http://hdl.handle.net/2144/1153 Sun, 19 May 2013 00:47:53 GMT 2013-05-19T00:47:53Z http://hdl.handle.net/2144/3285 The Global Health System: Linking Knowledge with Action—Learning from Malaria Keusch, Gerald T.; Kilama, Wen L.; Moon, Suerie; Szlezák, Nicole A.; Michaud, Catherine M. In the third in a series of articles on the changing nature of global health institutions, Gerald Keusch and colleagues examine institutional arrangements for malaria research. Tue, 19 Jan 2010 00:00:00 GMT http://hdl.handle.net/2144/3285 2010-01-19T00:00:00Z http://hdl.handle.net/2144/3286 Smoking Status and Cessation Counseling Practices Among Physicians, Guangxi, China, 2007 Abdullah, Abu S.; Zhou, Jiatong; Huang, Dongmei; Lu, Songyi; Luo, Shuiying; Pun, Vivian C. INTRODUCTION. We examined Chinese physicians' smoking behavior, knowledge of smoking's health effects, and compliance with accepted cessation counseling practices. METHODS. We used a structured questionnaire adapted from the Global Health Professionals Survey of the World Health Organization to survey Chinese physicians based at 5 hospitals in Nanning, Guangxi Province, China. RESULTS. The response rate was 85% for a total of 673 completed questionnaires. Of the 673 respondents, 73% were men, 42% were aged 30 years or younger, and 26% were smokers (men, 35%; women, 3%). Only 28% of the smokers were ready to quit immediately. A substantial proportion of physicians did not have adequate knowledge of smoking-related health hazards or favorable attitudes toward smoking cessation counseling. Asking patients whether they smoked and recording smoking status in the medical record were significantly associated with being female and being very well or somewhat prepared to counsel patients about smoking cessation. Advising patients to quit smoking was significantly associated with being female, being a nonsmoker, being very well or somewhat prepared to counsel patients about smoking cessation, and having read any smoking cessation guidelines. CONCLUSIONS. Our findings suggest that smoking is common among male Chinese physicians and that Chinese physicians have inadequate knowledge of smoking's health hazards and of how to help smokers quit. Physicians in China and their patients who smoke would benefit from widely accessible Chinese clinical practice guidelines on smoking cessation, better medical school education about the health risks of smoking, and government funding of cessation medications. Tue, 15 Dec 2009 00:00:00 GMT http://hdl.handle.net/2144/3286 2009-12-15T00:00:00Z http://hdl.handle.net/2144/3287 Assessment of Tobacco Control Advocacy Behavioural Capacity among Students at Schools of Public Health in China Yang, Tingzhong; Abdullah, Abu S; Rockett, Ian R H; Li, Mu; Zhou, Yuhua; Ma, Jun; Ji, Huaping; Zheng, Jianzhong; Zhang, Yuhong; Wang, Liming OBJECTIVES. To evaluate student tobacco control advocacy behavioural capacity using longitudinal trace data. METHODS. A tobacco control advocacy curriculum was developed and implemented at schools of public health (SPH) or departments of public health in seven universities in China. Participants comprised undergraduate students studying the public health curriculum in these 13 Universities. A standardised assessment tool was used to evaluate their tobacco control advocacy behavioural capacity. Repeated measures analysis of variance, paired t tests and paired ?2 tests were used to determine differences between dependent variables across time. Multivariate analysis of variance (MANOVA) and multivariate logistic regression were used to assess treatment effects between intervention and control sites. RESULTS. Respective totals of 426 students in the intervention group and 338 in the control group were available for the evaluation. Approximately 90% of respondents were aged 21 years or older and 56% were women. Findings show that the capacity building program significantly improved public health student advocacy behavioural capacity, including advocacy attitude, interest, motivation and anti-secondhand smoke behaviours. The curriculum did not impact student smoking behaviour. CONCLUSIONS. This study provides sufficient evidence to support the implementation of tobacco control advocacy training at Chinese schools of public health. Tue, 21 Sep 2010 00:00:00 GMT http://hdl.handle.net/2144/3287 2010-09-21T00:00:00Z http://hdl.handle.net/2144/3283 Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics Miller, Elizabeth; Decker, Michele R.; Raj, Anita; Reed, Elizabeth; Marable, Danelle; Silverman, Jay G. To assess the prevalence of intimate partner violence (IPV) and associations with health care-seeking patterns among female patients of adolescent clinics, and to examine screening for IPV and IPV disclosure patterns within these clinics. A self-administered, anonymous, computerized survey was administered to female clients ages 14–20 years (N = 448) seeking care in five urban adolescent clinics, inquiring about IPV history, reasons for seeking care, and IPV screening by and IPV disclosure to providers. Two in five (40%) female urban adolescent clinic patients had experienced IPV, with 32% reporting physical and 21% reporting sexual victimization. Among IPV survivors, 45% reported abuse in their current or most recent relationship. IPV prevalence was equally high among those visiting clinics for reproductive health concerns as among those seeking care for other reasons. IPV victimization was associated with both poor current health status (AOR 1.57, 95% CI 1.03–2.40) and having foregone care in the past year (AOR 2.59, 95% CI 1.20–5.58). Recent IPV victimization was associated only with past 12 month foregone care (AOR 2.02, 95% CI 1.18–3.46). A minority (30%) reported ever being screened for IPV in a clinical setting. IPV victimization is pervasive among female adolescent clinic attendees regardless of visit type, yet IPV screening by providers appears low. Patients reporting poor health status and foregone care are more likely to have experienced IPV. IPV screening and interventions tailored for female patients of adolescent clinics are needed. Thu, 17 Sep 2009 00:00:00 GMT http://hdl.handle.net/2144/3283 2009-09-17T00:00:00Z