The emerging concept of planetary health needs to be discussed in a more organized and sustainable way within the global public health and healthcare disciplines. Therefore, planetary health should be considered a cardinal component of the global academic framework for healthcare professionals. The availability of related curricula and courses is crucial to equip health professionals in this relatively new discipline of planetary health. In this review article, we aimed to explore published articles and online databases of courses to summarize the available planetary health education opportunities and discussions for health professionals, to identify the gaps in resource allocation and to suggest future recommendations. We observed a visible resource inequity in the global south with the lack of a universal planetary health module for healthcare professionals. Additionally, there is minimal inclusion of allied health disciplines in this learning process. We therefore recommend a dedicated network of motivated healthcare professionals and regional hubs with an agenda to ensure a comprehensive, uniform, and inclusive planetary health education curriculum and practice.
Social interaction across multiple online platforms is a challenge for gender and sexual minorities (GSM) due to the stigmatization they face, which increases the complexity of their self-presentation decisions. These online interactions and identity disclosures can be more complicated for GSM in non-Western contexts due to consequentially different audiences and perceived affordances by the users, and limited baseline understanding of the conflation of these two with local norms and the opportunities they practically represent. Using focus group discussions and semi-structured interviews, we engaged with 61 Hijra individuals from Bangladesh, a severely stigmatized GSM from south Asia, to understand their overall online participation and disclosure behaviors through the lens of personal social media ecosystems. We find that along with platform audiences, affordances, and norms, participant skill/knowledge, and cultural influences also impact navigation through multiple platforms, resulting in differential benefits from privacy features. This impacts how Hijra perceive online spaces, and shape their self-presentation and disclosure behaviors over time. Content Warning: This paper discusses graphic contents (e.g. rape and sexual harassment) related to Hijra.
Background Population health indices measure a specific population group’s health risk. There is a lack of research on how population indices are used in cancer research. The aim of this study was to provide the first scoping review of the literature on the use of population health indices in cancer research. Methods A scoping review included three databases for research papers, which had to be published anytime through September 2021. PRISMA reporting guidelines were followed throughout this study, and the Mixed Methods Appraisal Tool was used to determine study quality. Results A total of 1493 articles were identified, with 250 meeting the inclusion criteria. Population health indices are used in cancer research to explain the global and regional effects of intervention measures, such as cancer screening programs and policy implementation. Population health indices were also used to study cancer’s economic outcomes, the burden of disease, and spatial and temporal patterns. Breast, lung, cervical, liver, and colorectal cancers appeared in most studies. Additionally, there is considerably less cancer research using population health indices in low-income and lower-middle-income countries. Conclusions The use of population health indices for cancer research is widespread and can inform various investigations. There is a marked lack of such studies from low-income and lower-middle-income countries. Additionally, ensuring the accuracy and timeliness of data across all countries will improve the accuracy of the usefulness of population health indices.
Almost all low- and middle-income countries (LMICs) have instated a program to control and manage non-communicable diseases (NCDs). Population screening is an integral component of this strategy and requires a substantial chunk of investment. Therefore, testing the screening program for economic along with clinical effectiveness is essential. There is significant proof of the benefits of incorporating economic evidence in health decision-making globally, although evidence from LMICs in NCD prevention is scanty. This systematic review aims to consolidate and synthesize economic evidence of screening programs for cardiovascular diseases (CVD) and diabetes from LMICs. The study protocol is registered on PROSPERO (CRD42021275806). The review includes articles from English and Chinese languages. An initial search retrieved a total of 2,644 potentially relevant publications. Finally, 15 articles (13 English and 2 Chinese reports) were included and scrutinized in detail. We found 6 economic evaluations of interventions targeting cardiovascular diseases, 5 evaluations of diabetes interventions, and 4 were combined interventions, i.e., screening of diabetes and cardiovascular diseases. The study showcases numerous innovative screening programs that have been piloted, such as using mobile technology for screening, integrating non-communicable disease screening with existing communicable disease screening programs, and using community health workers for screening. Our review reveals that context is of utmost importance while considering any intervention, i.e., depending on the available resources, cost-effectiveness may vary—screening programs can be made universal or targeted just for the high-risk population.
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