scholarly journals Climate Change and Child Health – Importance of Pediatricians for Parents

2022 ◽  
Author(s):  
Lena Lagally ◽  
Julia Schorlemmer ◽  
Maximilian Edlinger ◽  
Julia Schoierer ◽  
Stephan Bose-O’Reilly
Keyword(s):  
Climate Change ◽  
Risk Perception ◽  
Information Sources ◽  
Information Source ◽  
Health Impact ◽  
Individual Risk ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Action Process ◽  
Climate Change And Health

Abstract Background: Children are among the most vulnerable to suffer from health consequences due to climate change. Parents as caregivers play an important role in protecting them adequately. Pediatricians are regularly seen as highly-trusted health professionals, but it remains unclear whether they are an information source for parents regarding climate change and health. According to the Health Action Process Approach, parents’ risk perception is an important pre-intender for intention building. Methods: A sample of parents (N = 243) living in Germany completed an online, cross-sectional survey distributed in summer 2020. Regarding climate change and health, we asked about information sources, relevance estimation, and risk perception of parents. Multiple linear regression with general and individual risk perception as outcomes were used to analyze the effect of knowledge and personal relevance. Results: Parents seek information about climate change and health primarily via internet and social media. Pediatricians are rarely considered as suitable information source. Parents see the highest risk for their child through increasing air pollutants and stronger UV-radiation. Relevance (β = .52, t = 5.79, p < .001) and knowledge (β = .02, t = .36, p = .72) explain 18.2% of general risk perception (F(5, 208) = 9.25, p < .001, ΔR2 = .13). The effect is lower (13%) for individual risk perception (F(5, 189) = 5.67, p < .001, ΔR2 = .07). Conclusions: Pediatricians can play a valuable role in informing parents about climate change and health; nevertheless, they are not yet seen as suitable information sources by parents. Results demonstrate that knowledge about climate change and health is not sufficient to increase risk perception of parents, but strengthening risk perception is possible through rising relevance estimation. When informing parents about the expected health impact of climate change, this should be considered.

scholarly journals How clinician-patient communication affects trust in health information sources: Temporal trends from a national cross-sectional survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247583
Author(s):  
Onur Asan ◽  
Zhongyuan Yu ◽  
Bradley H. Crotty
Keyword(s):  
Health Information ◽  
Communication Skills ◽  
Information Sources ◽  
Information Source ◽  
Temporal Trends ◽  
Healthcare Outcomes ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Cross Sectional ◽  
Health Information Sources

Background Understanding patients’ trust in health information sources is critical to designing work systems in healthcare. Patient-centered communication during the visit might be a major factor in shaping patients’ trust in information sources. Objective The purpose of this paper is to explore relationships between patient ratings of clinician communication during the visit and patient trust in health information sources. Methodology We conducted a secondary analysis of the nationally-representative Health Information National Trends Surveys; HINTS4 Cycle1 (2011), HINTS4 Cycle4 (2014), and HINTS5 Cycle1 (2017), and HINTS5 Cycle2 (2018). We created a composite score of patient-centered communication from five questions and dichotomized at the median. We created multivariable logistic regression models to see how patient-centered communication influenced trust in different information sources across cycles. Consecutively, we used hierarchical analysis for aggregated data. Results We analyzed data from 14,425 individuals. In the adjusted logistic models for each cycle and the hierarchical model, clinicians’ perceived patient-centered communication skills were significantly associated with increased trust in the clinicians as an information source. Conclusion Clinicians still represent an essential source of trustworthy information reinforced by patient-centered communication skills. Given that trust helps build healing relationships that lead to better healthcare outcomes, communication sets an essential foundation to establish necessary trust. Interpreting information from the internet sources for patients is likely to remain a vital clinician function.

scholarly journals Climate change and health in Bangladesh: a baseline cross-sectional survey

2016 ◽  
Vol 9 (1) ◽  
pp. 29609 ◽  
Author(s):  
Md Iqbal Kabir ◽  
Md Bayzidur Rahman ◽  
Wayne Smith ◽  
Mirza Afreen Fatima Lusha ◽  
Abul Hasnat Milton
Keyword(s):  
Climate Change ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Climate Change And Health

scholarly journals Knowledge of Health Impact of Climate Change and Practice of Preventive Measures among Students of a Nigerian Tertiary Institution

2020 ◽  
pp. 77-87
Author(s):  
J. R. Nzeobi ◽  
H. N. Chineke ◽  
C. F. Ubajaka ◽  
P. O. U. Adogu
Keyword(s):  
Climate Change ◽  
Preventive Measures ◽  
Health Impact ◽  
Health Science ◽  
Cross Sectional Survey ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
Impact Of Climate Change ◽  
Governmental Organizations ◽  
Non Governmental Organizations

Background: Every century has its own public health challenge. Climate change is the present century's challenge. There are various health risks arising from climate change which without mitigation actions, will tend to worsen with each passing day. Study Aim and Objective: To study the knowledge of health impact of climate change and practice of appropriate preventive measures among students of a Nigerian Tertiary Institution Methodology: A descriptive cross-sectional survey was carried out using structured questionnaires. These questionnaires were shared randomly among students from five selected departments in the college of health science and data was analyzed using SPSS Version 20.0 Results: It was found that all the students were aware of climate change and 91.7% knew about the effect of climate change on health. Significantly 78.7% believed that climate change was from man-made causes but surprisingly only 34.3% were taking actions in mitigating the effect of climate change. Conclusion: Despite the high knowledge about climate change, majority of actions taken by the students were just for convenience and to save money, not necessarily because they wanted to prevent the effects of climate change on health. Recommendation: Government and Non-governmental organizations should form advocacy clubs for young students as a platform to sensitize them on climate change and its effects. There is need to introduce rewards and sponsorships for individuals who successfully learn about climate change and ways to mitigate its effect on health.

scholarly journals STI Risk Perception in the British Population and How It Relates to Sexual Behaviour and STI Healthcare Use: Findings From a Cross-sectional Survey (Natsal-3)

2018 ◽  
Vol 2-3 ◽  
pp. 29-36 ◽  
Author(s):  
Soazig Clifton ◽  
Catherine H. Mercer ◽  
Pam Sonnenberg ◽  
Clare Tanton ◽  
Nigel Field ◽  
...  
Keyword(s):  
Risk Perception ◽  
Sexual Behaviour ◽  
Healthcare Use ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Local Institutions in Climate Change Adaptation by Smallholder Farmers: A farm level study in Homabay County, Kenya.

2021 ◽  
Vol 3 (1) ◽  
pp. 189-199
Author(s):  
Danice Otieno Awinda; Raphael Kapiyo; Jackson John Kitetu
Keyword(s):  
Climate Change ◽  
Climate Change Adaptation ◽  
Smallholder Farmers ◽  
Local Level ◽  
External Support ◽  
Local Institutions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significance Level ◽  
Adaptation Practices

The purpose of this study was to investigate the role of local institutions in climate change adaptation by smallholder farmers in Homabay County, Kenya. The study employed cross-sectional survey design in which data was collected from smallholder farmers in one survey round. Quantitative data was collected from 398 smallholder farmers, while 48 key informant interviews and 12 focus group discussions were used to collect qualitative data to buttress information from farmers. Data was analysed using frequencies, percentages, cross-tabulations and chi-square at 0.05 significance level. The study established that local institutions and social networks had a positive influence on climate change adaptation by smallholder farmers. Local institutions and social groups enable smallholder farmers to deploy specific climate change adaptation practices. Local institutions pursue adoption of effective adaptation strategies relevant to local needs of the smallholder farmers. They also provide information on climate change adaptation options and give some external support to enable farmers cope with climate change. The study recommended the need to promote institutional partnership to enhance climate change adaptation at local level. Partnerships among local institutions are associated with area specific adaptation practices and communal pooling. The study also recommended the need to enhance the capacity of local institutions as the impacts of climate change are likely to intensify with time. Support in the form of new information and technology aimed at improving effective coping mechanisms and financial support will be necessary.

scholarly journals Risk perception and psychological state of healthcare workers in referral hospitals during the early phase of the COVID-19 pandemic, Uganda

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Richard Migisha ◽  
Alex Riolexus Ario ◽  
Benon Kwesiga ◽  
Lilian Bulage ◽  
Daniel Kadobera ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Risk Perception ◽  
Healthcare Workers ◽  
General Health Questionnaire ◽  
Multivariable Analysis ◽  
Well Being ◽  
Psychological State ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Referral Hospitals

Abstract Background Safeguarding the psychological well-being of healthcare workers (HCWs) is crucial to ensuring sustainability and quality of healthcare services. During the COVID-19 pandemic, HCWs may be subject to excessive mental stress. We assessed the risk perception and immediate psychological state of HCWs early in the pandemic in referral hospitals involved in the management of COVID-19 patients in Uganda. Methods We conducted a cross-sectional survey in five referral hospitals from April 20–May 22, 2020. During this time, we distributed paper-based, self-administered questionnaires to all consenting HCWs on day shifts. The questionnaire included questions on socio-demographics, occupational behaviors, potential perceived risks, and psychological distress. We assessed risk perception towards COVID-19 using 27 concern statements with a four-point Likert scale. We defined psychological distress as a total score > 12 from the 12-item Goldberg’s General Health Questionnaire (GHQ-12). We used modified Poisson regression to identify factors associated with psychological distress. Results Among 335 HCWs who received questionnaires, 328 (98%) responded. Respondents’ mean age was 36 (range 18–59) years; 172 (52%) were male. The median duration of professional experience was eight (range 1–35) years; 208 (63%) worked more than 40 h per week; 116 (35%) were nurses, 52 (14%) doctors, 30 (9%) clinical officers, and 86 (26%) support staff. One hundred and forty-four (44%) had a GHQ-12 score > 12. The most common concerns reported included fear of infection at the workplace (81%), stigma from colleagues (79%), lack of workplace support (63%), and inadequate availability of personal protective equipment (PPE) (56%). In multivariable analysis, moderate (adjusted prevalence ratio, [aPR] = 2.2, 95% confidence interval [CI] 1.2–4.0) and high (aPR = 3.8, 95% CI 2.0–7.0) risk perception towards COVID-19 (compared with low-risk perception) were associated with psychological distress. Conclusions Forty-four percent of HCWs surveyed in hospitals treating COVID-19 patients during the early COVID-19 epidemic in Uganda reported psychological distress related to fear of infection, stigma, and inadequate PPE. Higher perceived personal risk towards COVID-19 was associated with increased psychological distress. To optimize patient care during the pandemic and future outbreaks, workplace management may consider identifying and addressing HCW concerns, ensuring sufficient PPE and training, and reducing infection-associated stigma.

scholarly journals Assessment of Climate Change Awareness in the Kakamega-Nandi Forest Complex in the Western Region

2021 ◽  
pp. 33-48
Author(s):  
Wabusya Moses Wetiba ◽  
Mugatsia Tsingalia ◽  
Njira Njira Pili ◽  
Vincent Kakembo
Keyword(s):  
Climate Change ◽  
Forest Ecosystem ◽  
Forest Cover ◽  
Forest Ecosystems ◽  
Survey Design ◽  
Group Discussion ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Kakamega Forest ◽  
Ecosystem Complex

Aims: This study assessed the level of climate change awareness among the forest-adjacent communities in the Kakamega-Nandi forest ecosystem complex. Four locations were chosen for the study, Buyangu and Isecheno in the Kakamega forest, Kaptumo in Nandi South and Kipsamoite in Nandi North forest ecosystems. Study Design: A cross-sectional survey design was used to collect data from primary sources. Structured questionnaires were administered to the residents aged 25years and older within the study area. Place and Duration of Study: The Kakamega, north and south Nandi forest ecosystems in western Kenya between June -December 2019. Methodology: A total of 280 questionnaires were randomly administered to the forest-adjacent respondents with, Kakamega forest 163 respondents, South Nandi forest 60, while North Nandi had 57respondents. A total of 217 questionnaires were filled and returned and the information wherein used in data analysis. Focused Group Discussion and key informants were used to supplement data collects by the questionnaires. Results: Majority of the residents (54%) were less concerned about climate change. In addition, 85% of the respondents had very little knowledge on coping and adapting to the adverse impacts of climate change. Some 40 % and 45% of the respondents got information about climate through televisions and radios, respectively. Further analysis of the results revealed that climate change was responsible for fourteen key impacts. These included an increase in rainfall, prolonged drought, decrease in the quality and quantity of fresh water, decrease in food security, an increase in temperature, a decrease in agricultural resources, an increase in sickness and disease, a decrease in quality of life, flooding, decrease in forest cover, loss of homes, reduction in biodiversity, and rise in storm surge. A Chi test revealed a significant relationship between forest cover decline and changes in rainfall patterns (X2 = 111.86, df =12, p<0.001), increasing temperature (X2 = 80.492, df =12, p<0.001);, drought( (X2 = 204.84, df =16, p<0.001) and storm surges (X2 = 74.34, df =8, p<0.001)]. The respondents' level of education was significantly different from their level of climate change awareness (X2=44.88, df=4, p<0.001). Conclusion: Forest-adjacent communities in the Kakamega-Nandi forest ecosystem complex are vulnerable to climate change as a result of insufficient knowledge about climate change and its impacts. The Kakamega-Nandi forest ecosystem is already experiencing climate change effects such as erratic rainfall and increasing food insecurity.

Opinions on Drug Interaction Sources in Anticancer Treatments and Parameters for an Oncology-Specific Database by Pharmacy Practitioners in Asia

2010 ◽  
Vol 3 ◽  
pp. HSI.S3679 ◽  
Author(s):  
◽  
Kevin Yi-Lwern Yap ◽  
Alexandre Chan ◽  
Keung Chui Wai
Keyword(s):  
Drug Interaction ◽  
Information Sources ◽  
Response Rate ◽  
Management Plan ◽  
Cross Sectional Survey ◽  
Efficient Manner ◽  
Cross Sectional ◽  
Interaction Database ◽  
Practice Characteristics ◽  
New Anticancer Drugs

Cancer patients undergoing chemotherapy are particularly susceptible to drug-drug interactions (DDIs). Practitioners should keep themselves updated with the most current DDI information, particularly involving new anticancer drugs (ACDs). Databases can be useful to obtain up-to-date DDI information in a timely and efficient manner. Our objective was to investigate the DDI information sources of pharmacy practitioners in Asia and their views on the usefulness of an oncology-specific database for ACD interactions. A qualitative, cross-sectional survey was done to collect information on the respondents' practice characteristics, sources of DDI information and parameters useful in an ACD interaction database. Response rate was 49%. Electronic databases (70%), drug interaction textbooks (69%) and drug compendia (64%) were most commonly used. Majority (93%) indicated that a database catering towards ACD interactions was useful. Essential parameters that should be included in the database were the mechanism and severity of the detected interaction, and the presence of a management plan (98% each). This study has improved our understanding on the usefulness of various DDI information sources for ACD interactions among pharmacy practitioners in Asia. An oncology-specific DDI database targeting ACD interactions is definitely attractive for clinical practice.

scholarly journals Ethnic disparities in psychotic experiences explained by area-level syndemic effects

2019 ◽  
Vol 217 (4) ◽  
pp. 555-561 ◽  
Author(s):  
Jeremy Coid ◽  
Rafael Gonzalez Rodriguez ◽  
Constantinos Kallis ◽  
Yamin Zhang ◽  
Kamaldeep Bhui ◽  
...  
Keyword(s):  
Black Men ◽  
Latent Variable ◽  
Psychiatric Symptoms ◽  
National Level ◽  
Ethnic Disparities ◽  
Health Behaviours ◽  
Individual Risk ◽  
Psychotic Experiences ◽  
Cross Sectional Survey ◽  
Cross Sectional

BackgroundEthnic inequalities in health outcomes are often explained by socioeconomic status and concentrated poverty. However, ethnic disparities in psychotic experiences are not completely attenuated by these factors.AimsWe investigated whether disparities are better explained by interactions between individual risk factors and place-based clustering of disadvantage, termed a syndemic.MethodWe performed a cross-sectional survey of 3750 UK men, aged 18–34 years, oversampling Black and minority ethnic (BME) men nationally, together with men residing in London Borough of Hackney. Participants completed questionnaires covering psychiatric symptoms, substance misuse, crime and violence, and risky sexual health behaviours. We included five psychotic experiences and a categorical measure of psychosis based on the Psychosis Screening Questionnaire.ResultsAt national level, more Black men reported psychotic experiences but disparities disappeared following statistical adjustment for social position. However, large disparities for psychotic experiences in Hackney were not attenuated by adjustment for social factors in Black men (adjusted odds ratio, 3.24; 95% CI 2.14–4.91; P < 0.002), but were for South Asian men. A syndemic model of joint effects, adducing a four-component latent variable (psychotic experiences and anxiety, substance dependence, high-risk sexual behaviour and violence and criminality) showed synergy between components and explained persistent disparities in psychotic experiences. A further interaction confirmed area-level effects (Black ethnicity × Hackney residence, 0.834; P < 0.001).ConclusionsSyndemic effects result in higher rates of non-affective psychosis among BME persons in certain inner-urban settings. Further research should investigate how syndemics raise levels of psychotic experiences and related health conditions in Black men in specific places with multiple deprivations.

Sign in / Sign up

Export Citation Format

Share Document