scholarly journals Tracing Long- and Short-term Migrants for Participation in Demographic and Epidemiological Studies: Evidence from Senegal

Field Methods ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 38-57
Author(s):  
Mufaro Kanyangarara ◽  
Laetitia Douillot ◽  
Gilles Pison ◽  
Cheikh Tidiane Ndiaye ◽  
Valerie Delaunay ◽  
...  
Keyword(s):  
Rural Areas ◽  
Statistical Power ◽  
Epidemiological Studies ◽  
Adult Mortality ◽  
Short Term ◽  
Middle Income ◽  
Middle Income Countries ◽  
Contact Information

Migration of participants in demographic and epidemiological studies results in missing data. One approach to reduce resulting losses in statistical power and potential biases is to follow up migrants at their new residence. We describe the follow-up of migrants who were eligible for participation in a trial of a new questionnaire to measure adult mortality in Niakhar, Senegal. We conducted a short inquiry in the migrant’s last known household to obtain contact information and then attempted to contact and interview 661 migrants who resided in Dakar, Mbour, and rural areas close to Niakhar. About two-thirds of migrants were successfully enrolled in the study. Having a contact phone number and knowing the name of the head of compound at destination increased the likelihood of successful enrollment. Following up migrants in demographic studies is feasible in low- and middle-income countries, including long-term migrants who have not been contacted for extended periods of time.

scholarly journals Short-term, medium-term and long-term effects of early parenting interventions in low- and middle-income countries: a systematic review

2021 ◽  
Vol 6 (3) ◽  
pp. e004067
Author(s):  
Joshua Jeong ◽  
Helen O Pitchik ◽  
Günther Fink
Keyword(s):  
Parenting Interventions ◽  
Long Term Effects ◽  
Medium Term ◽  
Short Term ◽  
Middle Income ◽  
Middle Income Countries ◽  
Development Outcomes ◽  
Over Time

IntroductionParenting interventions during early childhood are known to improve various child development outcomes immediately following programme implementation. However, less is known about whether these initial benefits are sustained over time.MethodsWe conducted a systematic literature review of parenting interventions in low- and middle-income countries (LMICs) that were delivered during the first 3 years of life and had completed a follow-up evaluation of the intervention cohort at least 1 year after the primary postintervention endpoint. We summarized intervention effects over time by child-level and parent-level outcomes as well as by timing of follow-up rounds in the short-term (1–3 years after programme completion), medium-term (4–9 years), and long-term (10+ years). We also conducted exploratory meta-analyses to compare effects on children’s cognitive and behavioral development by these subgroups of follow-up rounds.ResultsWe identified 24 articles reporting on seven randomised controlled trials of parenting interventions delivered during early childhood that had at least one follow-up study in seven LMICs. The majority of follow-up studies were in the short-term. Three trials conducted a medium-term follow-up evaluation, and only two trials conducted a long-term follow-up evaluation. Although trials consistently supported wide-ranging benefits on early child development outcomes immediately after programme completion, results revealed a general fading of effects on children’s outcomes over time. Short-term effects were mixed, and medium-term and long-term effects were largely inconclusive. The exploratory meta-analysis on cognitive development found that pooled effects were significant at postintervention and in the short-term (albeit smaller in magnitude), but the effects were not significant in the medium-term and long-term. For behavioural development, the effects were consistently null over time.ConclusionsThere have been few longer-term follow-up studies of early parenting interventions in LMICs. Greater investments in longitudinal intervention cohorts are needed in order to gain a more comprehensive understanding of the effectiveness of parenting interventions over the life course and to improve the design of future interventions so they can have greater potential for achieving and sustaining programme benefits over time.

scholarly journals 407 - Living through the pandemic as an older person: Long-term psychological impacts in low- and middle-income countries

2021 ◽  
Vol 33 (S1) ◽  
pp. 33-33
Author(s):  
Clarissa Giebel ◽  
Bwire Ivan ◽  
Maria Isabel Zuluaga ◽  
Suresh Kumar ◽  
Mark Gabbay ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Well Being ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health And Social Care ◽  
The Impact ◽  
Low And Middle Income

Background:The pandemic has put a huge strain on people’s mental health, with varying restrictions affecting people’s lives. Little is known how the pandemic affects older adults’ mental health, particularly those living in low- and middle-income countries (LMICs) where restrictions are affecting people’s access to basic necessities. Thus, the aim of this 3-country study was to understand the long- term impacts of the pandemic on the mental well-being of older adults with and without dementia in LMICs.Methods:We are collecting 30 baseline and 15 follow-up interviews with older adults (aged 60+), people with dementia, and family carers in Colombia, India, and Uganda, as well as a baseline and follow-up focus group with health and social are professionals in each country. Interviews are conducted remotely over the phone due to pandemic restrictions, with data collection taking place between March and July 2021. Transcripts are translated into English before being analysed using thematic analysis.Results:To date, we have completed close to 90 baseline interviews and 3 focus groups with health and social care professionals. Analysis is ongoing, but findings are capturing the detrimental second wave in India and follow-up interviews will capture the longitudinal impacts on mental health.Conclusions:Whilst vaccines are starting to be rolled out in LMICs, albeit at different rates, the virus will likely take much longer to be somewhat managed in LMICs. This leaves more room for people’s physical as well as mental health to be impacted by the restrictions, and with often limited mental health service coverage, it is all the more important o understand the impact of the pandemic on older people’s mental health.

scholarly journals Urbanisation and asthma in low-income and middle-income countries: a systematic review of the urban–rural differences in asthma prevalence

Thorax ◽  
2019 ◽  
Vol 74 (11) ◽  
pp. 1020-1030 ◽  
Author(s):  
Alejandro Rodriguez ◽  
Elizabeth Brickley ◽  
Laura Rodrigues ◽  
Rebecca Alice Normansell ◽  
Mauricio Barreto ◽  
...  
Keyword(s):  
Low Income ◽  
Rural Areas ◽  
Epidemiological Studies ◽  
Asthma Prevalence ◽  
Geographical Differences ◽  
Middle Income ◽  
Middle Income Countries ◽  
Urban Rural ◽  
Urban And Rural Areas ◽  
The Relationship

BackgroundUrbanisation has been associated with temporal and geographical differences in asthma prevalence in low-income and middle-income countries (LMICs). However, little is known of the mechanisms by which urbanisation and asthma are associated, perhaps explained by the methodological approaches used to assess the urbanisation-asthma relationship.ObjectiveThis review evaluated how epidemiological studies have assessed the relationship between asthma and urbanisation in LMICs, and explored urban/rural differences in asthma prevalence.MethodsAsthma studies comparing urban/rural areas, comparing cities and examining intraurban variation were assessed for eligibility. Included publications were evaluated for methodological quality and pooled OR were calculated to indicate the risk of asthma in urban over rural areas.ResultsSeventy articles were included in our analysis. Sixty-three compared asthma prevalence between urban and rural areas, five compared asthma prevalence between cities and two examined intraurban variation in asthma prevalence. Urban residence was associated with a higher prevalence of asthma, regardless of asthma definition: current-wheeze OR:1.46 (95% CI:1.22 to 1.74), doctor diagnosis OR:1.89 (95% CI:1.47 to 2.41), wheeze-ever OR:1.44 (95% CI:1.15 to 1.81), self-reported asthma OR:1.77 (95% CI:1.33 to 2.35), asthma questionnaire OR:1.52 (95% CI:1.06 to 2.16) and exercise challenge OR:1.96 (95% CI:1.32 to 2.91).ConclusionsMost evidence for the relationship between urbanisation and asthma in LMICs comes from studies comparing urban and rural areas. These studies tend to show a greater prevalence of asthma in urban compared to rural populations. However, these studies have been unable to identify which specific characteristics of the urbanisation process may be responsible. An approach to understand how different dimensions of urbanisation, using contextual household and individual indicators, is needed for a better understanding of how urbanisation affects asthma.PROSPERO registration numberCRD42017064470.

Testosterone: clinical relevance in ageing men

2009 ◽  
Vol 19 (4) ◽  
pp. 249-261 ◽  
Author(s):  
Risto Huupponen ◽  
Ilpo Huhtaniemi ◽  
Aapo Lehtonen
Keyword(s):  
Statistical Power ◽  
Metabolic Diseases ◽  
Older Men ◽  
Current Data ◽  
Elderly Men ◽  
Short Term ◽  
Androgen Treatment ◽  
Sufficient Statistical Power

SummaryTestosterone production declines with age in men. The decline is associated with several risk factors and diseases, including obesity and cardiovascular and metabolic diseases, diminished muscular, cognitive and sexual function and changes in body composition. Androgen treatment in elderly men has mostly been addressed in small short-term studies, and larger long-term investigations with sufficient statistical power are still needed for a proper evaluation of the benefit-risk-ratio of testosterone treatment. Current data do not support testosterone supplementation in healthy, asymptomatic older men with normal or low-normal testosterone levels. Treatment may be beneficial in older men with clear hypoandrogenic symptoms, especially reduced libido, erectile dysfunction and decreased muscle strength, if testosterone concentration is consistently low, and the patient selection, counselling and follow-up are adequate.

scholarly journals The New Manifestations of External Debt in Developing Countries From 2000 to 2019

2021 ◽  
Vol 06 (06) ◽  
Author(s):  
Vu Thi Kim Hanh ◽  
Keyword(s):  
Developing Countries ◽  
Quantitative Method ◽  
External Debt ◽  
South East Asia ◽  
Short Term ◽  
Middle Income ◽  
Qualitative And Quantitative ◽  
Middle Income Countries ◽  
The Caribbean

The paper analyzes the new manifestations of external debt in developing countries from 2000 to 2019, author uses the analytical qualitative and quantitative method, the findings are (1) the external debt is trended by groups of country, (2) external debt stocks of PPG long term debt, PNG long term debt rose between 2000 and 2019, (3) The percentage of GDP of External debt stocks decreased, PNG long term debt and short term debt slightly went up between 2000 and 2019, (4) East and South-East Asia and Oceania and Latin America and the Caribbean have exchange the top and second position of highest amount in both 2018 and 2000, (5) Debt service on long-term external PPG of SIDS is helds the biggest amount of debt between 2000 and 2019, (6) The redemption schedules of both High-income countries and Low- and middle-income countries both increased the amount of redemption which is from around 2 to 2.32 tril USD and 0.67 to 1.07 tril USD in 2000 and 2021, respectively. This shows us that at least they have solution how to get resolved their external debt.

scholarly journals Neurotrauma clinicians’ perspectives on the contextual challenges associated with long-term follow-up following traumatic brain injury in low-income and middle-income countries: a qualitative study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e041442
Author(s):  
Brandon George Smith ◽  
Charlotte Jane Whiffin ◽  
Ignatius N Esene ◽  
Claire Karekezi ◽  
Tom Bashford ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Qualitative Study ◽  
Health Concern ◽  
Middle Income ◽  
Middle Income Countries ◽  
Semistructured Interviews ◽  
Long Term Follow Up

IntroductionTraumatic brain injury (TBI) is a global public health concern; however, low/middle-income countries (LMICs) face the greatest burden. The WHO recognises the significant differences between patient outcomes following injuries in high-income countries versus those in LMICs. Outcome data are not reliably recorded in LMICs and despite improved injury surveillance data, data on disability and long-term functional outcomes remain poorly recorded. Therefore, the full picture of outcome post-TBI in LMICs is largely unknown.Methods and analysisThis is a cross-sectional pragmatic qualitative study using individual semistructured interviews with clinicians who have experience of neurotrauma in LMICs. The aim of this study is to understand the contextual challenges associated with long-term follow-up of patients following TBI in LMICs. For the purpose of the study, we define ‘long-term’ as any data collected following discharge from hospital. We aim to conduct individual semistructured interviews with 24–48 neurosurgeons, beginning February 2020. Interviews will be recorded and transcribed verbatim. A reflexive thematic analysis will be conducted supported by NVivo software.Ethics and disseminationThe University of Cambridge Psychology Research Ethics Committee approved this study in February 2020. Ethical issues within this study include consent, confidentiality and anonymity, and data protection. Participants will provide informed consent and their contributions will be kept confidential. Participants will be free to withdraw at any time without penalty; however, their interview data can only be withdrawn up to 1 week after data collection. Findings generated from the study will be shared with relevant stakeholders such as the World Federation of Neurosurgical Societies and disseminated in conference presentations and journal publications.

Investment and Debt

2016 ◽  
Author(s):  
Layna Mosley
Keyword(s):  
Financial Integration ◽  
Economic Consequences ◽  
Short Term ◽  
Financial Openness ◽  
Middle Income ◽  
Middle Income Countries ◽  
Brics Countries ◽  
Political Determinants ◽  
The Impact

Abstract: This article examines the political determinants and economic consequences of financial openness in low- and middle-income countries, with emphasis on government autonomy rather than on other important outcomes such as economic growth and development. After sketching trends in financial openness in developing countries, the article illustrates how the effects of financial integration are intertwined with the type of capital flow (e.g., short-term versus long-term investment) and with a nation’s domestic interests and institutions. It then considers the possibility that BRICS countries (Brazil, Russia, India, China, and South Africa) will emerge as alternative financial leaders at a regional or global level. It also assesses the impact of capital flows on government-policy decisions and outcomes before reflecting on the politics of investment and debt.

scholarly journals Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long term: Systematic review

2015 ◽  
Vol 207 (5) ◽  
pp. 377-384 ◽  
Author(s):  
N. Mehta ◽  
S. Clement ◽  
E. Marcus ◽  
A.-C. Stona ◽  
N. Bezborodovs ◽  
...  
Keyword(s):  
Social Contact ◽  
Effect Sizes ◽  
Middle Income ◽  
Middle Income Countries ◽  
Stigma And Discrimination ◽  
Effective Interventions ◽  
Mean Differences ◽  
Google Search

BackgroundMost research on interventions to counter stigma and discrimination has focused on short-term outcomes and has been conducted in high-income settings.AimsTo synthesise what is known globally about effective interventions to reduce mental illness-based stigma and discrimination, in relation first to effectiveness in the medium and long term (minimum 4 weeks), and second to interventions in low- and middle-income countries (LMICs).MethodWe searched six databases from 1980 to 2013 and conducted a multi-language Google search for quantitative studies addressing the research questions. Effect sizes were calculated from eligible studies where possible, and narrative syntheses conducted. Subgroup analysis compared interventions with and without social contact.ResultsEighty studies (n = 422 653) were included in the review. For studies with medium or long-term follow-up (72, of which 21 had calculable effect sizes) median standardised mean differences were 0.54 for knowledge and −0.26 for stigmatising attitudes. Those containing social contact (direct or indirect) were not more effective than those without. The 11 LMIC studies were all from middle-income countries. Effect sizes were rarely calculable for behavioural outcomes or in LMIC studies.ConclusionsThere is modest evidence for the effectiveness of anti-stigma interventions beyond 4 weeks follow-up in terms of increasing knowledge and reducing stigmatising attitudes. Evidence does not support the view that social contact is the more effective type of intervention for improving attitudes in the medium to long term. Methodologically strong research is needed on which to base decisions on investment in stigma-reducing interventions.

ANALISIS PERTUMBUHAN EKONOMI, KEMISIKINAN, DAN KORUPSI DI NEGARA ASEAN LOWER MIDDLE INCOME

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Riska Dewi Putri ◽  
Hasdi Aimon
Keyword(s):  
Economic Growth ◽  
Panel Data ◽  
Variance Decomposition ◽  
Var Model ◽  
Short Term ◽  
Middle Income ◽  
Middle Income Countries ◽  
Long Run ◽  
Short And Long Term

This study aim to indentify and analyze responses economic growth, poverty and corruption in ASEAN lower middle income countries. Type of this research is descriptive and associative, used a secondary panel data from 2010 to 2017. This research was conducted using the Vector Autoregression (VAR) model through the analysis of Impulse Response Funtion (IRF) and Variance Decomposition (VD) to determine the variability response of a particular variable due to the shock of other variables. The results of this study indicate that: (1) Variability of economic growth is not contributed by the shock of poverty and corruption in the short term, but in the long run the variability of economic growth is contributed by the shock of poverty and corruption. (2) In the short variability of poverty is not contributed by the shock of economic growth and corruption term, but in the long run economic growth and corruption contribute to influencing poverty variability. (3) The variability of corruption is contributed by the shock of economic growth and poverty in the short and long term.

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