scholarly journals Illness and injury among Norwegian Para athletes over five consecutive Paralympic Summer and Winter Games cycles: prevailing high illness burden on the road from 2012 to 2020

2021 ◽  
pp. bjsports-2021-104489
Author(s):  
Kathrin Steffen ◽  
Benjamin Clarsen ◽  
Hilde Gjelsvik ◽  
Lars Haugvad ◽  
Anu Koivisto-Mørk ◽  
...  
Keyword(s):  
Health Problem ◽  
One Health ◽  
Sports Participation ◽  
Health Problems ◽  
Medical Attention ◽  
Online Questionnaire ◽  
Trauma Research ◽  
Gastrointestinal Problems ◽  
Musculoskeletal Impairments ◽  
On The Road

ObjectiveTo describe the illness and injury pattern of Norwegian Para athletes over five consecutive Paralympic Summer and Winter Games cycles and to identify which health problems should be targeted in risk management plans with respect to impairment types.MethodsWe monitored athletes from 12 to 18 months prior to each Game using a weekly online questionnaire (Oslo Sports Trauma Research Center-H2 (OSTRC-H2)). We asked them to report all health problems they had experienced in the preceding 7 days, irrespective of their consequences on their sports participation or performance and whether they had sought medical attention.ResultsBetween 2011 and 2020, 94 candidate athletes were included in this monitoring programme and prepared to represent Norway; of these, 66 (71%) were finally selected for multiple Paralympic Games. The overall response rate to the weekly questionnaires was 87%. At any given time during the five observation cycles, 37% of the athletes (95% CI 36% to 38%) reported having at least one health problem. Athletes with neurological impairments (n=51) lost 10 days per year due to respiratory problems (95% CI 9 to 11) compared with 9 days (8-10) among those with musculoskeletal impairments (n=37). Gastrointestinal problems caused a time loss of on average 4 days per year in athletes with neurological impairments versus 1 day in athletes with musculoskeletal impairments (mean difference 2.7 days, 2.1–3.3). Musculoskeletal injuries generated a high burden for both athlete groups, in particular, to the elbow, shoulder and lumbosacral regions.ConclusionAt any given time, nearly two out of five elite Norwegian Para athletes reported at least one health problem. Respiratory tract and other infections; gastrointestinal problems, injuries to the shoulder, elbow and lumbosacral regions represented the greatest health burden. Our findings can help guide the allocation of clinical resources, which should include a broad network of medical specialists, together with dieticians and physiotherapists, to meet the health challenges in Para athletes.

scholarly journals The association between living conditions and health among Syrian refugee children in informal tented settlements in Lebanon

2019 ◽  
Vol 42 (3) ◽  
pp. e323-e333 ◽  
Author(s):  
Rima R Habib ◽  
Micheline Ziadee ◽  
Elio Abi Younes ◽  
Khalil El Asmar ◽  
Mohammed Jawad
Keyword(s):  
Health Problem ◽  
One Health ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Living Conditions ◽  
Refugee Children ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Syrian Refugee

Abstract Background This cross-sectional study explores the relationship between housing, social wellbeing, access to services and health among a population of Syrian refugee children in Lebanon. Methods We surveyed 1902 Syrian refugee households living in informal tented settlements in Lebanon in 2017. Logistic regressions assessed relationships between housing problems, socioeconomic deprivation, social environment and health. Results Of the 8284 children in the study, 33.0% had at least one health problem. A considerable number of households (43.1%) had > 8 housing problems. Children in these households had higher odds to have three or more health problems compared to children in households with < 6 housing problems (adjusted odds ratio [AOR], 2.39; confidence interval [CI], 1.50–3.81). Nearly three-quarters (74.3%) of households were severely food insecure. Children in these households had higher odds to have one health problem than those in food secure households (AOR, 1.75; CI, 1.11–2.76). There was a significant positive association between households that reported being unhappy with their neighbourhood and the number of children with health problems in those households. Conclusions This study highlights the association between the physical and social living conditions and refugee children’s health. Without multidimensional interventions that consider improvements to living conditions, the health of young Syrian refugees will continue to worsen.

scholarly journals Sports participation related to injuries and illnesses among ambulatory youth with chronic diseases: results of the health in adapted youth sports study

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Kristel Lankhorst ◽  
◽  
Janke de Groot ◽  
Tim Takken ◽  
Frank Backx
Keyword(s):  
Chronic Diseases ◽  
Social Impact ◽  
Injury Rate ◽  
Sports Participation ◽  
Health Problems ◽  
Activity Level ◽  
Online Questionnaire ◽  
Organized Sports ◽  
Increased Risk ◽  
Reported Health

Abstract Background Although sports participation leads to important health enhancement for youth with chronic diseases or physical disabilities (CDPD), it may pose an increased risk for injury or illness. This study investigated the incidence, type, severity and risks to (sports-related) injuries and illnesses among ambulatory youth with CDPD. Methods Over a 12-month period, every 2 weeks, the characteristics of injuries and illnesses were registered by an online questionnaire and phone-based interview. Physical activity level was measured with the Activ8 during 1 week. Complete data was available of 103 youngsters with CDPD (61 boys, 42 girls), with a mean age of 14.4 (SD = 2.7) years. The personal characteristics, the injury and illness rates per 1000 h of PA were investigated per group of organized sports participation per week (0, 1 or ≥ 2 times p/wk). Results Almost half of the youngsters sustained one or more injuries (46%) or illnesses (42%) during 1 year. The injury rate per 1000 h of PA between 0, 1 and ≥ 2 times per week of sports participation was 0.84, 1.88, 133 respectively and the illness rate were 1.87, 1.88 and 1.18 respectively. Differences between the rates were not statically significant. Most reported health problems had no subsequent restriction (49%) or other minor consequences (21%) in school, physical education or sports participation. Most reported health problems were contusions (41%) at the lower extremity (74%) and flu plus fever (58%). Conclusions Participation in sports ≥2 times per week does not pose a significant increased risk in the incidence of injury or illness per 1000 h of PA in youth with CDPD compared to their peers who participate less frequent (once weekly) and compared to non-sports participants. Athletes who participate in sports at least twice weekly get injured mostly during their sporting activities, while peers who do participate in sports once a week or not at all, get injured during less intense physical activities during physical eduction lessons, ADL or non-organized sports and play in leisure time. The social impact of injuries or illnesses was limited.

scholarly journals Morbidity among Arab-Israeli and Palestinian Hajj Pilgrims - a Prospective study

2020 ◽  
Author(s):  
Bashar Fteiha ◽  
Tawfiq Abul Rub ◽  
Eli Schwartz ◽  
Tamar Lachish
Keyword(s):  
Prospective Study ◽  
Health Risks ◽  
Health Problem ◽  
One Health ◽  
High Rate ◽  
Medical Attention ◽  
Common Complaint ◽  
Life Threatening ◽  
The Mean ◽  
A Prospective Study

Abstract Background – Thousands of Palestinian and Arab-Israeli pilgrims travel to Mecca each year to complete their pilgrimage. We prospectively investigated the occurrence of healthproblems among these Hajjis who travelled to complete their Pilgrimage during 2019 Hajj season.Methods - A prospective observational questionnaire-based study, distributed to Hajj pilgrims at 3 occasions - before travel, inquiring on demographics, and medical comorbidities; 1 and 4 weeks after returning recording any health problem during or after travel.Results – Initial recruitment included 111 Hajjis. The mean age of responders was 49.5 (+9.137) years with a M:F ratio of 1.3:1. Mean travel-duration was 18.7 days (13-36d). Altogether, 66.3% of the pilgrims reported at least one health problem during and after the trip, of which 38.6% sought medical attention. Five (4.8%) hajjis were hospitalized including life-threatening conditions. Cough was the most common complaint (53.8%), 11.5% also reported fever. Pre-travel counselling was associated with reduced outpatient and Emergency Room visits.Conclusion - A high rate of morbidity was reported among this cohort of Hajj pilgrims with a morbidity spectrum similar to pilgrims from other countries. Pre-travel consultation with the purpose of educating on the health risks of Hajj may help reduce the morbidity for future Hajj seasons.

Validity and Reliability of the Oslo Sports Trauma Research Center (OSTRC) Questionnaire on Overuse Injury and Health Problem in Thai Version

2021 ◽  
Vol 104 (1) ◽  
pp. 105-113
Keyword(s):  
Health Problem ◽  
Overuse Injury ◽  
Health Problems ◽  
Research Center ◽  
Overuse Injuries ◽  
Validity And Reliability ◽  
Surveillance Period ◽  
Trauma Research ◽  
Sports Trauma ◽  
Severity Scores

Background: The Oslo Sports Trauma Research Center (OSTRC) questionnaires on overuse injury and health problem were developed to register overuse injury and health problems. However, this questionnaire has not been translated or validated in Thai. Objective: To develop the original edition of the OSTRC Questionnaire on overuse injuries and health problems into Thai language and to examine the validity and reliability of the adapted scale. Materials and Methods: The development of the questionnaire followed the steps of translation, which included forward translation, translation merging, backward translation, and critique by the researcher, health professionals, speech professionals, athletes, and the translators for semantic and conceptual equivalence. A cohort of 65 Thai athletes were recruited. Cross-sectional surveillance data were used to record overuse injury and health problem. Throughout the 12-week surveillance period, all participants were assigned to complete the questionnaire within three days after receiving a questionnaire by e-mail. Robustness and reliability process was seen in the 57 athletes who completed their 12 weeks of surveillance period. Results: The OSTRC on overuse injuries and health problems Thai version (OSTRC-OT and HT) showed a high internal consistency. Cronbach’s α of the OSTRC-OT for ankle, knee, and hip regions was 0.919, 0.973, and 0.976, respectively, and the OSTRC-HT was 0.959 and an excellent test-retest reliability with intraclass correlation coefficient of the OSTRC-OT for ankle, knee, and hip regions at 0.994, 0.970, and 0.991, respectively, and the OSTRC-HT at 0.970; all p-values<0.001. Known-groups validity, the severity scores of the OSTRC-OT for ankle, knee, and hip regions, and the OSTRC-HT scores were statistically significant different between injury and non-injury groups. Conclusion: The validity and reliability of both questionnaires, the OSTRC-OT and the OSTRC-HT were at an excellent level. Moreover, the OSTRC-OT and OSTRC HT have an excellent ability to separate athletes who have an injury and health problem for those who do not. Keywords: Questionnaire, Sport, Overuse injury, Health problem

scholarly journals Sports participation related to injuries and illnesses among youth with chronic diseases: results of the Health in Adapted Youth Sports study

2019 ◽  
Author(s):  
Kristel Lankhorst ◽  
Janke de Groot ◽  
Tim Takken ◽  
Frank Backx
Keyword(s):  
Chronic Diseases ◽  
Social Impact ◽  
Injury Rate ◽  
Sports Participation ◽  
Health Problems ◽  
Activity Level ◽  
Online Questionnaire ◽  
Organized Sports ◽  
Increased Risk ◽  
Reported Health

Abstract Background: Although sports participation leads to important health enhancement for youth with chronic diseases or physical disabilities (CDPD), it may pose an increased risk for injury or illness. This study investigated the incidence, type, severity and risks to (sports-related) injuries and illnesses among youth with CDPD. Methods: For one calendar year, every two weeks, the characteristics of injuries and illnesses were registered by an online questionnaire and phone-based interview. Physical activity level was measured with the Activ8 during one week. Complete data was available of 103 youngsters with CDPD (61 boys, 42 girls), with a mean age of 14.4 (SD=2.7) years. The personal characteristics, the injury and illness rates per 1000 hours of PA were investigated per group of organized sports participation per week (0, 1 or ≥2 times p/wk). Results: Almost half of the youngsters sustains one or more injuries or illnesses during one year, 46% and 42% resp. The injury rate per 1000 hours of PA between 0, 1 and ≥2 times per week of sports participation was 0.84, 1.88, 133 resp. and the illness rate was 1.87, 1.88 and 1.18 resp. The rates were not statistically different. Most reported health problems had no subsequent restriction (49%) or other minor consequences (21%) in school, physical education or sports participation. Most reported health problems were contusions (41%) at the lower extremity (74%) and flue plus fever (58%). Conclusions: Participation in sports ≥2 times per week does not pose a significant increased risk in the incidence of injury or illness per 1000 hours of PA in youth with CDPD compared to once weekly or no sports participation. Athletes who participate in sports at least twice weekly get injured mostly during their sporting activities, while peers who do participate in sports once a week or not at all, get injured during less intense physical activities during PE lessons, ADL or non-organized sports and play in leisure time. The social impact of injuries or illnesses was limited.

Health and Gender Comparisons in the Long-Haul Trucking Industry

AAOHN Journal ◽  
2009 ◽  
Vol 57 (10) ◽  
pp. 405-413 ◽  
Author(s):  
Diane M. Layne ◽  
Bonnie Rogers ◽  
Susan A. Randolph
Keyword(s):  
Health Care ◽  
Health Information ◽  
Health Care Access ◽  
Health Problems ◽  
Health Care Information ◽  
Male And Female ◽  
The Road ◽  
On The Road ◽  
Trade Magazines ◽  
And Gender

This descriptive pilot study was conducted to determine whether health conditions and health care access differ between male and female long-haul truck drivers. Data indicated that 54% of men and 66% of women had a health care provider, but 21% of men and 35% of women had no health insurance. Male and female drivers both reported common health problems (e.g., back pain, sinus problems, hypertension, headaches, and arthritis). While working, drivers of each gender often waited until returning home to seek treatment for health problems. Approximately half of the drivers expressed dissatisfaction with health care while “on the road.” Occupational and environmental health nurses could address the health needs of drivers by conducting examinations and distributing wellness information at truck stop clinics and from mobile health vans, posting health information within truck stop driver lounges, creating interactive websites with real-time health care information, attending trucker trade shows to conduct health screenings, or providing health information through occupational or trade magazines and newsletters.

When solidarity hurts: (Intra)cultural trust, cultural betrayal sexual trauma, and PTSD in culturally diverse minoritized youth transitioning to adulthood

2021 ◽  
pp. 136346152110629
Author(s):  
Jennifer M. Gómez
Keyword(s):  
Mental Health ◽  
Sexual Trauma ◽  
Mental Health Problems ◽  
Culturally Competent ◽  
Online Questionnaire ◽  
Trauma Outcomes ◽  
Trauma Research ◽  
Group Members ◽  
Clinically Significant ◽  
Societal Inequality

Sexual trauma is associated with PTSD, with perpetrators putting women and girls more at risk than men and boys. Young adulthood is a time where risk of victimization and susceptibility to mental health problems increase. Certain contributors of costly trauma outcomes may be affected by the larger context of societal inequality. Cultural betrayal trauma theory (CBTT) highlights cultural betrayal in within-group trauma in minoritized populations as a dimension of harm that affects outcomes. In CBTT, within-group trauma violates the (intra)cultural trust—solidarity, love, loyalty, connection, responsibility—that is developed between group members to buffer against societal inequality. This violation, termed a cultural betrayal, can contribute to poorer mental health. The purpose of the current study is to address a gap in the CBTT literature by examining the role of (intra)cultural trust on the association between cultural betrayal sexual trauma and symptoms of PTSD among diverse minoritized youth transitioning to adulthood. Participants ( N = 173) were diverse minoritized college students, who completed a 30-min online questionnaire at a location of their own choosing. Participants received course credit and could decline to answer any question without penalty. The results reveal that the interaction between cultural betrayal sexual trauma and (intra)cultural trust predicted clinically significant symptoms of PTSD. These findings have implications for increased cultural and contextual specificity in trauma research in minoritized populations, which can aid in the development and implementation of culturally competent interventions for diverse minoritized youth survivors of sexual trauma.

A Tenuous Pas de Deux: Examining University Dancers’ Access to and Satisfaction with Healthcare Delivery

2018 ◽  
Vol 33 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Tina J Wang ◽  
Jeffrey A Russell
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Injury Rate ◽  
Medical Attention ◽  
Informal Networks ◽  
Online Questionnaire ◽  
Negative Experience ◽  
Post Secondary ◽  
Dance Teachers ◽  
Art Form

BACKGROUND: Dance is a rigorous art form and athletic activity accompanied by a high injury rate. The purpose of this study was to gather injury and healthcare availability information from university dancers to better understand dancers’ access to professional medical attention and their satisfaction with the medical advice they receive. METHODS: An author-designed online questionnaire about dance-related injury (DRI), access to healthcare, and satisfaction with healthcare was distributed to dancers at 102 American post-secondary institutions in 2 states that offer programs in dance; 211 dancers completed the survey. RESULTS: 75% of dancers reported seeking healthcare advice from dance teachers. A majority (55%) who visited healthcare professionals for a DRI disclosed negative experiences; the top reasons stemmed from the professionals’ not understanding dancers (70%), providing unhelpful advice (43%), or not spending enough time in the healthcare consultation (33%). Of dancers who reported positive experiences, they most commonly discovered the provider by word-of-mouth (89%) or through the provider’s affiliation with their institution (41%). CONCLUSION: Dancers tend to access healthcare when it is available to them but find the lack of relevant and applicable advice from healthcare practitioners the biggest contributors to their negative experience with the healthcare system. When confronted with DRIs, dancers tend to seek advice from their dance instructors. To ensure proper evaluation, instructors should refer dancers to licensed healthcare providers, and dance medicine practitioners should make themselves known to dancers through both formal and informal networks.

scholarly journals Reproductive Morbidities and Treatment Seeking Behaviour among Rural Women in Manipur-Community Based Study

2021 ◽  
pp. 74-83
Author(s):  
Kh. Ringsuachong Aimol ◽  
Minoti Phukan
Keyword(s):  
Reproductive Health ◽  
Health Problem ◽  
Rural Women ◽  
Public Health Problem ◽  
Well Being ◽  
Health Problems ◽  
Treatment Seeking ◽  
Factors Influencing ◽  
Seeking Behavior ◽  
Living Children

Reproductive morbidity is a public health problem that affects the health and well being of women’s life around the world. The magnitude of reproductive problems of women both at national and global is high. In this paper, an attempt was made to assess the self reported reproductive morbidities, treatment seeking behavior and factors influencing reproductive health among two communities of women in Manipur. Both qualitative and quantitative data were collected from two hundred fifty women in the age group of 18 to 40 years by using in-depth interview and focus discussion methods. Analysis revealed that a large number of women (71.6%) had at least one or two kinds of reproductive health problems. The predominant reproductive health problems reported by the respondents were menstrual related problems (53%), urinary tract infection (51%) and white discharge with bad odour and itching (41%). Prevalence of unintended pregnancy was found among 24 per cent of the selected respondents. Income, standard of living, abortion history, number of pregnancy and number of living children have significant factors influencing reproductive health of the respondents. Treatment seeking behavior was poor as they are not aware about the consequences of reproductive ill health. Further, higher proportions of the tribal women reported symptoms of reproductive health problem compared to the non-tribal. The study felt the need to provide information on effect of reproductive health problems through awareness camp at village level in order to increase knowledge and practices of good reproductive health of women.

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