Can we understand and improve poorer cancer survival in rural-dwellers?
Published in BJGP Open
Prevalencia de hipotiroidismo en Andalucía según el consumo de hormona tiroidea en 2014
ABSTRACT Background: Hypothyroidism is the most common condition linked to a hormone deficiency, nevertheless data on its prevalence are scarce in Spain. For that reason, we have estimated its prevalence through the registration of patients who had used thyroid hormones in Andalusia (South Spain). Method: data of patients who had withdrawn levothyr...
Pass rates on the American Board of Family Medicine Certification Exam by residency location and size.
Published in Journal of the American Board of Family Medicine : JABFM
Approximately half of the family medicine training programs do not meet the ACGME examination performance standards. Pass rates are associated with residency program size, and regional variation occurs. These findings have the potential to affect ACGME policy and residency program application patterns.
Chronic disease, geographic location and socioeconomic disadvantage as obstacles to equitable access to e-health
Despite recent public attention to e-health as a solution to rising healthcare costs and an ageingpopulation, there have been relatively few studies examining the geographical pattern of e-health usage. This paper argues for an equitable approach to e-health and attention to the way in which e-health initiatives can produce locational health inequa...
A planning framework for community empowerment goals within health promotion.
Published in Health policy and planning
Health promotion often comprises a tension between 'bottom-up' and 'top-down' programming. The former, more associated with concepts of community empowerment, begins on issues of concern to particular groups or individuals, and regards some improvement in their overall power or capacity as the important health outcome. The latter, more associated w...
[Influence of helminthic infections and nutritional status on immune response in Venezuelan children].
Published in Revista panamericana de salud publica = Pan American journal of public health
We investigated the influence of nutritional status, as determined from anthropometric measurement, and of helminthic infections on the immune response of children of low socioeconomic status in two rural communities in Venezuela: El Cardón in the state of Nueva Esparta and San Daniel in the state of Miranda. A total of 125 boys and girls between 2...
Geographical patterns of cholera in Mexico, 1991-1996.
Published in International journal of epidemiology
This ecologic research suggests that high poverty level, low urbanization, and southern location are the most important predictors of endemic cholera in Mexican states. It is hypothesized that the natural environment of the coastal plains in southern states may also play a significant role in cholera incidence. Poor communities residing in the sout...
Intact or in tatters? Family care of older women and men in urban Mexico.
Published in Gender and development
This article asks how family relationships affect the living conditions of low-income elderly people in urban Mexico. The existence of so many elderly women living alone in the country is at odds with cultural beliefs portraying mothers as the archetypal recipients of family charity. It is evident that there is little state provision of accommodati...
"At my age I should be sitting under that tree": the impact of AIDS on Tanzanian lakeshore communities.
Published in Gender and development
In 1992, the author led a participatory rural appraisal (PRA) exercise for a community fisheries project in Kagera region, on the western side of Lake Victoria, Tanzania. The PRA team visited four settlements: the prime harbor settlement on Kerebe Island; N'toro beach, in Bukoba district, near the Ugandan border; Chamkwikwi landing site in Muleba d...
Developing an interactive STD-prevention program for youth: lessons from a north Indian slum.
Published in Studies in family planning
An intervention developed to teach young men in the urban slums of Lucknow, India, about sexually transmitted diseases is described in detail. This community-based intervention was designed to impart core educational messages and to address preexisting ideas about sexual health and STD-prevention practices among participants. Indicators of knowledg...
