Association between child sexual abuse and mid-life employment earnings.

Importance: Individuals who have been sexually abused are at a greater risk for poor health, but associations with economic outcomes in mid-life have been overlooked. Objectives: We investigated associations between child sexual abuse (≤18 years) and economic outcomes at 33-37 years, while considering type of report (official/retrospective) and characteristics of abuse (type, severity, and chronicity). Design: This cohort study used data collected for the Quebec Longitudinal Study of Kindergarten Children. Setting: The Quebec Longitudinal Study of Kindergarten Children is a population-based sample. Participants: Participants were 3,020 boys and girls attending kindergarten in the Canadian Province of Quebec in 1986/88 and followed up until 2017. Main outcome/Measures: Child sexual abuse (0-18 years old) was assessed using both retrospective self-report questionnaires and objective reports (notification to Child Protection Services). Information on employment earnings was obtained from government tax return records. Tobit regressions were used to test associations of sexual abuse with earnings adjusting for sex and family socioeconomic background. Results: Of the 3,020 participants 1,320 [43.7%] self-reported no sexual abuse, 1,340 [44.3%] had no official report but were missing on the retrospective questionnaire, 340 [11.3%] reported retrospective sexual abuse, and 20 [0.7%] had official report. In the fully adjusted model, individuals who retrospectively reported being sexually abused earned US$4,031 (CI=-7,134 to -931) less per year at age 33-37 years, while those with official reports earned US$16,042 (CI=-27,465 to -4,618) less, compared to participants who were not abused. Among individuals with retrospectively reported abuse, those who experienced intra-familial abuse earned US$4,696 (CI=-9,316 to -75) less than individuals who experienced extra-familial abuse, while participants who experienced penetration earned US$6,188 (CI=-12,248 to -129) less than those who experienced non-contact abuse. Conclusion and Relevance: Child sexual abuse puts individuals at risk for lasting reductions in employment earnings in adulthood. Early identification and support for sexual abuse victims could help reduce the economic gap and improve long-term outcomes.

COVID-19 vaccination is highly effective to prevent SARS-CoV-2 circulation

Background: We provide here an analysis of effectiveness of primary coronavirus disease 2019 (COVID-19) vaccination and COVID-19 vaccine booster doses in preventing severe acute respiratory syndrome coronavirus 2 (COVID-19) infection.Methods: We retrieved information on COVID-19 vaccination and newly diagnosed cases of SARS-CoV-2 infection from the weekly official report of the Italian National Institute of Health (Istituto Superiore di Sanità, ISS; Last available update, January 1, 2022).Results: At the time of our analysis, 39.9 million people completed a primary COVID-19 vaccination cycle, of whom 13.6 million (34.0%) <5 months from the last dose, whilst 5.7 million had also received COVID-19 vaccine booster doses. The risk of SARS-CoV-2 infection was 71% (OR, 0.29; 95%CI, 0.29-0.29) and 86% (OR, 0.14; 95%CI, 0.14-0.14) lower in people who received primary vaccination <5 months and booster doses <5 months compared to the unvaccinated population, but was also half (OR, 0.49; 95%CI, 0.48-0.49) in those who received booster doses <5 months compared to those who completed the primary vaccination <5 months.Conclusions: These results attest that COVID-19 vaccines not only reduce the risk of developing severe illness in patients with SARS-CoV-2 infection, but shall also be considered reliable and effective means to limit virus circulation within the general population.

ANALISIS PERENCANAAN DAN PENGENDALIAN DALAM PENCAIRAN DANA PADA PENGADAAN ALAT-ALAT KEDOKTERAN PADA DINAS KESEHATAN KOTA LHOKSEUMAWE

Good management will provide a reference or description of how the health office is managed in a transparent manner, there is independence, accountability, and there is responsibility and fairness so that financial performance at the lhokseumawe city health office can be achieved in accordance with the vision and mission of the health office. This study aims to determine how the process of implementing planning and control in the disbursement of funds for the procurement of medical equipment at the health office of lhokseumawe city. This research uses a qualitative approach with descriptive and analysis. Data collection in this study was carried out through interviews and documentation. Interviews were conducted with related parties and knew about the disbursement of funds for the procurement of goods / services at the lhokseumawe city health office in 2011. The results obtained indicate that the control planning process in disbursing funds for the procurement of medical devices in the lhokseumawe city health office in 2001 has not fully used the applicable rules so that the implementation of goods/ services is not in accordance with the reality and expectations of the community in general. This is evidenced by the delay in the distribution of medical devices at the puskesmas and the absence of an official report on the receipt of goods while the disbursement of funds was carried out 100%. This condition gave birth to a financial management system that was not transparent and accountable.