Men Health Seeking Behaviour: A literature review

Abdullah, Nik Nairan; Arsat, Mohd Haffis Mohd; Aziz, Noor Rafizah Aminah; Al-Kubaisy, Waqar

doi:10.21834/ebpj.v7i20.3484

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…The high CFRs among male cases is consistent with other studies that have demonstrated female sex as protective against unfavorable cholera outcomes [26,27]. This has been attributed to men seeking healthcare late and less often [28]. This study also concurred with previous observations of high cholera CFRs among children [29,30].…”

Section: Discussionsupporting

confidence: 91%

A protracted cholera outbreak in Nairobi City County associated with mass gathering events, Kenya, 2017

Ngere,

Langat,

Ngere

et al. 2023

Preprint

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Cholera continues to cause many outbreaks in low and middle-income countries due to inadequate water, sanitation, and hygiene services. We describe a protracted cholera outbreak in Nairobi City County (NCC), Kenya in 2017. We reviewed the cholera outbreak line lists from NCC in 2017 to determine its extent and factors associated with death. A suspected case of cholera was any person aged >2 years old who had acute watery diarrhea, nausea, or vomiting, whereas a confirmed case was whereVibrio choleraewas isolated from the stool specimen. We summarized cases using for continuous variables and proportions for categorical variables. Associations between admission status, sex, age, residence, time to care seeking, and outbreak settings; and cholera associated deaths were assessed using odds ratio (OR) with 95% confidence interval (CI). Of the 2,737 cholera cases reported, we analyzed 2,347 (85.7%) cases including 1,364 (58.1%) outpatients, 1,724 (73.5%) not associated with mass gathering events (MGEs), 1,356 (57.8%) male and 2,202 (93.8%) aged ≥5 years, and 35 deaths (case fatality rate: 1.5%). Cases were reported from all the Sub Counties of NCC with an overall county attack rate of 50 per 100,000 people.Vibrio choleraeOgawa serotype was isolated from 78 (34.8%) of the 224 specimens tested and all isolates were sensitive to tetracycline and levofloxacin but resistant to amikacin. The odds of cholera-related deaths was lower among outpatient cases (aOR: 0.35; [95% CI: 0.17-0.72]), age ≥5 years old (aOR: 0.21 [95% CI: 0.09-0.55]), and MGEs (aOR: 0.26 [95% CI: 0.07-0.91]) while threefold higher odds among male (aOR: 3.04 [95% CI: 1.30-7.13]). NCC experienced a protracted and widespread cholera outbreak with a high case fatality rate in 2017.Author SummaryCholera outbreaks are common in Kenya. The highest number of cases were reported in 2015 with 10,536 cases across the country. The subsequent three years also recorded a high number of cholera cases with 6,137 cases in 2016, 4,217 cases in 2017, and 5,638 cases in 2018. During the four years (2015-2018), NCC contributed less than 20.0% of the cholera cases, except in 2017 when the county reported 56.9% (2,737) of the cases. In this study, we sought to describe the burden of cholera in NCC during the 2017 outbreak. We reviewed the cholera outbreak data from NCC in 2017 to determine its extent and risk factors for cholera-related deaths. The findings depict a prolonged and widespread cholera outbreak with the likelihood of death higher among male cases but lower among outpatients, cases aged ≥5 years old, and cases from the MGEs. More studies on the factors associated with cholera-related deaths are necessary to inform public health response.

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Section: Discussionsupporting

confidence: 91%

A protracted cholera outbreak in Nairobi City County associated with mass gathering events, Kenya, 2017

Ngere,

Langat,

Ngere

et al. 2023

Preprint

View full text Add to dashboard Cite

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Impact of comorbidities and personal characteristics on weather-related risk for community-acquired pneumonia

Brenner,

Link,

Khan

et al. 2024

Front. Clim.

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Community-acquired pneumonia (CAP) is one of the most frequent causes of death among infectious diseases worldwide. There is a growing concern about weather impacts on CAP. However, no studies have examined the effects of comorbidities and personal characteristics alongside the twofold impact of weather conditions (meteorological and air quality) on CAP. Our study investigates how personal characteristics (age, sex, and BMI) and comorbidities (asthma, chronic heart disease, COPD, diabetes, heart insufficiency, smoking, and tumor) and care influence the twofold compound impact of weather on CAP admissions. We match medical data from a German multicentre cohort of 10,660 CAP patients with daily regional weather data, using logistic regressions to calculate the “Pneumonia Risk Increase Factor” (PRIF). This factor quantifies the heightened risk of CAP admissions due to weather conditions. We demonstrate that individuals with specific personal characteristics and those with comorbidities are more susceptible to weather impacts in the context of CAP than their counterparts. People with COPD have a PRIF of 5.28, followed by people in care (5.23) and people with a high BMI (4.02). Air pollutants, particularly CO and PM2.5, play a significant role in increasing CAP hospitalizations. For meteorological conditions, air pressure and lower temperatures, combined with air pollutants, lead to high PRIFs. Our findings emphasize the increased weather vulnerability of old, high BMI, and males and people with comorbidities. This provides invaluable information to support at-risk individuals through protective measures and provides healthcare providers as well as health policymakers with insights for resource planning before and during pneumonia-contributing weather conditions.

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Men Health Seeking Behaviour: A literature review

Cited by 2 publications

References 23 publications

A protracted cholera outbreak in Nairobi City County associated with mass gathering events, Kenya, 2017

A protracted cholera outbreak in Nairobi City County associated with mass gathering events, Kenya, 2017

Impact of comorbidities and personal characteristics on weather-related risk for community-acquired pneumonia

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