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  1 / 1985 MEDLINE  
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[PMID]:29215337
[Au] Autor:Tütüncü EE; Güner R; Gürbüz Y; Kaya Kalem A; Öztürk B; Hasanoglu I; Sencan I; Tasyaran MA
[Ad] Endereço:Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
[Ti] Título:Adherence to Nucleoside/Nucleotide Analogue Treatment in Patients with Chronic Hepatitis B.
[So] Source:Balkan Med J;34(6):540-545, 2017 12 01.
[Is] ISSN:2146-3131
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Adherence to medication is an important aspect of preventing drug resistance and treatment failure in patients receiving nucleos(t)ide analogues for chronic hepatitis B. AIMS: To assess adherence to nucleoside/nucleotide analogues in chronic hepatitis B treatment and to determine factors associated with non-adherence. STUDY DESIGN: Cross-sectional study. METHODS: The study enrolled 85 chronic hepatitis B patients who had been receiving nucleoside/nucleotide analogues for ≥3 months. A questionnaire was completed by patients themselves, and adherence was evaluated based on patients' self-reporting. The use of at least 95% of the drugs in the previous month was considered as adequate adherence. RESULTS: Adherence was adequate in 82.4% of patients. Female gender (p=0.003), unemployment (p=0.041) and lower monthly family income (p=0.001) were related to lower adherence. Better adherence was significantly linked to adequate basic knowledge regarding chronic hepatitis B (p=0.049), longer treatment duration than 12 months (p<0.001), previous use of other medications for chronic hepatitis B (p=0.014) and regular follow-up by the same physician (p<0.001). CONCLUSION: Counselling patients about their disease state and the consequences of non-adherence is an important intervention for enhancing adherence. Naïve patients should be followed up more frequently to reinforce adherence.
[Mh] Termos MeSH primário: Antivirais/uso terapêutico
Aconselhamento Diretivo/métodos
Alfabetização em Saúde/estatística & dados numéricos
Hepatite B Crônica/tratamento farmacológico
Adesão à Medicação/estatística & dados numéricos
Nucleosídeos/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos Transversais
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Masculino
Meia-Idade
Fatores Socioeconômicos
Inquéritos e Questionários
Turquia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antiviral Agents); 0 (Nucleosides)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.4274/balkanmedj.2016.1461


  2 / 1985 MEDLINE  
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[PMID]:28746168
[Au] Autor:Pittalis S; Orchi N; De Carli G; Navarra A; Chiaradia G; Puro V; Girardi E
[Ad] Endereço:*Clinical Epidemiology Unit, National Institute for Infectious Disease "L. Spallanzani"-IRCCS, Rome, Italy †Infectious Disease Epidemiology Unit, AIDS Reference Centre, National Institute for Infectious Disease "L. Spallanzani"-IRCCS, Rome, Italy.
[Ti] Título:HIV Self-Testing in Italy.
[So] Source:J Acquir Immune Defic Syndr;76(3):e84-e85, 2017 11 01.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Sorodiagnóstico da AIDS
Infecções por HIV/diagnóstico
Acesso aos Serviços de Saúde/estatística & dados numéricos
Kit de Reagentes para Diagnóstico/utilização
Autocuidado
[Mh] Termos MeSH secundário: Sorodiagnóstico da AIDS/utilização
Adulto
Aconselhamento Diretivo
Infecções por HIV/epidemiologia
Conhecimentos, Atitudes e Prática em Saúde
Promoção da Saúde
Homossexualidade Masculina
Seres Humanos
Itália/epidemiologia
Masculino
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:LETTER; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Reagent Kits, Diagnostic)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000001507


  3 / 1985 MEDLINE  
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[PMID]:29470461
[Au] Autor:Va P; Luncheon C; Thompson-Paul AM; Fang J; Merritt R; Cogswell ME
[Ti] Título:Self-Reported Receipt of Advice and Action Taken To Reduce Dietary Sodium Among Adults With and Without Hypertension - Nine States and Puerto Rico, 2015.
[So] Source:MMWR Morb Mortal Wkly Rep;67(7):225-229, 2018 Feb 23.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hypertension is a major cardiovascular disease risk factor (1,2). Advice given by health professionals can result in lower sodium intake and lower blood pressure (3).The 2017 Hypertension Guideline released by the American College of Cardiology and the American Heart Association emphasizes nonpharmacologic approaches, including sodium reduction, as important components of hypertension prevention and treatment (4). Data from 50,576 participants in the sodium module of the 2015 Behavioral Risk Factor Surveillance System (BRFSS) in nine states and Puerto Rico were analyzed to determine the prevalence of reported sodium reduction advice and action among participants with and without self-reported hypertension. Among participants with self-reported hypertension, adjusted prevalence of receiving sodium reduction advice from a health professional was 41.9%, compared with 12.8% among participants without hypertension. Among those with hypertension, adjusted prevalence of reported action to reduce sodium intake was 80.9% among participants who received advice and 55.7% among those who did not receive advice. Among participants without hypertension, adjusted prevalence of taking action to reduce sodium intake was 72.7% among those who received advice and 46.9% among those who did not receive advice. The provision of advice on sodium reduction by health professionals is associated with respondent action to watch or reduce sodium intake. Fewer than half of patients with hypertension received this advice from their health professionals, a circumstance that represents a substantial missed opportunity to promote hypertension prevention and treatment.
[Mh] Termos MeSH primário: Aconselhamento Diretivo/estatística & dados numéricos
Comportamentos Relacionados com a Saúde
Hipertensão/epidemiologia
Sódio na Dieta/administração & dosagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Sistema de Vigilância de Fator de Risco Comportamental
Estudos Transversais
Feminino
Seres Humanos
Hipertensão/prevenção & controle
Masculino
Meia-Idade
Porto Rico/epidemiologia
Autorrelato
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Sodium, Dietary)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180223
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6707a5


  4 / 1985 MEDLINE  
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Registro de Ensaios Clínicos
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[PMID]:29246348
[Au] Autor:Chilukuri N; Cheng TL; Psoter KJ; Mistry KB; Connor KA; Levy DJ; Upadhya KK
[Ad] Endereço:Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: nchiluk1@jhmi.edu.
[Ti] Título:Effectiveness of a Pediatric Primary Care Intervention to Increase Maternal Folate Use: Results from a Cluster Randomized Controlled Trial.
[So] Source:J Pediatr;192:247-252.e1, 2018 Jan.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the impact of provision of folate vitamins and a preconception health intervention on folate use among mothers bringing infants to pediatric primary care. STUDY DESIGN: We conducted a cluster randomized trial in mothers presenting with their infants (<12 months) at 4 urban pediatric practices in the Baltimore, Maryland, metropolitan area. There were 45 clinicians randomized into an intervention group (15-item preconception health screening and counseling and 90-day multivitamin supply) and control group (preconception health and community resource handouts and 90-day multivitamin supply). Participating mothers were enrolled in the study group assigned to their child's clinician. Baseline and 6-month follow-up interviews were performed. The outcome was daily use of folate, multivitamin, and a prenatal vitamin containing folate. Primary independent variables were time of assessment and mother's study group (intervention or control groups). Covariates investigated were mother's and child's age, race/ethnicity, education, marital status, income, insurance status, previous live births, and intention to have a pregnancy in the next 6 months. RESULTS: We enrolled 415 mothers at baseline who were majority African American and low income. Of the 415 enrolled participants, 352 (85%) completed follow-up interviews. Among all participants, daily vitamin intake increased from baseline to 6-month follow-up (33.8% vs 42.6%; P = .016). After adjustment for covariates and clustered design, there was an augmented effect in the intervention vs control group (aOR, 2.04; 95% CI, 1.04-3.98). CONCLUSIONS: Offering vitamins and recommending folate intake to mothers within pediatric practice can increase use. Pediatric practice is an important contact point and context for improving maternal folate use. TRIAL REGISTRATION: ClinicalTrials.govNCT02049554.
[Mh] Termos MeSH primário: Ácido Fólico
Comportamento Materno
Serviços de Saúde Materno-Infantil
Cooperação do Paciente/estatística & dados numéricos
Cuidado Pré-Concepcional/métodos
Atenção Primária à Saúde/métodos
Complexo Vitamínico B
[Mh] Termos MeSH secundário: Adulto
Aconselhamento Diretivo
Feminino
Seguimentos
Comportamentos Relacionados com a Saúde
Seres Humanos
Modelos Estatísticos
Avaliação de Resultados (Cuidados de Saúde)
Pediatria
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
12001-76-2 (Vitamin B Complex); 935E97BOY8 (Folic Acid)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


  5 / 1985 MEDLINE  
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[PMID]:29172366
[Au] Autor:Raindi D; Thornley P
[Ti] Título:Dietary Advice - Getting the Message Across.
[So] Source:Dent Update;44(4):353-4,356-60, 2017 Apr.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Providing dietary advice to our patients forms the cornerstone of prevention for many dental diseases. However, simply prescribing information is unlikely to bring about long-term behavioural change. This article explores the theory of health behaviour as well as ways in which we can 'get the message across'. Clinical relevance: Prescriptive approaches to behaviour changes can be considered inconsistent and ineffective. This article explores more patient-centred methods of inducing behaviour change with regard to dietary advice in the general dental practice setting.
[Mh] Termos MeSH primário: Aconselhamento Diretivo
Dieta Saudável
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


  6 / 1985 MEDLINE  
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[PMID]:29300722
[Au] Autor:Hootman JM; Murphy LB; Omura JD; Brady TJ; Boring M; Barbour KE; Helmick CG
[Ti] Título:Health Care Provider Counseling for Physical Activity or Exercise Among Adults with Arthritis - United States, 2002 and 2014.
[So] Source:MMWR Morb Mortal Wkly Rep;66(5152):1398-1401, 2018 Jan 05.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Arthritis affects an estimated 54 million U.S. adults and, as a common comorbidity, can contribute arthritis-specific limitations or barriers to physical activity or exercise for persons with diabetes, heart disease, and obesity (1). The American College of Rheumatology's osteoarthritis management guidelines recommend exercise as a first-line, nonpharmacologic strategy to manage arthritis symptoms (2), and a Healthy People 2020 objective is to increase health care provider counseling for physical activity or exercise among adults with arthritis.* To determine the prevalence and percentage change from 2002 to 2014 in receipt of health care provider counseling for physical activity or exercise (counseling for exercise) among adults with arthritis, CDC analyzed 2002 and 2014 National Health Interview Survey (NHIS) data. From 2002 to 2014, the age-adjusted prevalence of reporting health care provider counseling for exercise among adults with arthritis increased 17.6%, from 51.9% (95% confidence interval [CI] = 49.9%-53.8%) to 61.0% (CI = 58.6%-63.4%) (p<0.001). The age-adjusted prevalence of reporting health care provider counseling for exercise among persons with arthritis who described themselves as inactive increased 20.1%, from 47.2% (CI = 44.0%-50.4%) in 2002 to 56.7% (CI = 52.3%-61.0%) in 2014 (p = 0.001). Prevalence of counseling for exercise has increased significantly since 2002; however, approximately 40% of adults with arthritis are still not receiving counseling for exercise. Improving health care provider training and expertise in exercise counseling and incorporating prompts into electronic medical records are potential strategies to facilitate counseling for exercise that can help adults manage their arthritis and comorbid conditions.
[Mh] Termos MeSH primário: Artrite/terapia
Aconselhamento Diretivo/estatística & dados numéricos
Exercício
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Artrite/psicologia
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Masculino
Meia-Idade
Estilo de Vida Sedentário
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180105
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm665152a2


  7 / 1985 MEDLINE  
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[PMID]:29169441
[Au] Autor:Spencer ES; Lyons MD; Pruthi RS
[Ad] Endereço:Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
[Ti] Título:Patient Selection and Counseling for Urinary Diversion.
[So] Source:Urol Clin North Am;45(1):1-9, 2018 Feb.
[Is] ISSN:1558-318X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patient selection and preoperative counseling are critical aspects of determining which urinary diversion to perform and should be emphasized at each stage of preoperative planning. The surgeon must have a thorough understanding of the patient's disease process, functional and psycho-emotional status, and social support network so that they can set appropriate expectations. It is also crucial to have a multidisciplinary team of individuals who are experienced with all aspects of urinary diversion care, including ostomy nurses, nurse navigators, and urologic surgeons skilled at teaching and trouble-shooting self-catheterization for continent cutaneous diversion and orthotopic diversion in the setting of hypercontinence.
[Mh] Termos MeSH primário: Aconselhamento Diretivo
Seleção de Pacientes
Derivação Urinária
[Mh] Termos MeSH secundário: Seres Humanos
Complicações Pós-Operatórias
Derivação Urinária/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171125
[St] Status:MEDLINE


  8 / 1985 MEDLINE  
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[PMID]:28797022
[Au] Autor:LaCourse SM; Deya RW; Graham SM; Masese LN; Jaoko W; Mandaliya KN; Overbaugh J; McClelland RS
[Ad] Endereço:*Department of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA;†Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya;Departments of ‡Epidemiology, University of Washington, Seattle, WA;§Global Health, University of Washington, Seattle, WA;‖Department of Medical Microbiology, University of Nairobi, Kenya; and¶Division of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, WA.
[Ti] Título:Evaluation of the Isoniazid Preventive Therapy Care Cascade Among HIV-Positive Female Sex Workers in Mombasa, Kenya.
[So] Source:J Acquir Immune Defic Syndr;76(1):74-81, 2017 Sep 01.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Kenyan female sex workers (FSWs) have a high HIV prevalence, increasing their tuberculosis (TB) risk. Despite recommendations that HIV-positive individuals be offered isoniazid preventive therapy (IPT), uptake has been limited. METHODS: In this longitudinal cohort of HIV-positive FSWs, we retrospectively characterized the IPT care cascade between March 2000 and January 2010, including reasons for cascade loss or appropriate exit. Cascade success required completion of 6 months of IPT. Baseline characteristics were assessed as potential correlates of cascade loss using multivariable logistic regression. RESULTS: Among 642 HIV-positive FSWs eligible for IPT evaluation, median age was 31 years (IQR 26-35) with median CD4 lymphocyte count of 409 (IQR 292-604) cells per cubic millimeter. There were 249 (39%) women who successfully completed 6 months of IPT, 157 (24%) appropriately exited the cascade, and 236 (37%) were cascade losses. Most cascade losses occurred at symptom screen (38%, 90/236), chest radiograph evaluation (28%, 66/236), or during IPT treatment (30%, 71/236). Twenty-nine women were diagnosed with tuberculosis, including one after IPT initiation. Most women initiating IPT completed the course (71%, 249/351); <5% had medication intolerance. Younger women [<25 and 25-35 vs. >35 years; adjusted odds ratio (AOR) 2.65, 95% confidence interval (CI): 1.46 to 4.80 and AOR 1.78, 95% CI: 1.13 to 2.80, respectively], and those evaluated for IPT after antiretroviral availability in 2004 (AOR 1.92, 95% CI: 1.31 to 2.81), were more likely to be cascade losses. CONCLUSIONS: Implementation of IPT among HIV-positive FSWs in Kenya is feasible. However, significant losses along the IPT care cascade underscore the need for strategies improving retention in care.
[Mh] Termos MeSH primário: Infecções Oportunistas Relacionadas com a AIDS/prevenção & controle
Antituberculosos/uso terapêutico
Infecções por HIV/complicações
Isoniazida/uso terapêutico
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Profissionais do Sexo
Tuberculose/prevenção & controle
[Mh] Termos MeSH secundário: Infecções Oportunistas Relacionadas com a AIDS/complicações
Adulto
Contagem de Linfócito CD4
Aconselhamento Diretivo
Feminino
Infecções por HIV/tratamento farmacológico
Infecções por HIV/imunologia
Seres Humanos
Quênia
Estudos Longitudinais
Prevalência
Avaliação de Programas e Projetos de Saúde
Estudos Retrospectivos
Tuberculose/complicações
Carga Viral
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antitubercular Agents); V83O1VOZ8L (Isoniazid)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000001461


  9 / 1985 MEDLINE  
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[PMID]:28736392
[Au] Autor:Ondenge K; Renju J; Bonnington O; Moshabela M; Wamoyi J; Nyamukapa C; Seeley J; Wringe A; Skovdal M
[Ad] Endereço:Kenya Medical Research Institute (KEMRI), Centre for Global Health Research, Kisumu, Kenya.
[Ti] Título:'I am treated well if I adhere to my HIV medication': putting patient-provider interactions in context through insights from qualitative research in five sub-Saharan African countries.
[So] Source:Sex Transm Infect;93(Suppl 3), 2017 Jul.
[Is] ISSN:1472-3263
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The nature of patient-provider interactions and communication is widely documented to significantly impact on patient experiences, treatment adherence and health outcomes. Yet little is known about the broader contextual factors and dynamics that shape patient-provider interactions in high HIV prevalence and limited-resource settings. Drawing on qualitative research from five sub-Saharan African countries, we seek to unpack local dynamics that serve to hinder or facilitate productive patient-provider interactions. METHODS: This qualitative study, conducted in Kisumu (Kenya), Kisesa (Tanzania), Manicaland (Zimbabwe), Karonga (Malawi) and uMkhanyakude (South Africa), draws upon 278 in-depth interviews with purposively sampled people living with HIV with different diagnosis and treatment histories, 29 family members of people who died due to HIV and 38 HIV healthcare workers. Data were collected using topic guides that explored patient testing and antiretroviral therapy treatment journeys. Thematic analysis was conducted, aided by NVivo V.8.0 software. RESULTS: Our analysis revealed an array of inter-related contextual factors and power dynamics shaping patient-provider interactions. These included (1) participants' perceptions of roles and identities of 'self' and 'other'; (2) conformity or resistance to the 'rules of HIV service engagement' and a 'patient-persona'; (3) the influence of significant others' views on service provision; and (4) resources in health services. We observed that these four factors/dynamics were located in the wider context of conceptualisations of power, autonomy and structure. CONCLUSION: Patient-provider interaction is complex, multidimensional and deeply embedded in wider social dynamics. Multiple contextual domains shape patient-provider interactions in the context of HIV in sub-Saharan Africa. Interventions to improve patient experiences and treatment adherence through enhanced interactions need to go beyond the existing focus on patient-provider communication strategies.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/uso terapêutico
Aconselhamento Diretivo/métodos
Infecções por HIV/tratamento farmacológico
Infecções por HIV/psicologia
Adesão à Medicação/estatística & dados numéricos
Relações Médico-Paciente
[Mh] Termos MeSH secundário: África ao Sul do Saara
Feminino
Pessoal de Saúde
Seres Humanos
Entrevistas como Assunto
Masculino
Adesão à Medicação/psicologia
Assistência Centrada no Paciente
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170725
[St] Status:MEDLINE


  10 / 1985 MEDLINE  
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[PMID]:28694200
[Au] Autor:Gould GS; Lim LL; Mattes J
[Ad] Endereço:Priority Reseach Centre for Brain and Mental Health Research, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia. Electronic address: gillian.gould@newcastle.edu.au.
[Ti] Título:Prevention and Treatment of Smoking and Tobacco Use During Pregnancy in Selected Indigenous Communities in High-Income Countries of the United States, Canada, Australia, and New Zealand: An Evidence-Based Review.
[So] Source:Chest;152(4):853-866, 2017 Oct.
[Is] ISSN:1931-3543
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Tobacco smoking during pregnancy is the most important modifiable risk factor for adverse pregnancy outcomes and long-term health complications for mother and baby. Tobacco use during pregnancy has decreased in high-income countries but not in Indigenous women in Australia, New Zealand, the United States, and Canada. This evidence-based review focuses on tobacco use among Indigenous pregnant women in high-income countries that share a history of European colonization. Indigenous women are more likely to use tobacco because of socioeconomic disadvantage, social norms, and poor access to culturally appropriate tobacco cessation support. Complications arising from tobacco smoking during pregnancy, such as low birth weight, prematurity, perinatal death, and sudden infant death syndrome, are much higher in Indigenous populations. Effective approaches to cessation in pregnant nonindigenous women involves behavioral counseling, with or without nicotine replacement therapy (NRT). Higher nicotine metabolism during pregnancy and poor adherence may affect therapeutic levels of NRT. Only two randomized trials were conducted among Indigenous women: neither found a statistically significant difference in cessation rates between the treatment and comparison arms. Considerations should be given to (1) whole life course approaches to reduce tobacco use in Indigenous women, (2) prohibiting tobacco promotion and reducing access to alcohol for minors to prevent smoking initiation in Indigenous youth, and (3) training health-care professionals in culturally appropriate smoking cessation care to improve access to services. It is critical to ensure acceptability and feasibility of study designs, consult with the relevant Indigenous communities, and preempt implementation challenges. Research is needed into the effect of reducing or stopping smoking during pregnancy when using NRT on subsequent maternal and infant outcomes.
[Mh] Termos MeSH primário: Aconselhamento Diretivo/métodos
Serviços de Saúde do Indígena/organização & administração
Complicações na Gravidez
Abandono do Hábito de Fumar/métodos
Prevenção do Hábito de Fumar
Tabagismo/terapia
[Mh] Termos MeSH secundário: Austrália/epidemiologia
Canadá/epidemiologia
Feminino
Seres Humanos
Incidência
Nova Zelândia/epidemiologia
Gravidez
Resultado da Gravidez
Fumar/efeitos adversos
Fumar/epidemiologia
Tabagismo/epidemiologia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE



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