Urban Health

Our study aimed to identify perceptions Latina women have about four different contraceptive methods and to investigate whether religiosity and acculturation play a role in their contraceptive choice. An observational cross-sectional study was performed at Bellevue Hospital. A questionnaire was given to women in the gynecology outpatient clinics asking about: oral contraceptive pills (OCP’s), injectable contraception (DMPA), the Intrauterine device (IUD) and the Ortho-Evra Patch (Patch). In the 102 complete surveys, self identified Latina women were not convinced of the safety of OCPs and DMPA (less than 50% perceived them to be safe) and largely uncertain about the Patch and IUD. Latinas also demonstrated more negative beliefs about the side effects of OCPs and DMPA. In particular, they were concerned about weight gain, method reversibility, and bleeding. There was no substantial correlation between religiosity and contraceptive beliefs. Low level acculturated women were more likely to believe that the IUD and OCPs were harmful, as opposed to their more acculturated counterparts who demonstrated more negative beliefs about the Patch. Overall, Latina women in this study tended to overrate the risks associated with contraceptive use, particularly OCPs and DMPA. The markedly low method confidence suggested by high rates of “unsure” answers is a possible explanation for why Latinas are less adherent with birth control than their white counterparts.

The present study aimed to contribute towards identification and registration of tick species that parasitize dogs in rural and urban areas of three mesoregions of Paraná, southern Brazil, and to estimate the rate of occurrence of each species. Fifty-six dogs with ticks living in three mesoregions: Metropolitana de Curitiba (MC), Centro Oriental (COP) and Centro Sul Paranaense (CSP), were used in the study. From these 56 dogs, 253 ticks were collected and were identified and morphologically characterized according to the species. Among all the ticks, 69.6% were identified as belonging to the species Rhipicephalus sanguineus sensu lato (s. l.); 28.1% as Amblyomma aureolatum and 2.4% as Amblyomma ovale. Among the dogs in MC that were evaluated, 57.7% were parasitized by R. sanguineus s. l., 38.5% by A. aureolatum and 3.8% by A. ovale; while in COP, 72.4% of the dogs were parasitized by A. aureolatum and 27.6% by R. sanguineus s. l.. In CSP, one tick was obtained, which was identified ...

The false stable fly, Muscina stabulans (Fallén), was surveyed along an urban-rural gradient at Almirante Brown, Buenos Aires province, Argentina. Samples were taken at monthly intervals from May 2005 to April 2007. Hourly captures of adult flies (10:00 am - 04:00 pm) were taken at each sampling date with a hand net. The baits used were 250 g of rotten cow liver and 250 g of fresh dog faeces exposed in shaded and sunny areas. The entire sample accumulated 358 specimens. The number of specimens captured during the second year was higher than in the fi rst year. Muscina stabulans was more abundant at urban-suburban sites. Females showed significant preferences for cow liver. We caught more specimens in shaded areas. The hourly activity increased toward the afternoon at the three sites. The present work was the first ecological study related to a muscid species in Argentina.

Dengue is the most important mosquito-borne disease in the Philippines, especially in Metropolitan Manila where communities are socially and economically diverse, and city governments struggle to provide basic services such as continuously available, piped water supply to residents. We examined responses to introducing water container management to control dengue vectors in two diverse communities in Masagana City: Village A (gated community) and Village B (informal settlers community). The roll out of the intervention was carried out by the study team, dengue control personnel and local health workers (BHWs). A behavioural change framework was used to describe the community responses to the introduction of a new vector control intervention - household water container management. Although, the desired outcome was not achieved during the study's timeline, observation on processes of behaviour change underscored the importance of understanding the social nature of the urban commun...

Estimating health outcomes at a neighborhood scale is important for promoting urban health, yet costly and time-consuming. In this paper, we present a machine-learning-enabled approach to predicting the prevalence of six common non-communicable chronic diseases at the census tract level. We apply our approach to the City of Austin and show that our method can yield fairly accurate predictions. In searching for the best predictive models, we experiment with eight different machine learning algorithms and 60 predictor variables that characterize the social environment, the physical environment, and the aspects and degrees of neighborhood disorder. Our analysis suggests that (a) the sociodemographic and socioeconomic variables are the strongest predictors for tract-level health outcomes and (b) the historical records of 311 service requests can be a useful complementary data source as the information distilled from the 311 data often helps improve the models' performance. The machine learning models yielded from this study can help the public and city officials evaluate future scenarios and understand how changes in the neighborhood conditions can lead to changes in the health outcomes. By analyzing where the most significant discrepancies between the predicted and the actual values are, we will also be ready to identify areas of best practice and areas in need of greater investment or policy intervention.

The dietary patterns and extent of overweight in 307 urban school going children aged 7 to 15 years representing various socio-economic strata was evaluated at baseline of a 3 year longitudinal study. Dietary habits were recorded through interviewer-administered questionnaires. Height and weight were measured and 8.2% of the children were over-weight or obese. Children from higher socio-economic strata had higher total and saturated fat intakes and lower carbohydrate intakes (P < 0.01). Daily energy intakes increased with increased frequency of eating out (P < 0.001). Therefore, promoting healthy eating in schools is important.

This paper estimates the effect on health of traffic injury and air and noise pollution from a proposed inner-suburban freeway in Melbourne. We estimated levels of these health problems for the year 2001 using traffic flow projections for the presence and absence of the freeway. For noise and air pollution, it was necessary to use pollutant levels as proxies for levels of associated diseases and health states. In 2001, there will be an increase in all traffic movements in the study area but a decrease of 100,000 vehicle-kilometers per day on major roads, excluding the bypass. This is associated with a projected reduction in the study area of about 100 to 110 injuries of all types. The major air pollution problems associated with motor vehicle emissions are ozone and respirable particulates; sulphur dioxide, nitrogen dioxide and carbon monoxide are unlikely to pose a health hazard. Levels of respirable particulates, lead and polycylic aromatic hydrocarbons are generally low. There sh...

Determine the relative frequency with which guns in the home are used to injure or kill in self-defense, compared with the number of times these weapons are involved in an unintentional injury, suicide attempt, or criminal assault or homicide. We reviewed the police, medical examiner, emergency medical service, emergency department, and hospital records of all fatal and nonfatal shootings in three U.S. cities: Memphis, Tennessee; Seattle, Washington; and Galveston, Texas. During the study interval (12 months in Memphis, 18 months in Seattle, and Galveston) 626 shootings occurred in or around a residence. This total included 54 unintentional shootings, 118 attempted or completed suicides, and 438 assaults/homicides. Thirteen shootings were legally justifiable or an act of self-defense, including three that involved law enforcement officers acting in the line of duty. For every time a gun in the home was used in a self-defense or legally justifiable shooting, there were four unintentional shootings, seven criminal assaults or homicides, and 11 attempted or completed suicides. Guns kept in homes are more likely to be involved in a fatal or nonfatal accidental shooting, criminal assault, or suicide attempt than to be used to injure or kill in self-defense.

Objective.Although tuberculosis has already become uncommon in industrialised countries, is a major burden in many developing countries, including India. This paper examines the association between smoking (mainly bidi smoking) and tuberculosis in Mumbai, India.

To study the caries prevalence and caries experience of 5, 12 and 15-year-old children in Greece and evaluate how the disease pattern is related to their sociodemographic parameters. A stratified cluster sample of 1209, 1224 and 1257 of five, twelve and fifteen-year-old Greek children were randomly selected according to WHO guidelines for national pathfinder surveys and examined for dental caries, according to the BASCD criteria and standards. d3mft, D3MFT and their components, as well as d3mfs, D3MFS, Care Index (CI) and SiC were recorded and related to the demographic data collected concerning age, gender, counties, urban/rural areas and parents' educational status. Dental caries varied considerably between the different districts, with a mean dmft/DMFT value for each age group being 1.77, 2.05 and 3.19 respectively, while 64%, 37% and 29% of them, were with no obvious dentinal caries. Children living in rural areas demonstrated significantly higher dmft/DMFT values and less d...