scholarly journals Noncommunicable Disease Service Utilization among Expatriate Patients in Thailand: An Analysis of Hospital Service Data, 2014–2018

2021 ◽  
Vol 18 (18) ◽  
pp. 9721
Author(s):  
Anon Khunakorncharatphong ◽  
Nareerut Pudpong ◽  
Rapeepong Suphanchaimat ◽  
Sataporn Julchoo ◽  
Mathudara Phaiyarom ◽  
...  
Keyword(s):  
Public Health ◽  
Service Utilization ◽  
Well Being ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Noncommunicable Disease ◽  
Noncommunicable Diseases ◽  
P Value ◽  
Health Coverage ◽  
Cross Sectional

Global morbidity associated with noncommunicable diseases (NCDs) has increased over the years. In Thailand, NCDs are among the most prevalent of all health problems, and affect both Thai citizens and non-Thai residents, such as expatriates. Key barriers to NCD health service utilization among expatriates include cultural and language differences. This study aimed to describe the situation and factors associated with NCD service utilizations among expatriate patients in Thailand. We employed a cross-sectional study design and used the service records of public hospitals from the Ministry of Public Health (MOPH) during the fiscal years 2014–2018. The focus of this study was on expatriates or those who had stayed in Thailand for at least three months. The results showed that, after 2014, there was an increasing trend in NCD service utilizations among expatriate patients for both outpatient (OP) and inpatient (IP) care. For OP care, Cambodia, Laos PDR, Myanmar, and Vietnam (CLMV) expatriates had fewer odds of NCD service utilization, relative to non-CLMV expatriates (p-value < 0.001). For IP care, males tended to have greater odds of NCD service utilization compared with females (AdjOR = 1.35, 95% CI = 1.05–1.74, p-value = 0.019). Increasing age showed a significant association with NCD service utilization. In addition, there was a growing trend of the NCD prevalence amongst expatriate patients. This issue points to a need for prompt public health actions if Thailand aims to have all people on its soil protected with universal health coverage for their well-being, as stipulated in the Sustainable Development Goals. Future studies that aim to collect primary evidence of expatriates at the household level should be conducted. Additional research on other societal factors that may help provide a better insight into access to healthcare for NCDs, such as socioeconomic status, beliefs, and attitudes, should be conducted.

scholarly journals Noncommunicable Disease Emergencies During Arbaeenia Mass Gathering at Public Hospitals in Karbala, Najaf, and Babel Governorates, Iraq, 2014: Cross-Sectional Study (Preprint)

2018 ◽  
Author(s):  
Faris Lami ◽  
Abdul Wahhab Jewad ◽  
Abulameer Hassan ◽  
Hadeel Kadhim ◽  
Sura Alharis
Keyword(s):  
Risk Factors ◽  
Respiratory Infections ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Noncommunicable Disease ◽  
Noncommunicable Diseases ◽  
Mass Gathering ◽  
Cross Sectional ◽  
Adherence To Diet ◽  
South Iraq

BACKGROUND Arbaeenia is the largest religious mass gathering (MG) in Iraq where millions of people from Iraq and many other countries visit Karbala city, south Iraq. MGs are associated with high rates of morbidity and mortality from different noncommunicable diseases (NCDs) such as cardiovascular diseases, diabetes mellitus, and asthma. There is a scarcity of publications that address MGs in Iraq. OBJECTIVE This study aimed to explore the NCD emergencies in public hospitals in Karbala, Najaf, and Babel governorates in Iraq, during the Arbaeenia MG and assess predisposing factors for NCD emergencies. METHODS The study was conducted from November 27 to December 16, 2014. Data were collected in the pre-event and during MG event from 7 selected hospitals. The pre-event data were collected from emergency room (ER) registers and logbooks, and the data on the MG event were collected daily through direct interview with patients and treating physicians using a structured questionnaire. RESULTS In total, 4425 NCD emergencies were recorded. Of these, 80.13% (3546/4425) were collected during the MG event. The NCD emergencies attended at ER hospitals during MG were severe hypertension (HT), diabetes (hyperglycemia), ischemic heart disease (IHD), asthma, and pulmonary edema. The load of NCD emergencies and the daily average emergencies increased 4-fold and 2-fold during the MG event, respectively. Most of the NCD emergencies were treated at ER departments, and a few were hospitalized. Intense physical activities and poor adherence to diet and medication were risk factors for IHD, severe HT, and hyperglycemic diabetes emergencies. Exposure to noxious gases or fumes and recent respiratory infections were risk factors for asthma emergencies. CONCLUSIONS As the pilgrims approached Karbala city during the Arbaeenia MG, the hospitals on the roads leading to the city experienced an increased load of patients because of different NCD emergencies. Although hospitals should be equipped with the necessary supplies, health education for pilgrims is mandatory, particularly on the factors that can exacerbate their diseases.

scholarly journals Noncommunicable Disease Emergencies During Arbaeenia Mass Gathering at Public Hospitals in Karbala, Najaf, and Babel Governorates, Iraq, 2014: Cross-Sectional Study

10.2196/10890 ◽  
2019 ◽  
Vol 5 (3) ◽  
pp. e10890 ◽  
Author(s):  
Faris Lami ◽  
Abdul Wahhab Jewad ◽  
Abulameer Hassan ◽  
Hadeel Kadhim ◽  
Sura Alharis
Keyword(s):  
Risk Factors ◽  
Respiratory Infections ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Noncommunicable Disease ◽  
Noncommunicable Diseases ◽  
Mass Gathering ◽  
Cross Sectional ◽  
Adherence To Diet ◽  
South Iraq

Background Arbaeenia is the largest religious mass gathering (MG) in Iraq where millions of people from Iraq and many other countries visit Karbala city, south Iraq. MGs are associated with high rates of morbidity and mortality from different noncommunicable diseases (NCDs) such as cardiovascular diseases, diabetes mellitus, and asthma. There is a scarcity of publications that address MGs in Iraq. Objective This study aimed to explore the NCD emergencies in public hospitals in Karbala, Najaf, and Babel governorates in Iraq, during the Arbaeenia MG and assess predisposing factors for NCD emergencies. Methods The study was conducted from November 27 to December 16, 2014. Data were collected in the pre-event and during MG event from 7 selected hospitals. The pre-event data were collected from emergency room (ER) registers and logbooks, and the data on the MG event were collected daily through direct interview with patients and treating physicians using a structured questionnaire. Results In total, 4425 NCD emergencies were recorded. Of these, 80.13% (3546/4425) were collected during the MG event. The NCD emergencies attended at ER hospitals during MG were severe hypertension (HT), diabetes (hyperglycemia), ischemic heart disease (IHD), asthma, and pulmonary edema. The load of NCD emergencies and the daily average emergencies increased 4-fold and 2-fold during the MG event, respectively. Most of the NCD emergencies were treated at ER departments, and a few were hospitalized. Intense physical activities and poor adherence to diet and medication were risk factors for IHD, severe HT, and hyperglycemic diabetes emergencies. Exposure to noxious gases or fumes and recent respiratory infections were risk factors for asthma emergencies. Conclusions As the pilgrims approached Karbala city during the Arbaeenia MG, the hospitals on the roads leading to the city experienced an increased load of patients because of different NCD emergencies. Although hospitals should be equipped with the necessary supplies, health education for pilgrims is mandatory, particularly on the factors that can exacerbate their diseases.

scholarly journals Analysis of coordinating capacities in schools of grades 10 and 11 in a public school of Bogotá

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N Morales Eraso ◽  
M Riveros Medina ◽  
A Gutiérrez Galvis ◽  
J Alvarado Melo ◽  
O Rubiano Espinosa ◽  
...  
Keyword(s):  
Public Health ◽  
Public School ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Noncommunicable Diseases ◽  
P Value ◽  
Cross Sectional ◽  
Institutional Ethics ◽  
Significant Difference ◽  
The Impact

Abstract Studies that address the problem of excess weight and inactive behaviors such as television and video games in children and adolescents have focused on chronic noncommunicable diseases, with few studies about the effects of sedentary lifestyle on coordination capacities (balance, precision and movement capacity). The objective of the study is to analyze the coordinative capacities in school children of grades 10 and 11 in a public school in Bogotá. This analytical cross-sectional study was conducted on 63 schoolchildren (30 men and 33 women) with an average age of 16.24 ± 0.689. The motor quotient was evaluated by means of the KTK test with the authorization of the institutional ethics committee, assent signature and informed consent. Descriptive statistics were obtained (mean SD frequencies, percentages). Data were tested using Kolmogorov-Smirnov test and independent t-test was applied to measure the significant difference among the variables. P-value less than 0.05 was considered a significant difference. The motor quotient showed the following qualifications: symptomatic 11.1% (n = 7), normal 58.7% (n = 37) and good 30.2% (n = 19). Statistically significant differences (p &lt; 0,05) were found in the motor quotient between boys (37,048) and girls (34,374), with girls being mainly in the symptomatic category. It can be concluded that girls need to increase motor experiences to improve their coordinative abilities. The importance of this study consisted in the possibility of identifying the effects of sedentarism on coordination capacities, as well as the impact produced by the current government by reducing hours of physical education in schools, leading to an increase in sedentarism. For this reason, it is essential to develop research aimed at stimulating coordination capacities in schoolchildren as a strategy to reduce public health problems. Key messages For this reason, it is essential to develop research aimed at stimulating coordination capacities in schoolchildren as a strategy to reduce public health problems. Promotion of public policy as a Determining factor in the reduction of sedentarism in children, through Strategies that include assessment of Coordinating Capacities of schoolchildren.

scholarly journals A cross sectional study to determine the sociodemographic profile and study prevalence of chronic noncommunicable diseases in an urban slum of Mumbai

2021 ◽  
Vol 8 (11) ◽  
pp. 5383
Author(s):  
Priyanka D. Chate ◽  
Ashirwad K. Nagpurkar ◽  
Sophia Fernandes ◽  
Anita G. Shenoy ◽  
Vidula Patil
Keyword(s):  
Industrial Development ◽  
Total Population ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Noncommunicable Disease ◽  
Noncommunicable Diseases ◽  
Health Coverage ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Slum Areas

Background: Mumbai is the economic capital of India. According to 2011 census, 41.84% of total population of Mumbai city resides in slum areas; chronic noncommunicable diseases (NCDs) are the major cause of morbidity and mortality worldwide especially in developing countries where it has a huge impact on socioeconomic dynamics of the country and quality of life of its people.Methods: This was a retrospective cross sectional community level study based on family assessment survey records filled by undergraduate medical students as a part of their curriculum. The survey was conducted over the period of 1 years from August 2017 to July 2018 on 300 families residing in 3 slums in the field practice area of Cooper Hospital in Mumbai.Results: The total population was 1533, 720 were female and 813 were male. 417out of 1533 individuals were known cases of chronic noncommunicable diseases and were on treatment for the same, thus prevalence of chronic noncommunicable disease was 27.20%. There was significant association between age and prevalence of chronic noncommunicable disease (p<0.05) in the given population.Conclusions: The slum areas will continue to expand along with economic and industrial development. Growing number of slums constitute a major challenge to development of the community. The result emphasizes the need to implement measures to improve sanitation and hygiene of slums along with improvement of health coverage in these areas for early detection and treatment of NCDs.

scholarly journals Factors associated with maternal near-miss at public hospitals of South-East Ethiopia: An institutional-based cross-sectional study

2021 ◽  
Vol 17 ◽  
pp. 174550652110606
Author(s):  
Ashenafi Mekonnen ◽  
Genet Fikadu ◽  
Kenbon Seyoum ◽  
Gemechu Ganfure ◽  
Sisay Degno ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Near Miss ◽  
Early Marriage ◽  
Maternal Near Miss ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Maternal near-miss precedes maternal mortality, and women are still alive indicating that the numbers of near-misses occur more often than maternal mortality. This study aims to assess the prevalence of maternal near-miss and associated factors at public hospitals of Bale zone, Southeast Ethiopia. Methods: Facility-based cross-sectional study design was carried out from 1 October 2018 to 28 February 2019, among 300 women admitted to maternity wards. A structured questionnaire and checklist were used to collect data. Epi-info for data entry and statistical package for social science for analysis were used. The descriptive findings were summarized using tables and text. Adjusted odds ratio with 95% confidence interval and p-value < 0.05 were used to examine the association between the independent and dependent variables. Result: The prevalence of maternal near-miss in our study area was 28.7%. Age < 20 years, age at first marriage < 20 years, husbands with primary education, and being from rural areas are factors significantly associated with the prevalence of maternal near-miss. The zonal health department in collaboration with the education department and justice office has to mitigate early marriage by educating the community about the impacts of early marriage on health.

Association between Optimism, Psychosocial Well Being and Oral Health: A Cross-Sectional Study

2016 ◽  
Vol 40 (3) ◽  
pp. 200-206 ◽  
Author(s):  
G Thiruvenkadam ◽  
Sharath Asokan ◽  
J Baby John ◽  
PR Geetha Priya
Keyword(s):  
Oral Health ◽  
Psychosocial Outcomes ◽  
Well Being ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Life Orientation Test ◽  
Chi Square Test

Objective: The aim of the study was to assess the association of optimism and psychosocial well being of school going children on their oral health status. Study design: The study included 12- to 15-year-old school going children (N = 2014) from Tamilnadu, India. Optimism was measured using the revised version of the Life Orientation Test (LOT-R). A questionnaire was sent to the parents regarding their child's psychosocial behavior which included shyness, feeling inferiority, unhappiness and friendliness. Clinical examination for each child was done to assess the DMFT score and OHI-S score. The data obtained were statistically analyzed using Pearson Chi-Square test, Mann-Whitney test and Kruskal-Wallis test with the aid of SPSS software (version 17). Odds Ratio (OR) was calculated with 95% Confidence Interval (CI). The p value ≤ 0.05 was considered statistically significant. Results: Boys with high optimism had significantly lesser DMFT score than the boys with low optimism (p=0.001). Girls with high optimism had significantly higher DMFT score (p=0.001). In psychosocial outcomes, inferiority (p=0.002) and friendliness (p=0.001) showed significant association with DMFT score. Among the boys, children who felt less inferior (p=0.001), less unhappy (p=0.029) and more friendly (p=0.001) had lesser DMFT score. Conclusion: Among the psychosocial outcomes assessed, inferiority and friendliness had significant association with oral health of the children and hence, can be used as a proxy measures oral health.

scholarly journals HUBUNGAN KEPATUHAN MINUM OBAT DENGAN TEKANAN DARAH PADA PENDERITA HIPERTENSI

2021 ◽  
Vol 12 (2) ◽  
pp. 327
Author(s):  
Ikit Netra Wirakhmi ◽  
Iwan Purnawan
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Health Centre ◽  
Sampling Technique ◽  
Well Being ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertension Therapy

AbstrakLatar belakang: Sampai saat ini, hipertensi masih merupakan tantangan besar di Indonesia. Kepatuhan pasien dalam menggunakan obat berpengaruh terhadap keberhasilan terapi pengobatan. Adanya ketidakpatuhan pasien hipertensi dalam minum obat dapat memberikan efek negative yang sangat besar, seperti munculnya komplikasi. Tujuan: Mengetahui hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi di Puskesmas Karangjambu Kabupaten Purbalingga. Metode: Desain penelitian ini adalah cross sectional study. Responden dalam penelitian ini adalah pasien hipertensi di Puskesmas Karangjambu Kbupaten Purbalingga. Sampel diambil menggunakan teknik accidental sampling dengan jumlah 86 responden. Data dikumpulkan pada bulan Mei 2021 menggunakan kuesioner 8 – Item Morisky Medication Aderence Scale (MMAS – 8) dan pengukuran tekanan darah secara langsung. Hasil: Penelitian ini menunjukkan bahwa Sebagian besar responden adlaah perempuan (86%), sebgain besar berada pada kategori tingkat kepatuhan sedang (47%) dan pada kategori hipertensi tahap 2 (63%). Uji stastistik didapatkan nilai p value 0.901 menunjukkan bahwa tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi. Kesimpulan: Tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi AbstractBackground: In Indonesia, hypertension is still a major problem. Adherence to treatment is critical for hypertension patients' long-term health and well-being. Adherence are required for hypertension therapy to be effective, and altering these patients' behavior has the greatest potential for improving hypertensive control. Objectives: To explore the relationship between medication adherence and blood pressure in hypertension patients. Methods: We used the cross-sectional study. This research sample was hypertension patients at Karangjambu Health Centre Purbalingga Regency. We included 89 respondents by accidental sampling technique. We collected the data by questionnaire. The Gamma & Sommers’d test was performed to analyze the data. Results: This research showed that that the majority of respondents were women (86%), the moderate category had the highest level of adherence (47%) and the most respondents suffer from hypertension stage 2 (63%). The statistical test result of 0.910 suggested that there was no relationship between medication adherence and blood pressure in hypertensive patients. Conclusions: There was also no significant between medication adherence and blood pressure. 

scholarly journals Choice of birth place among antenatal clinic attendees in rural mission hospitals in Ebonyi State, South-East Nigeria

2019 ◽  
Author(s):  
Leonard O. Ajah ◽  
Fidelis A. Onu ◽  
Oliver C. Ogbuinya ◽  
Monique I. Ajah ◽  
Benjamin C. Ozumba ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Providers ◽  
Significant Proportion ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Maternity Services ◽  
Birth Place

AbstractBackgroundLow utilization of health facilities for delivery by pregnant women poses a public health challenge in Nigeria.AimTo determine the factors that influence the choice of birth place among antenatal clinic attendees.MethodologyThis was a cross-sectional study of the eligible antenatal clinic attendees at Mater Misericordiae Hospital, Afikpo and Saint Vincent Hospital, Ndubia in Ebonyi State from February 1, 2016 to June 30, 2016. Analysis was done using EPI Info 7.21 software (CDC Atlanta Georgia).ResultsA total of 397(99.3%) completely filled questionnaires were collated and analysed. Approximately 71% of the health facilities closest to the respondents had maternity services. It took at least 1 hour for 80.9% of the respondents to access health facilities with maternity services. Most (60.2%) of the respondents had antenatal care attendance and majority of them did so at public hospitals. Approximately 43.8% of the respondents were delivered by the skilled birth attendants. The common determinants of birth place were nearness of the health facilities, familiarity of healthcare providers, improved services, sudden labour onset and cost. Also 61.7% of the respondents chose to deliver in public health facilities due to favourable reasons but this could be hampered by the rudeness of some healthcare providers at such facilities. A significant proportion of private health facilities had unskilled manpower and shortage of drugs.ConclusionA greater proportion of women will prefer to deliver in health facilities. However there are barriers to utilization of these facilities hence the need for reversal of this ugly trend.

scholarly journals ASSESSMENT OF PROFESSIONALISM IN NURSING AND FACTORS ASSOCIATED AMONG NURSES WORKING IN ARSI ZONE PUBLIC HOSPITALS, OROMIA, ETHIOPIA

2020 ◽  
Author(s):  
Mulugeta Degefa Tola ◽  
Yibeltal Siaraneh Beleta ◽  
Fikru Tafese Jaleta
Keyword(s):  
Job Satisfaction ◽  
Formal Education ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
P Value ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Body Of Knowledge ◽  
Arsi Zone

Abstract Background: Professionals are defined in the context of a particular body of knowledge which is obtained through formal education, expanded level of skills, type of certification proving their entry into the profession; a set of behavioral norms called professionalism and attitudes representing high levels of commitment to and identification with a specific profession. Several factor affecting the development of the nursing profession. Recognizing and determining such factors can be the first step to move towards the professionalization of nursing. The objective of this study was to assess professionalism in nursing and factors associated among nurses working in Arsi zone, Public Hospitals, Oromia, Ethiopia 2018. Methods: This study used an Institutional based cross sectional study design. Self-administered structured questionnaire adapted from RNAO (Registered Nurses association of Ontario) guideline, was used to measure the level of professionalism. The sample was 420 nurses from the six Public Hospitals of Arsi Zone, Oromia, Ethiopia. Data was analyzed using SPSS 20.0. Both bivariate and multivariate analysis were carried out to identify associations. Odds ratio was calculated for related factors with 95% confidence interval (CI). A p-value < 0.05 was considered to be statistically significant. Result: Out of 420 Nurses working in six public Hospitals, 380 responded to the questionnaire, making the response rate of 90.5%. In current study level of professionalism was high among nurses (n=380) with highest percentages on accountability, advocacy, and ethics. Gender (AOR =2.489, 95% CI=1.540-4.023), nursing is indispensable (AOR=1.760, 95% CI=1.104-2.806), job satisfaction (AOR= 1.844, 95% CI = 1.143-2.975) and having up to dated training (AOR= 1.809, 95%CI=1.071-3.055 were significantly associated with overall professionalism level. Conclusion: Nurses working in public hospitals of Arsi zone have relatively had better professionalism level. Gender, nursing is indispensable, job satisfaction, presence of up-to-dated trainings were found significantly associated with professionalism in nursing. Human resource personnel and CEOs of respective hospitals should develop various training programs for nurses and provide encouraging environments for obtaining better qualities in attributes of professionalism. Keywords Attributes of professionalism, Nursing, Professionalism, associated factors

scholarly journals (Un)Healthy Lifestyles, Environment, Well-being and Health Capability in Rural Neighbourhoods: A Community-based Cross-sectional Study

2020 ◽  
Author(s):  
Anabela Marisa Azul ◽  
Ricardo Almendra ◽  
Marta Quatorze ◽  
Adriana Loureiro ◽  
Flávio Reis ◽  
...  
Keyword(s):  
Mixed Method ◽  
Rural Areas ◽  
Well Being ◽  
Cross Sectional Study ◽  
P Value ◽  
Community Based ◽  
Cross Sectional ◽  
Health Loss ◽  
Mixed Method Design ◽  
Health And Well Being

Abstract Background: Non-communicable diseases (NCDs) are a leading cause of health loss worldwide, in part due to unhealthy lifestyles. Metabolic-based diseases are rising with an unhealthy body-mass index (BMI) in rural areas as the main risk factor in adults. Health loss risks in rural areas may be amplified by wider determinants such as socio-demography and surrounding environments. We assessed weather (un)healthy lifestyles and environment in rural neighbourhoods are reflected into metabolic risks and health capability, and how community circumstances may impact the self-ability for making balanced decisions.Methods: We conducted a community-based cross-sectional study in fifteen Portuguese rural neighbourhoods (with high ageing index and high illiteracy) to describe individuals’ health functioning condition and to characterize the community environment. We followed a qualitatively driven mixed-method design, using a healthy lifestyle assessment toolkit, to gather evidence-based data and lifestyles (incorporated in eVida technology), within a random sample of 270 individuals; and 107 in-depth interviews to determine whether environment influence the capability for improving or pursuing heath and well-being.Results: Men showed to have a 75% higher probability of being overweight than women (p-value=0.0954); and the reporting of health loss risks was higher in women (RR: 1.48; p-value=0.122), individuals with larger waist circumference (RR: 2.21; IC: 1.19; 4.27), overweight and obesity (RR: 1.38; p-value=0.293) and participants aged over 75 years (RR: 1.78; p-value= 0.235; when compared with participants under 40 years old). Metabolic risks were more associated to BMI and physical activity than diet (or sleeping habits); participants strongly evidenced the adherence to a Mediterranean dietary pattern. From the interviews, we identified seven environmental circumstances reflecting health needs, health expectations and health capability: economic development, built environment, social network, health care, demography, active lifestyles, and mobility. And, while the starting point of the interview addressed community needs, participants expressed the value of natural environment in their neighbourhood as the main positive effect to pursuing health and well-being, with particular emphasis to lower exposure to air / noise pollution, daily routines linked to nature or land use, and diversity of nature experiences.Conclusions: Our qualitatively driven mixed-method design, involving the community, uncovers environment contextual-dependent circumstances influencing the ability of individuals to pursue healthy habits. The active participation of local representatives, with its degrees of negotiation and flexibility, contributed to adapt the health-related messages. The co-benefits from this co-designing community program advance the evidence to support academy-community driven interventions for pushing health and well-being at a broader social, health care and (natural) environment agenda in rural neighbourhoods.

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