Abstract：
:Health service utilization is an important component of child health promotion. Evidence shows that two-thirds of child deaths in low and middle income countries could be prevented if current interventions were adequately utilized. Aim of this study was to identify determinants of variation in health services utilization for children in communities in Nigeria. Multivariable negative binomial regression model attempting to explain observed variability in health services usage in Nigerian communities was applied to the 2013 Nigeria Demographic and Health Survey data. We included the index of maternal deprivation, gender of child, community environmental factor index, and maternal health seeking behaviour, multiple childhood deprivation index and ethnicity diversity index as the independent variables. The outcome variable was under-fives' hospital attendance rates for acute illness. Of the 7577 children from 896 communities in Nigeria that were sick 1936 (25.6%) were taken to the health care facilities for treatment. The final model revealed that both multiple childhood deprivation (incidence rate ratio [IRR]=1.23, 95% confidence interval [CI] 1.12 to 1.35) and children living in communities with a high ethnic diversity were associated with higher rate of health service use. Maternal health seeking behaviour was associated with a significantly lower rate of health care service use. There are significant variations in health services utilization for sick children across Nigeria communities which appear to be more strongly determined by childhood deprivation factors and maternal health seeking behaviour than by health system functions.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Adekanmbi VT,Adedokun ST,Taylor-Phillips S,Uthman OA,Clarke Adoi
10.1016/j.ypmed.2016.12.035subject
Has Abstractpub_date
2017-03-01 00:00:00pages
67-72eissn
0091-7435issn
1096-0260pii
S0091-7435(16)30439-Xjournal_volume
96pub_type
杂志文章abstract：:More physical activity (PA) and less screen time (ST) are positively associated with mental health in adolescents; however, research is limited by short-term designs and the exclusion of ST when examining PA. We examined: (a) changes in PA, ST, symptoms of depression, and symptoms of anxiety over four assessments span...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.04.002
更新日期：2016-07-01 00:00:00
abstract：:The Community Care Connections (CCC) program aims to align social and healthcare services to improve health outcomes in older adults with complex medical and social needs. This study assessed changes in healthcare utilization before and after CCC program participation. Between June 2016 and March 2019, 1214 adults wit...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2020.106350
更新日期：2021-02-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2015.06.006
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND:Muscle-strengthening activity (MSA) (e.g. weight training), confers unique health benefits. While socioeconomic status (SES) correlates with leisure time physical activity, little is known about its relation with MSA. METHODS:Cross-sectional study of a representative sample of 8993 Australian adults (>18yea...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.06.020
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVE:To review the published literature on the effectiveness of web-based interventions designed to decrease consumption of alcohol and/or prevent alcohol abuse. METHOD:Relevant articles published up to, and including, May 2006 were identified through electronic searches of Medline, PsycInfo, Embase, Cochrane Lib...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2008.01.005
更新日期：2008-07-01 00:00:00
abstract：:Group Health Cooperative (GHC) of Puget Sound is a prepaid health plan with 285,000 enrollees and 340 physicians. In 1978 a "criterion analysis" approach was instituted to develop medical staff recommendations about preventive care. By 1979, two recommendations evolved discouraging the "routine" use of: (a) chest X ra...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90247-5
更新日期：1983-05-01 00:00:00
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journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1006/pmed.1997.0231
更新日期：1997-11-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(90)90036-j
更新日期：1990-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.03.022
更新日期：2014-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.03.012
更新日期：2010-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.02.020
更新日期：2017-06-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.06.007
更新日期：2014-09-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1996.0107
更新日期：1996-11-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(88)90055-2
更新日期：1988-09-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.2000.0758
更新日期：2000-12-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2003.12.015
更新日期：2004-05-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2016.08.030
更新日期：2016-10-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ypmed.2010.01.003
更新日期：2010-03-01 00:00:00
abstract：BACKGROUND:This article describes the results of studies on the barriers and benefits of cervical cancer screening from the perspective of women, men, and health providers in five Latin American countries and compares them to other findings from the literature. METHODS:Five separate qualitative studies (focus groups a...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.03.040
更新日期：2004-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2006.10.004
更新日期：2007-02-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2009.10.015
更新日期：2010-01-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.11.020
更新日期：2017-05-01 00:00:00
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journal_title：Preventive medicine
pub_type： 临床试验,杂志文章
doi：10.1016/j.ypmed.2003.09.045
更新日期：2004-03-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1997.0207
更新日期：1997-09-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.09.012
更新日期：2010-12-01 00:00:00
abstract：:Colorectal cancer is a major public health challenge worldwide. In Europe it is the first malignancy in terms of incidence and the second in terms of mortality in both genders. Despite evidence indicating that removal of premalignant and early-stage cancer lesion scan greatly reduce mortality, remarkable differences a...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2014.02.010
更新日期：2014-05-01 00:00:00
abstract：:Cervical cancer screening rates in the United States are generally high, yet certain groups demonstrate disparities in screening and surveillance. The populations at greatest risk of HPV and subsequent cervical cancer are often from medically underserved and/or marginalized groups and are typically less engaged with t...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2020.106400
更新日期：2020-12-31 00:00:00
abstract：OBJECTIVE:Nurse practitioners (NPs) provide frontline care in women's health, including contraception, an essential preventive service. Their importance for contraceptive care will grow, with healthcare reforms focused on affordable primary care. This study assessed practice and training needs to prepare NPs to offer h...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.10.005
更新日期：2013-12-01 00:00:00
abstract：:Studies of adult nutrition education and counseling for weight reduction, diabetes, cancer, low-fat diets, sodium-restricted diets, and renal diets are reviewed and synthesized. Nutrition education consists of three phases: assessment or problem diagnosis, intervention, and evaluation and monitoring. This article exam...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/0091-7435(85)90069-6
更新日期：1985-11-01 00:00:00
abstract：:During the last 25 years a remarkable change has occurred in the ranking of the causes of death in Japan. In particular, stroke, the leading cause of death in Japan for a long period of time, has been declining from its peak in 1965. Although ischemic heart disease increased about fourfold, it is not yet as prominent ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90198-6
更新日期：1983-01-01 00:00:00
