Where a person lives as a determinant of health.
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Qurʾān
القرآن5 shownVerses named for this subject by hand come first. The rest are found by the subject’s own Arabic and English senses and are shown as lexical matches, not as anchors anyone has confirmed.
Qur'ān 4:36Arabic sense: الجار | English sense: neighbour
۞وَٱعۡبُدُواْ ٱللَّهَ وَلَا تُشۡرِكُواْ بِهِۦ شَيۡـࣰٔ اۖ وَبِٱلۡوَٰلِدَيۡنِ إِحۡسَٰنࣰ ا وَبِذِي ٱلۡقُرۡبَىٰ وَٱلۡيَتَٰمَىٰ وَٱلۡمَسَٰكِينِ وَٱلۡجَارِ ذِي ٱلۡقُرۡبَىٰ وَٱلۡجَارِ ٱلۡجُنُبِ وَٱلصَّاحِبِ بِٱلۡجَنۢبِ وَٱبۡنِ ٱلسَّبِيلِ وَمَا مَلَكَتۡ أَيۡمَٰنُكُمۡۗ إِنَّ ٱللَّهَ لَا يُحِبُّ مَن كَانَ مُخۡتَالࣰ ا فَخُورًا
Worship God; join nothing with Him. Be good to your parents, to relatives, to orphans, to the needy, to neighbours near and far, to travellers in need, and to your slaves. God does not like arrogant, boastful people
Qur'ān 69:11Arabic sense: الجار
إِنَّا لَمَّا طَغَا ٱلۡمَآءُ حَمَلۡنَٰكُمۡ فِي ٱلۡجَارِيَةِ
But when the Flood rose high, We saved you in the floating ship
Qur'ān 13:4English sense: neighbour
وَفِي ٱلۡأَرۡضِ قِطَعࣱ مُّتَجَٰوِرَٰتࣱ وَجَنَّٰتࣱ مِّنۡ أَعۡنَٰبࣲ وَزَرۡعࣱ وَنَخِيلࣱ صِنۡوَانࣱ وَغَيۡرُ صِنۡوَانࣲ يُسۡقَىٰ بِمَآءࣲ وَٰحِدࣲ وَنُفَضِّلُ بَعۡضَهَا عَلَىٰ بَعۡضࣲ فِي ٱلۡأُكُلِۚ إِنَّ فِي ذَٰلِكَ لَأٓيَٰتࣲ لِّقَوۡمࣲ يَعۡقِلُونَ
There are, in the land, neighbouring plots, gardens of vineyards, cornfields, palm trees in clusters or otherwise, all watered with the same water, yet We make some of them taste better than others: there truly are signs in this for people who reason
Qur'ān 33:60English sense: neighbour
۞لَّئِن لَّمۡ يَنتَهِ ٱلۡمُنَٰفِقُونَ وَٱلَّذِينَ فِي قُلُوبِهِم مَّرَضࣱ وَٱلۡمُرۡجِفُونَ فِي ٱلۡمَدِينَةِ لَنُغۡرِيَنَّكَ بِهِمۡ ثُمَّ لَا يُجَاوِرُونَكَ فِيهَآ إِلَّا قَلِيلࣰ ا
If the hypocrites, the sick at heart, and those who spread lies in the city do not desist, We shall rouse you [Prophet] against them, and then they will only be your neighbours in this city for a short while
Qur'ān 9:120English sense: neighbour
مَا كَانَ لِأَهۡلِ ٱلۡمَدِينَةِ وَمَنۡ حَوۡلَهُم مِّنَ ٱلۡأَعۡرَابِ أَن يَتَخَلَّفُواْ عَن رَّسُولِ ٱللَّهِ وَلَا يَرۡغَبُواْ بِأَنفُسِهِمۡ عَن نَّفۡسِهِۦۚ ذَٰلِكَ بِأَنَّهُمۡ لَا يُصِيبُهُمۡ ظَمَأࣱ وَلَا نَصَبࣱ وَلَا مَخۡمَصَةࣱ فِي سَبِيلِ ٱللَّهِ وَلَا يَطَـُٔونَ مَوۡطِئࣰ ا يَغِيظُ ٱلۡكُفَّارَ وَلَا يَنَالُونَ مِنۡ عَدُوࣲّ نَّيۡلًا إِلَّا كُتِبَ لَهُم بِهِۦ عَمَلࣱ صَٰلِحٌۚ إِنَّ ٱللَّهَ لَا يُضِيعُ أَجۡرَ ٱلۡمُحۡسِنِينَ
The people of Medina and their neighbouring desert Arabs should not have held back from following God’s Messenger, nor should they have cared about themselves more than him: if ever they suffer any thirst, weariness, or hunger in God’s cause, take any step that angers the disbelievers, or cause any harm to an enemy, a good deed is recorded in their favour on account of it- God never wastes the reward of those who do good
Tafsīr
التفسير6 shownCommentary on the verses above, at most two editions per verse.
en-asbab-al-nuzul-by-al-wahidi on 4:36en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
Worship God, and associate nothing with Him, and act beautifully toward parents, and toward kinsfolk, orphans, the indigent, and the neighbor who is of kin, and the neighbor who is a stranger, and the companion at your side, and the son of the road, and what your right hands own. This verse begins by mentioning tawḤīd, which is the root of the sciences, the secret of the recogni- tions, the basis of the religion, the foundation of being a Muslim, and the partition between enemy and friend. Any act of obedience without tawḤīd has no value or weight, and its outcome will be nothing but darkness and captivity. Any act of disobedience along with tawḤīd will yield nothing other than familiarity and brightness. TawḤīd is that you say that God is one and that you be one for Him. Saying one is the submit- ter's tawḤīd, and being one is the basis of the recognizer's tawḤīd. The submitter's tawḤīd
en-al-jalalayn on 4:36en-al-jalalayncommentary on an ayah this subject surfaced
And worship God declare His Oneness and associate nothing with Him. Be kind to parents being dutiful and gentle-mannered and near kindred and to orphans and to the needy and to the neighbour who is near to you in terms of physical vicinity or kinship and to the neighbour who is a stranger the one far from you in terms of physical vicinity or kinship; and to the friend at your side a travelling companion or a colleague at work and it is also said one’s wife; and to the wayfarer the one cut off during a journey and to what your right hands own of bondsmen. Surely God loves not the conceited the arrogant and the boastful the one who boasts before people of what he has been given.
en-al-jalalayn on 69:11en-al-jalalayncommentary on an ayah this subject surfaced
Truly when the waters rose high when they rose above all things including mountains and otherwise at the time of the Flood We carried you meaning your forefathers you being in their loins in the sailing vessel the ark which Noah built and by which he and those with him were saved while all the others drowned
en-tafisr-ibn-kathir on 69:11en-tafisr-ibn-kathircommentary on an ayah this subject surfaced
بِسْمِ اللَّهِ الرَّحْمَٰنِ الرَّحِيمِ
In the Name of Allah, the Most Gracious, the Most Merciful.
الْحَاقَّةُ - مَا الْحَاقَّةُ - وَمَا أَدْرَاكَ مَا الْحَاقَّةُ - كَذَّبَتْ ثَمُودُ وَعَادٌ بِالْقَارِعَةِ - فَأَمَّا ثَمُودُ فَأُهْلِكُوا بِالطَّاغِيَةِ - وَأَمَّا عَادٌ فَأُهْلِكُوا بِرِيحٍ صَرْصَرٍ عَاتِيَةٍ - سَخَّرَهَا عَلَيْهِمْ سَبْعَ لَيَالٍ وَثَمَانِيَةَ أَيَّامٍ حُسُومًا فَتَرَى الْقَوْمَ فِيهَا صَرْعَىٰ كَأَنَّهُمْ أَعْجَازُ نَخْلٍ خَاوِيَةٍ - فَهَلْ تَرَىٰ لَهُمْ مِنْ بَاقِيَةٍ - وَجَاءَ فِرْعَوْنُ وَمَنْ قَبْلَهُ وَالْمُؤْتَفِكَاتُ بِالْخَاطِئَةِ - فَعَصَوْا رَسُولَ رَبِّهِمْ فَأَخَذَهُمْ أَخْذَةً رَابِيَةً - إِنَّا لَمَّا طَغَى الْمَاءُ حَمَلْنَاكُمْ فِي الْجَارِيَةِ - لِنَجْعَلَهَا لَكُمْ تَذْكِرَةً وَتَعِيَهَا أُذُنٌ وَاعِيَةٌ
(1. Al-Haqqah!)(2. What is Al-Haqqah?)(3. And what will make you know what Al-Haqqah is?)(4. Thamud and 'Ad denied the Qari'ah!)(5. As for Thamud,
en-al-jalalayn on 9:120en-al-jalalayncommentary on an ayah this subject surfaced
It is not for the people of Medina and for the Bedouins who dwell around them to stay behind God’s Messenger when he sets out on a campaign and to prefer their lives to his life by guarding them against hardships which he the Prophet is content to suffer himself this statement is a prohibition expressed as a predicate; that prohibition against staying behind is because neither thirst nor toil nor hunger afflicts them in the way of God nor tread they any tread mawti’an is a verbal noun meaning wat’an that enrages the disbelievers nor gain any gain from the enemy of God be it through slaughter capture or plunder but a righteous deed is therefore recorded for them that they may be rewarded for it. Truly God does not leave the wage of the virtuous to go to waste that is the wage of those mentioned rather He rewards them.
en-tafisr-ibn-kathir on 9:120en-tafisr-ibn-kathircommentary on an ayah this subject surfaced
It was neither befitting for the people of Al-Madinah and the bedouins of the neighborhood to remain behind Allah's Messenger nor to prefer their own lives to his life. That is because they suffer neither Zama' nor Nasab, nor Makhmasah in the cause of Allah, nor did they take any step to raise the anger of disbelievers nor inflict any injury upon an enemy, but is written to their credit as a deed of righteousness. Surely, Allah wastes not the reward of the doers of good (120)
Rewards of Jihad
Allah, the Exalted and Most Honored, criticizes the people of Al-Madinah and the bedouins around it, who did not participate in the battle of Tabuk with the Messenger of Allah ﷺ. They sought to preserve themselves rather than comfort the Messenger ﷺ during the hardship that he suffered in that battle. They incurred a loss in their share of the reward, since,
لَا يُصِيبُهُمْ ظَمَأٌ
(they suffer n
Ḥadīth
الحديث6 shownSound narrations only, and never matched by text. A narration appears here because a compiler filed it under a chapter this subject maps to, or because someone read it and anchored it. Each row says which.
أَخْبَرَنَا قُتَيْبَةُ بْنُ سَعِيدٍ، قَالَ حَدَّثَنَا سُفْيَانُ، عَنْ عَمْرٍو، ح وَأَنْبَأَنَا مُحَمَّدُ بْنُ آدَمَ بْنِ سُلَيْمَانَ، عَنِ ابْنِ الْمُبَارَكِ، عَنْ سُفْيَانَ بْنِ عُيَيْنَةَ، عَنْ عَمْرِو بْنِ دِينَارٍ، عَنْ عَمْرِو بْنِ أَوْسٍ، عَنْ عَبْدِ اللَّهِ بْنِ عَمْرِو بْنِ الْعَاصِ، عَنِ النَّبِيِّ صلى الله عليه وسلم قَالَ " إِنَّ الْمُقْسِطِينَ عِنْدَ اللَّهِ تَعَالَى عَلَى مَنَابِرَ مِنْ نُورٍ عَلَى يَمِينِ الرَّحْمَنِ الَّذِينَ يَعْدِلُونَ فِي حُكْمِهِمْ وَأَهْلِيهِمْ وَمَا وَلُوا ". قَالَ مُحَمَّدٌ فِي حَدِيثِهِ " وَكِلْتَا يَدَيْهِ يَمِينٌ ".
It was narrated from 'Abdullah bin 'Amr bin Al-'As that:The Prophet [SAW] said: "Those who are just and fair will be with Allah, Most High, on thrones of light, at the right hand of the Most Merciful, those who are just in their rulings and in their dealings with their families and those of whom they are in charge." Muhammad (one of the narrators) said in his Hadith: "And both of His hands are right hands
أَخْبَرَنَا سُوَيْدُ بْنُ نَصْرٍ، قَالَ أَنْبَأَنَا عَبْدُ اللَّهِ، عَنْ عُبَيْدِ اللَّهِ، عَنْ خُبَيْبِ بْنِ عَبْدِ الرَّحْمَنِ، عَنْ حَفْصِ بْنِ عَاصِمٍ، عَنْ أَبِي هُرَيْرَةَ، أَنَّ رَسُولَ اللَّهِ صلى الله عليه وسلم قَالَ " سَبْعَةٌ يُظِلُّهُمُ اللَّهُ عَزَّ وَجَلَّ يَوْمَ الْقِيَامَةِ يَوْمَ لاَ ظِلَّ إِلاَّ ظِلُّهُ إِمَامٌ عَادِلٌ وَشَابٌّ نَشَأَ فِي عِبَادَةِ اللَّهِ عَزَّ وَجَلَّ وَرَجُلٌ ذَكَرَ اللَّهَ فِي خَلاَءٍ فَفَاضَتْ عَيْنَاهُ وَرَجُلٌ كَانَ قَلْبُهُ مُعَلَّقًا فِي الْمَسْجِدِ وَرَجُلاَنِ تَحَابَّا فِي اللَّهِ عَزَّ وَجَلَّ وَرَجُلٌ دَعَتْهُ امْرَأَةٌ ذَاتُ مَنْصِبٍ وَجَمَالٍ إِلَى نَفْسِهَا فَقَالَ إِنِّي أَخَافُ اللَّهَ عَزَّ وَجَلَّ وَرَجُلٌ تَصَدَّقَ بِصَدَقَةٍ فَأَخْفَاهَا حَتَّى لاَ تَعْلَمَ شِمَالُهُ مَا صَنَعَتْ يَمِينُهُ ".
It was narrated from Abu Hurairah that :The Messenger of Allah [SAW] said: "There are seven whom Allah, the Mighty and Sublime, will shade with His shade on the Day of Resurrection, the Day when there will be no shade but His: A just ruler, a young man who grows up worshipping Allah, the Mighty and Sublime; a man who remembers Allah when he is alone and his eyes flow (with tears); a man whose heart is attached to the Masjid; two men who love each other for the sake of Allah, the Mighty and Sublime; a man who is called (to commit sin) by a woman of high status and beauty, but he says: 'I fear Allah'; and a man who gives charity and conceals it, so that his left hand does not know what his right hand is doing
حَدَّثَنَا أَبُو بَكْرٍ، مُحَمَّدُ بْنُ مَيْمُونٍ الْمَكِّيُّ حَدَّثَنَا سُفْيَانُ بْنُ عُيَيْنَةَ، عَنْ عُمَارَةَ بْنِ الْقَعْقَاعِ، عَنْ أَبِي زُرْعَةَ، عَنْ أَبِي هُرَيْرَةَ، قَالَ قَالُوا يَا رَسُولَ اللَّهِ مَنْ أَبَرُّ قَالَ " أُمَّكَ " . قَالَ ثُمَّ مَنْ قَالَ " أُمَّكَ " . قَالَ ثُمَّ مَنْ قَالَ " أَبَاكَ " . قَالَ ثُمَّ مَنْ قَالَ " الأَدْنَى فَالأَدْنَى " .
Abu Hurairah, may Allah be pleased with them, said that:Allah's Messenger said: "They said: 'O Messenger of Allah, whom should I treat kindly?' He said: 'Your mother.' He said: 'Then who?' He said :'Your mother." He said: 'Then who?' He said: 'Your father'. He said : 'Then who?' He said: 'The next closest and the next closest
حَدَّثَنَا أَبُو بَكْرِ بْنُ أَبِي شَيْبَةَ، حَدَّثَنَا جَرِيرٌ، عَنْ سُهَيْلٍ، عَنْ أَبِيهِ، عَنْ أَبِي هُرَيْرَةَ، قَالَ قَالَ رَسُولُ اللَّهِ ـ صلى الله عليه وسلم ـ " لاَ يَجْزِي وَلَدٌ وَالِدَهُ إِلاَّ أَنْ يَجِدَهُ مَمْلُوكًا فَيَشْتَرِيَهُ فَيُعْتِقَهُ " .
Abu Hurairah, may Allah be pleased with them, narrated that:Allah's Messenger said: "No child can compensate his father unless he finds a slave, and buys him and sets him free
حَدَّثَنَا قُتَيْبَةُ، حَدَّثَنَا مُحَمَّدُ بْنُ مُوسَى الْمَخْزُومِيُّ الْمَدَنِيُّ، عَنْ سَعِيدِ بْنِ أَبِي سَعِيدٍ الْمَقْبُرِيِّ، عَنْ أَبِي هُرَيْرَةَ، قَالَ قَالَ رَسُولُ اللَّهِ صلى الله عليه وسلم " لِلْمُؤْمِنِ عَلَى الْمُؤْمِنِ سِتُّ خِصَالٍ يَعُودُهُ إِذَا مَرِضَ وَيَشْهَدُهُ إِذَا مَاتَ وَيُجِيبُهُ إِذَا دَعَاهُ وَيُسَلِّمُ عَلَيْهِ إِذَا لَقِيَهُ وَيُشَمِّتُهُ إِذَا عَطَسَ وَيَنْصَحُ لَهُ إِذَا غَابَ أَوْ شَهِدَ " . قَالَ هَذَا حَدِيثٌ حَسَنٌ صَحِيحٌ . وَمُحَمَّدُ بْنُ مُوسَى الْمَخْزُومِيُّ الْمَدَنِيُّ ثِقَةٌ رَوَى عَنْهُ عَبْدُ الْعَزِيزِ بْنُ مُحَمَّدٍ وَابْنُ أَبِي فُدَيْكٍ .
Narrated Abu Hurairah:that the Messenger of Allah (ﷺ) said: "There are six things due from the believer to another believer: Visiting him when he is ill, attending (his funeral) to him when he dies, accepting his invitation when he invites, giving him Salam when he meets him, replying to him when he sneezes, and wishing him well when he is absent and when he is present
حَدَّثَنَا حُمَيْدُ بْنُ مَسْعَدَةَ، حَدَّثَنَا زِيَادُ بْنُ الرَّبِيعِ، حَدَّثَنَا حَضْرَمِيٌّ، مَوْلَى آلِ الْجَارُودِ عَنْ نَافِعٍ، أَنَّ رَجُلاً، عَطَسَ إِلَى جَنْبِ ابْنِ عُمَرَ فَقَالَ الْحَمْدُ لِلَّهِ وَالسَّلاَمُ عَلَى رَسُولِ اللَّهِ . قَالَ ابْنُ عُمَرَ وَأَنَا أَقُولُ الْحَمْدُ لِلَّهِ وَالسَّلاَمُ عَلَى رَسُولِ اللَّهِ وَلَيْسَ هَكَذَا عَلَّمَنَا رَسُولُ اللَّهِ صلى الله عليه وسلم عَلَّمَنَا أَنْ نَقُولَ الْحَمْدُ لِلَّهِ عَلَى كُلِّ حَالٍ . قَالَ أَبُو عِيسَى هَذَا حَدِيثٌ غَرِيبٌ لاَ نَعْرِفُهُ إِلاَّ مِنْ حَدِيثِ زِيَادِ بْنِ الرَّبِيعِ .
Narrated Hadrami, the freed slave of the family of Al-Jarud:from Nafi: "A man sneezed beside Ibn 'Umar and said: 'Al-Hamdulillah Was-Salamu 'Ala Rasulillah. (All praise is due to Allah, and peace upon the Messenger of Allah)'. So Ibn 'Umar said: 'I too say Al-Hamdulillah Was-Salamu 'Ala Rasulillah, but this is not what the Messenger of Allah (ﷺ) taught us. He taught us to say: "Al-Hamdulillah 'Ala Kulli Hal (All praise is due to Allah in every circumstance)
Research library, full list
951 to 975 of 1,190Can sexual health interventions make community-based health systems more responsive to adolescents? A realist informed study in rural Zambia.
Introduction: Community-based sexual reproductive interventions are key in attaining universal health coverage for all by 2030, yet adolescents in many countries still lack health services that are responsive to their sexual reproductive health and rights' needs. As the first step of realist evaluation, this study provides a programme theory that explains how, why and under what circumstances community-based sexual reproductive health interventions can transform (or not) 'ordinary' community-based health systems (CBHSs) into systems that are responsive to the sexual reproductive health of adolescents.
Methods: This realist approach adopted a case study design. We nested the study in the full intervention arm of the Research Initiative to Support the Empowerment of Girls trial in Zambia. Sixteen in-depth interviews were conducted with stakeholders involved in the development and/or implem…
matched on Rural Population (mesh)
Factors influencing sexual and reproductive health among adolescents in Lao PDR.
Background: Adolescents are particularly vulnerable to poor sexual and reproductive health outcomes. In addition, Lao PDR has the highest teenage pregnancy rate in southeast Asia and a high maternal mortality ratio.
Objective: This study aimed to provide a comprehensive exploration of factors that influence SRH knowledge, attitudes, and practices of adolescents in Bokeo Province, Lao PDR.
Method: Data from the Adolescent Girl Situation Analysis cross-sectional study, collected in 2018 using a mixed-method approach with 837 adolescents aged 10-19, and key informant interviews, were analysed. Regression analyses were used to identify predictors of modern contraception knowledge, autonomy, gender-based violence, sexual activity, and contraception use. This was complemented with qualitative thematic content analysis.
Results: Adolescents living in two rural districts had lower sexual and rep…
matched on Rural Population (mesh)
Is the psychological impact of exposure to COVID-19 stronger in adolescents with pre-pandemic maltreatment experiences? A survey of rural Chinese adolescents.
Background: Since the COVID-19 outbreak at the end of 2019, it has evolved into a global pandemic with tremendous mental health impact besides the threats to people's physical health.
Objective: The aims were to examine whether exposure to COVID-19 predicts elevated levels of anxiety and post-traumatic stress symptoms and whether pre-pandemic maltreatment experiences exacerbate this impact on mental health in adolescents.
Participants and setting: The survey was conducted online from February 8 st to February 27th, 2020, and the questionnaires were distributed and retrieved through a web-based platform. This study includes a total of 6196 subjects, aged range from 11 to 18 years old.
Methods: Several multivariable linear regressions were used to analyse the data.
Results: The largest variance in PTSS and anxiety problems was explained by ACEs, with more pre-pandemic maltreatment experien…
matched on Rural Population (mesh)
Stake S, Ahmed S, Tol W, Ahmed S, Begum N, Khanam R, Harrison M, Baqui AH (2020)MEDLINE-indexed journal, not yet read by usJournal of health, population, and nutrition17 citations Prevalence, associated factors, and disclosure of intimate partner violence among mothers in rural Bangladesh.
Background: The purpose of this study is to assess the prevalence and associated factors of physical and sexual intimate partner violence (IPV) among married women of reproductive age in a rural population in northeast Bangladesh. In addition, we examined women's sharing and disclosure of violence experience with others.
Methods: This cross-sectional study uses data from a household survey of 3966 women conducted in 2014 in the Sylhet District of Bangladesh. Interviews were completed in respondent's homes by trained local female interviewers.
Results: Twenty-nine percent (28.8%, 95% CI 27.4-30.3%) of the women reported ever experiencing physical or sexual IPV by their spouse; 13.2% (95% CI 12.1-14.3%) reported physical or sexual IPV in the past year. Of the 13.2%, 10.1% (95% CI 9.2-11.1%) reported experiencing physical IPV and 4.6% (95% CI 4.0-5.3%) reported sexual IPV. In a combined mod…
matched on Rural Population (mesh)
Determinants of unintended pregnancies among currently married women in Uganda.
Background: Unintended pregnancies are no longer bound to teenagers or school-going children, married women in Uganda, as well do experience such pregnancies though little has been investigated on them. This study examines the determinants of unintended pregnancies among currently married women in Uganda.
Methods: In this study, we used data from the 2016 Uganda Demographic and Health Survey (UDHS) which comprised of 10,958 married women aged 15-49 years who have ever been pregnant. The analysis was done using descriptive analysis, logistic regression, and the generalized structural equation model.
Results: The study showed that 37% of pregnancies among married women were unintended. Young women, living in poor households, staying in rural areas, women in the Eastern and Northern region, Muslim women, lack of knowledge on ovulation period, discontinuation of contraceptives, non-use of an…
matched on Rural Population (mesh)
Abelsen B, Strasser R, Heaney D, Berggren P, Sigurðsson S, Brandstorp H, Wakegijig J, Forsling N, Moody-Corbett P, Akearok GH, Mason A, Savage C, Nicoll P (2020)MEDLINE-indexed journal, not yet read by usHuman resources for health62 citations Plan, recruit, retain: a framework for local healthcare organizations to achieve a stable remote rural workforce.
Background: Recruiting and retaining a skilled health workforce is a common challenge for remote and rural communities worldwide, negatively impacting access to services, and in turn peoples' health. The research literature highlights different factors facilitating or hindering recruitment and retention of healthcare workers to remote and rural areas; however, there are few practical tools to guide local healthcare organizations in their recruitment and retention struggles. The purpose of this paper is to describe the development process, the contents, and the suggested use of The Framework for Remote Rural Workforce Stability. The Framework is a strategy designed for rural and remote healthcare organizations to ensure the recruitment and retention of vital healthcare personnel.
Method: The Framework is the result of a 7-year, five-country (Sweden, Norway, Canada, Iceland, and Scotland) …
matched on Rural Population (mesh)
Challenges, experience and coping of health professionals in delivering healthcare in an urban slum in India during the first 40 days of COVID-19 crisis: a mixed method study.
Objectives: To describe the initial dilemmas, mental stress, adaptive measures implemented and how the healthcare team collectively coped while providing healthcare services in a large slum in India, during the COVID-19 pandemic.
Setting: Community Health Division, Bangalore Baptist Hospital, Bangalore.
Study design: We used mixed methods research with a quantitative (QUAN) paradigm nested in the primary qualitative (QUAL) design. QUAL methods included ethnography research methods, in-depth interviews and focus group discussions.
Participants: A healthcare team of doctors, nurses, paramedical and support staff. Out of 87 staff, 42 participated in the QUAL methods and 64 participated in the QUAN survey.
Results: Being cognizant of the extreme vulnerability of the slums, the health team struggled with conflicting thoughts of self-preservation and their moral obligation to the marginalised …
matched on Urban Population (mesh)
Longitudinal assessment of an anti-stigma campaign related to common mental disorders in rural India.
Background: Stigma related to mental health and lack of trained mental health professionals is a major cause for an increased treatment gap, particularly in rural India. The Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health project delivered a complex intervention involving task sharing, an anti-stigma campaign and use of technology-based, decision-support tools to empower primary care workers to identify and manage depression, anxiety, stress and suicide risk. AimsThe aim of this article is to report changes in stigma perceptions over three time points in the rural communities where the anti-stigma campaign was conducted.
Method: A multimedia-based anti-stigma campaign was conducted over a 3-month period in the West Godavari district of Andhra Pradesh, India. Following that, the primary care-based mental health service was delivered for 1 year. The anti-stigma c…
matched on Rural Population (mesh)
Rural risk environments for hepatitis c among young adults in appalachian kentucky.
Background: Rural Kentucky is an epicenter of hepatitis C(HCV), especially among young adults who inject drugs. While the Risk Environment Framework (REF) has been used widely to study and address socio-ecological determinants of infectious disease among people who inject drugs (PWID), it has been almost exclusively applied to urban environments. Applying REF to rural environments can enhance our understanding of the drivers of HCV epidemics in these hard-hit areas, and inform the creation and implementation of harm reduction interventions in this local context.
Methods: Participants were recruited between March and August 2017 via community-based outreach methods (e.g., cookouts, flyers) and peer referral. Individuals who met eligibility criteria (aged 18-35, recently used prescription opioids and/or heroin to get high, lived in one of the 5 target counties) participated indepth, semi-s…
matched on Rural Population (mesh)
Mental Health among Left-Behind Children in Rural China in Relation to Parent-Child Communication.
In China, there are an estimated 41 million left-behind children (LBC). The objective of this study was to examine the mental health of current-left-behind children (current-LBC) and previous-left-behind children (previous-LBC) as compared to never-left-behind children (never-LBC), while considering factors like parent-child communication. Children were recruited from schools in rural areas of Anhui province in eastern China. Participants completed a questionnaire focusing on migration status, mental health, and parent-child communication, measured with the validated Strengths and Difficulties Questionnaire (SDQ) and Parent-Adolescent Communication Scale (PACS). Full data were available for 1251 current-, 473 previous-, and 268 never-LBC in Anhui province. After adjusting for all confounding variables, the results showed that both current and previous parental migration was associated wi…
matched on Rural Population (mesh)
Impact of rural Family Physician programme on maternal and child health indicators in Iran: an interrupted time series analysis.
Objectives: The establishment of the Family Physician (FP) programme in the rural areas of Iran in 2005 has made health services accessible and affordable. This paper aims to assess the overall trends of maternal and child health (MCH) indicators in a 20-year period and possible effects of the FP programme (intervention) on these indicators in Iran.
Design and setting: An interrupted time series analysis was conducted on 20 annual MCH-related data points from 1994 to 2013. The intervention time was at the 12th data point in 2005.
Outcomes: MCH indicators were grouped into three categories: structure (mother's age, education, occupation and gravidity), process (number of antenatal care visits (ACVs), laboratory tests, ultrasounds and natural vaginal deliveries (NVDs)) and outcomes (maternal mortality ratio (MMR), neonatal mortality rate (NMR), birth weight (BW), history of abortion and/or…
matched on Rural Population (mesh)
Delays to diagnosis among people with severe mental illness in rural Vietnam, a population-based cross-sectional survey.
Background: People with severe mental illness (SMI) living in low and middle-income countries can experience extended delays to diagnosis, which hinder access to medical treatment. The aims of this study were to describe the interval to diagnosis among these people in rural Vietnam and its associated factors.
Methods: A population-based cross-sectional study was conducted among people with SMI in two provinces in Vietnam. The delay to diagnosis was defined as the time between the first abnormal behaviour being observed by family members and the formal diagnosis of psychosis. A multilevel linear regression was used to examine the factors associated with the delay to diagnosis.
Results: Among 404 people with SMI from 370 households, the median delay to diagnosis was 11.5 months (IQR 0-168.0). Overall, 53.7% had a delay to diagnosis of less than one year (95% CI: 48.81-58.54). The financial…
matched on Rural Population (mesh)
Bullying victimization and depression among left-behind children in rural China: Roles of self-compassion and hope.
Background: Bullying victimization among school-aged children is an important public health issue that may affect their well-being and mental health. However, few studies have been conducted on left-behind children in rural China, who are defined as the children who stay in rural areas for more than six months and have one or both parents migrating to urban areas for work. The mechanisms through which bullying victimization will influence depression have disproportionally adopted a psychopathological perspective, and the protective factors are understudied.
Objective: This study aims at investigating the factors that might contribute to breaking up the vicious circle between bullying victimization and developmental problems, focusing on the protective role of self-compassion and hope in the association between bullying victimization and depression.
Methods: Using questionnaires, data wer…
matched on Rural Population (mesh)
Burnout among primary healthcare workers during implementation of integrated mental healthcare in rural Ethiopia: a cohort study.
Background: The short-term course of burnout in healthcare workers in low- and middle-income countries has undergone limited evaluation. The aim of this study was to assess the short-term outcome of burnout symptoms in the context of implementation of a new mental health programme in a rural African district.
Methods: We followed up 145 primary healthcare workers (HCWs) working in 66 rural primary healthcare (PHC) facilities in Southern Ethiopia, where a new integrated mental health service was being implemented. Burnout was assessed at baseline, i.e. when the new service was being introduced, and after 6 months. Data were collected through self-administered questionnaires, including the Maslach Burnout Inventory (MBI) and instruments measuring professional satisfaction and psychosocial factors. Generalised estimating equations (GEE) were used to assess the association between change in …
matched on Rural Population (mesh)
Maselko J, Hagaman AK, Bates LM, Bhalotra S, Biroli P, Gallis JA, O'Donnell K, Sikander S, Turner EL, Rahman A (2019)MEDLINE-indexed journal, not yet read by usSocial science & medicine (1982)43 citations Father involvement in the first year of life: Associations with maternal mental health and child development outcomes in rural Pakistan.
The contribution of fathers to child development and maternal mental health is increasingly acknowledged, although research on this topic outside of high income countries is limited. Using longitudinal data, we characterized father involvement in a rural setting in Pakistan and investigated the link between father involvement in the first year of life and child development and maternal depression. Data come from the Bachpan study, a birth cohort established in the context of a perinatal depression intervention. Father involvement was mother reported at 3 and 12 months postpartum and covered domains such as playing with or soothing the infant. Child outcomes included growth at 3, 6 and 12 months postpartum, socioemotional development at 6 months (Ages and Stages Questionnaire-socioemotional), and developmental milestones at 12 months (Bayley Scales of Infant and Toddler Development, BSID)…
matched on Rural Population (mesh)
Reproductive preferences during middle childhood and early adolescence in Guatemala.
Reproductive preferences and the spread of low fertility norms occupy a key position in debates regarding the causal mechanisms underlying sustained fertility declines. Most of the literature on reproductive preferences focuses on stability and variability of adult fertility preferences, and their relationship with behavioural outcomes. Little work has focused on the developmental origins of these preferences, particularly in populations undergoing rapid social and demographic change. This study explores the utility of integrating the ontogeny of fertility preferences into accounts of fertility declines. We analyse data on child and adolescent (age 8-15) reproductive preferences collected from a semi-rural community in the Guatemalan Highlands. We explore (1) the distribution of reproductive preferences across age and gender, (2) relationships between family structure and preferences, (3…
matched on Rural Population (mesh)
Multilevel Faith-Based Public Health Initiative in Rural Alabama, 2017.
Recent shifts in public health approaches to reduce and prevent chronic disease encourage interventions to include multiple levels of the social ecological model. The objective of this 1-group pretest-posttest study was to determine differences in faith community policies and environments; interpersonal support; and individual behavior before and after Live Well Faith Communities, a 9-week, faith-based health promotion initiative. The study included a convenience sample of faith communities and participants. Validated instruments assessed faith communities' policies and environments and participants' interpersonal and individual practices and behaviors. Seventy-two small-group sessions with 737 adults were implemented in 14 faith communities. Faith communities adopted policies requiring healthy options for meals and snacks and implemented environmental changes to promote healthy eating a…
matched on Rural Population (mesh)
The prevalence and protective factors for resilience in adolescent Aboriginal Australians living in urban areas: a cross-sectional study.
Objectives: To estimate the prevalence and determine protective factors for resilience in urban Aboriginal adolescents.
Methods: Cross-sectional survey data was collected from 119 Aboriginal adolescents participating in the Study of Environment on Aboriginal Resilience and Child Health (SEARCH). Resilience was defined as having 'low-risk' Strengths and Difficulties Questionnaire scores on the total difficulties (range: 0-40) or the prosocial scale (range: 0-10).
Results: Most adolescents scored in the low-risk range of the total difficulties (n=85, 73%) and prosocial scales (101, 86%). Family encouragement to attend school was associated with a 4.3-point reduction in total difficulties scores (95%CI, 0.22-8.3). Having someone to talk to if there was a problem and regular strenuous exercise were associated with higher scores on the prosocial behaviour scale, increasing scores by 1.2 (95%C…
matched on Urban Population (mesh)
Prevalence and burden of headache in children and adolescents in Austria - a nationwide study in a representative sample of pupils aged 10-18 years.
Background: Headache disorders are highly prevalent worldwide, but not so well investigated in children and adolescents as in adults: few studies have included representative nationwide samples. No data exist for Austria until now. In a representative sample of children and adolescents in Austria, we estimated the prevalence and attributable burden of headache disorders, including the new diagnostic category of "undifferentiated headache" (UdH) defined as mild headache lasting less than 1 hour.
Methods: Within the context of a broader national mental health survey, children and adolescents aged 10-18 years were recruited from purposively selected schools. Mediated self-completed questionnaires included sociodemographic enquiry (gender, age, socioeconomic status, family constellation, residence [urban or rural] and migration background). Prevalence and attributable burden of all headache,…
matched on Rural Population (mesh)
Prevalence and determinant factors of unintended pregnancy among pregnant women attending antenatal clinics of Addis Zemen hospital.
Introduction: Unintended pregnancy is a pregnancy which is not wanted and/or not planed at the time of conception. It has a major consequence on mothers' and newborns' health and its prevalence remains a major health problem in Ethiopia. This study was aimed to assess the prevalence and determinants of unintended pregnancy among pregnant women attending antenatal clinics of Addis Zemen hospital.
Methods: An institutional-based cross-sectional study was employed in Addis Zemen hospital from April 01 to May 30, 2018. The sampled 398 pregnant mothers were selected by systematic random sampling. The data were collected using a-pretested structured questionnaire via face to face interview and the collected data were analyzed by using SPSS Version-20. The data were summarized with frequency and cross-tabulation. Both binary and multiple logistic regressions were used in order to identify predi…
matched on Rural Population (mesh)
Coresidence with mother-in-law and maternal anemia in rural India.
In a highly patriarchal society such as India, and many Middle Eastern, African, and East Asian countries, coresidence with the mother-in-law is ubiquitous during the early years of marriage. During the period when women have to make crucial fertility decisions, they are under the supervision of the mother-in-law. Using the National Family Health Survey 2005-2006, and estimation strategies such as propensity score (PS) weighted regressions and a difference-in-differences type approach with PS matching, we estimate the causal effect of coresidence during pregnancy on maternal anemia among rural women in India. Here, coresidence and non-coresidence during pregnancy define our treatment and control, respectively. Women coresiding with both in-laws had fewer children, were younger, more educated, wealthier, and less likely to be Muslim and from scheduled castes and tribes compared to non-cor…
matched on Rural Population (mesh)
Are perceived barriers to accessing mental healthcare associated with socioeconomic position among individuals with symptoms of depression? Questionnaire-results from the Lolland-Falster Health Study, a rural Danish population study.
Objective: To evaluate if perceived barriers to accessing mental healthcare (MHC) among individuals with symptoms of depression are associated with their socio-economic position (SEP).
Design: Cross-sectional questionnaire-based population survey from the Lolland-Falster Health Study (LOFUS) 2016-17 of 5076 participants.
Participants: The study included 372 individuals, with positive scores for depression according to the Major Depression Inventory (MDI), participating in LOFUS .
Interventions: A set of five questions on perceived barriers to accessing professional care for mental health problem was posed to individuals with symptoms of depression (MDI score >20).
Outcomes: The association between SEP (as measured by educational attainment, employment status and financial strain) and five different types of barriers to accessing MHC were analysed in separate multivariable logistic regres…
matched on Rural Population (mesh)
Factors influencing the use of reproductive health care services among married adolescent girls in Dang District, Nepal: a qualitative study.
Background: Child marriage is associated with adverse reproductive health outcomes, and the practice is still alarmingly common. Together with efforts to end child marriage, it is essential to provide adequate health care to already married adolescents. However, to date there has been very limited research on health care-seeking practices among married adolescents in Nepal.
Method: The study was conducted in a rural part of Dang District situated in the Mid-western region of Nepal. We combined thirteen individual interviews and four focus group discussions with 17-20 years old women who had married before the age of 18 years and individual interviews with 10 key informants.
Results: Pressure to give birth early, limited autonomy, and little knowledge about reproductive health issues make married adolescents vulnerable to risky pregnancies. Early-married women face a range of barriers to …
matched on Rural Population (mesh)
Hailemariam M, Ghebrehiwet S, Baul T, Restivo JL, Shibre T, Henderson DC, Girma E, Fekadu A, Teferra S, Hanlon C, Johnson JE, Borba CPC (2019)MEDLINE-indexed journal, not yet read by usBMC psychiatry15 citations "He can send her to her parents": The interaction between marriageability, gender and serious mental illness in rural Ethiopia.
Background: For women in most low- and middle-income countries, the diagnosis with serious mental illness (SMI) leads to stigma and challenges related to starting or maintaining marriages. The purpose of this qualitative study was to explore perspectives on marriage, divorce and family roles of women with SMI in rural Ethiopia.
Methods: A qualitative study was conducted in a rural setting of Butajira, South Central Ethiopia. A total of 39 in-depth interviews were carried out with service users (n = 11), caregivers (n = 12), religious leaders (n = 6), health extension workers (n = 4), police officers (n = 2), teachers (n = 2) and government officials (n = 2). Data were analyzed using a thematic approach.
Results: Three themes emerged. (1) Marriage and SMI: Chances of getting married for individuals with SMI in general was perceived to be lower: Individuals with SMI experienced various cha…
matched on Rural Population (mesh)
Bacharier LB, Beigelman A, Calatroni A, Jackson DJ, Gergen PJ, O'Connor GT, Kattan M, Wood RA, Sandel MT, Lynch SV, Fujimura KE, Fadrosh DW, Santee CA, Boushey H, Visness CM, Gern JE, NIAID sponsored Inner-City Asthma Consortium (2019)MEDLINE-indexed journal, not yet read by usAmerican journal of respiratory and critical care medicine82 citations Longitudinal Phenotypes of Respiratory Health in a High-Risk Urban Birth Cohort.
Rationale: Characterization of patterns of wheezing and allergic sensitization in early life may allow for identification of specific environmental exposures impacting asthma development.
Objectives: To define respiratory phenotypes in inner-city children and their associations with early-life environmental exposures.
Methods: Data were collected prospectively from 442 children in the URECA (Urban Environment and Childhood Asthma) birth cohort through age 7 years, reflecting symptoms (wheezing), aeroallergen sensitization, pulmonary function, and body mass index. Latent class mixed models identified trajectories of wheezing, allergic sensitization, and pulmonary function. Cluster analysis defined nonoverlapping groups (termed phenotypes). Potential associations between phenotypes and early-life environmental exposures were examined.
Measurements and main results: Five phenotypes were ide…
matched on Urban Population (mesh)