rectal cancer or (C.21) anus cancer. Results Between 2000 and 2016, 31,607 deaths from cancer were registered. Of these, 1,750 (5.6%) were due to colorectal cancer. An increased number of deaths was observed at the end of the period, with a variation from 46 deaths in 2000 from 173 in 2016. Highest frequency was verified in men (51.3%), people aged 60 years or older (59.7%), black (54.6%), married (52.3%) and those with primary education (55.2%). According to Brazilian occupation classification options or those answers filled out on the death certificate, highest frequency were for “Retired” (26.2%), “Housewife” (23.1%), Agricultural/Forestry and Fisheries” (11.3%) and “Production of Industrial Goods and Services” (10.3%). Conclusions This study evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State, and identified priority groups for interventions through public health policies which should include screening and early diagnosis to cope with the disease. Key messages Evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State. Identified priority groups for interventions through public health policies.

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Epidemiological surveillance and performance assessment: the two roles of health indicators during the COVID-19 pandemic

International Journal of Law in Context ◽

10.1017/s1744552321000276 ◽

2021 ◽

Vol 17 (2) ◽

pp. 186-203

Author(s):

Nathan Genicot

Keyword(s):

Public Health ◽

Performance Assessment ◽

Health Indicators ◽

Health Policies ◽

Epidemiological Surveillance ◽

Public Health Policies ◽

History Of ◽

And Performance ◽

The One ◽

Massive Development

AbstractThe COVID-19 pandemic has given rise to the massive development and use of health indicators. Drawing on the history of international public health and of the management of infectious disease, this paper attempts to show that the normative power acquired by metrics during the pandemic can be understood in light of two rationales: epidemiological surveillance and performance assessment. On the one hand, indicators are established to evaluate and rank countries’ responses to the outbreak; on the other, the evolution of indicators has a direct influence on the content of public health policies. Although quantitative data are an absolute necessity for coping with such disasters, it is critical to bear in mind the inherent partiality and precarity of the information provided by health indicators. Given the growing importance of normative quantitative devices during the pandemic, and assuming that their influence is unlikely to decrease in the future, they call for close scrutiny.

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