Global Health

The analysis of population health in a global context in order to understand and reduce disparities and protect against global threats such as infectious diseases

Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care

Jul. 10, 2017

Linda H. Aiken, Douglas Sloane, Peter Griffiths, Anne Marie Rafferty, Luk Bruyneel, Matthew McHugh, Claudia B. Maier, Teresa Moreno-Casbas, Jane E. Ball, Dietmar Ausserhofer, Walter Sermeus

In BMJ Quality & Safety, Linda Aiken and colleagues, including Matthew McHugh examine the association of hospital nursing skill mix with patient mortality, patient ratings of care, and indicators of quality care among European hospitals. As policymakers around the world seek to reduce health spending, a popular target in Europe has been to transition from more professional nurses to fewer high-cost nurses supported by more lower-wage assistants. The authors analyzed how nursing skill mix affects indicators of quality patient care. The authors utilized cross-sectional patient...

An Assessment of Global Oral Health Education in U.S Dental Schools

Jul. 5, 2017

Janet Sung and Joan I. Gluch

In Journal of Dental Education, Janet Sung and Joan Gluch assess how global health education is currently incorporated into pre-doctoral dental training in the U.S.  In 2015-2016, the authors surveyed 64 accredited U.S dental schools regarding their global health education and competencies, and received responses from 52 of those schools. Most dental school curricula covered social determinants of oral diseases and conditions, how to identify barriers to use of oral health services, and how to work with patients who have limited dental health literacy. But other key areas of...

Health consequences of the US Deferred Action for Childhood Arrivals (DACA) immigration programme: a quasi-experimental study

Jun. 29, 2017

Atheendar S. Venkataramani, Sachin J. Shah, Rourke O’Brien, Ichiro Kawachi, Alexander C. Tsai

In The Lancet Public Health, Atheendar Venkataramani and colleagues investigate the physical and mental health effects of the Deferred Action for Childhood Arrivals (DACA) program. DACA, a 2012 U.S immigration policy, provided renewable work permits and freedom from deportation for a large number of undocumented immigrants. The researchers conducted a retrospective, quasi-experimental study using data from non-citizen Hispanic adults. They examined changes in health outcomes among individuals meeting DACA eligibility criteria before and after program implementation, and compared...

Childhood Sexual Abuse and Sociodemographic Factors Prospectively Associated with Intimate Partner Violence Perpetration Among South African Heterosexual Men

Jun. 28, 2017

Anne M. Teitelman, Scarlett L. Bellamy, John B. Jemmott III, Larry Icard, Ann O'Leary, Samira Ali, Xolani Ngwane, Monde Makiwane

In Annals of Behavioral Medicine, Anne Teitelman and colleagues examine potential factors associated with intimate partner violence towards women among heterosexual men in South Africa. The researchers used longitudinal logistic equations to associate childhood sexual abuse and sociodemographic variables at baseline with intimate partner violence at subsequent time points. They found that among participants with a steady female partner, nearly 22% reported intimate partner violence within the last year. Factors associated with violence included: childhood sexual abuse, binge...

Do Customers Flee From HIV? A Survey of HIV Stigma and Its Potential Economic Consequences on Small Businesses in Tshwane (Pretoria), South Africa

Jun. 19, 2017

Li-Wei Chao, Helena Szrek, Rui Leite, Shandir Ramlagan, Karl Peltzer

In AIDS and Behavior, Li-Wei Chao and colleagues investigate if businesses in Pretoria, South Africa with workers known to be HIV positive lose a large percentage of their customers. The researchers interviewed over two thousand individuals and found that, despite zero risk of infection, consumers feared acquiring HIV from products sold by a business with HIV positive workers. This impact of customer decline was found to vary based on the type of business, with an especially strong perceived decline among food businesses. These results suggest that reducing public health scare...

Attitudes and Practices of Euthanasia and Physician Assisted Suicide in the US, Canada and Europe

Aug. 19, 2016

Ezekiel J. Emanuel; Bregje D. Onwuteaka-Philipsen; John W. Urwin; Joachim Cohen

In JAMA, Ezekiel Emanuel and colleagues review the legal status as well as the available data and practices of euthanasia and physician assisted suicide. This study gathers data from polling, published surveys of the public and physicians, official state and country databases, interview studies with physicians and death certificate studies from 1947 to 2016 to paint a thorough picture. The findings show that euthanasia and physician-assisted suicide can be practiced in the Netherlands, Belgium, Luxembourg, Colombia, and Canada. Physician assisted suicide, excluding euthanasia, is...

Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying With Cancer in 7 Developed Countries

Feb. 17, 2016

Justin Bekelman, Scott Halpern, Carl Rudolf Blankart, Julie Bynum, Joachim Cohen, Robert Fowler, Stein Kaasa, Lukas Kwietniewski, Hans Olav Melberg, Bregie Onwuteaka-Philipsen, Mariska Oosterveld-Vulg, Andrew Pring, Joans Schreyogg, Connie Ulrich...

In The Journal of the American Medical Association, Justin Bekelman and colleagues, including Scott Halpern, Connie Ulrich and Ezekiel Emanuel compare site of death, health care utilization and hospital expenditures in 7 countries: Belgium, Canada, England, Germany, the Netherlands, Norway and the United States. Using administrative and registry data, the researchers measured deaths in acute care hospital, along with inpatient and outpatient measures, and hospital expenditures paid by insurers. They find that a smaller proportion of decedents, older than 65, died in acute...

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