Suchergebnisse

AbstractPeople with severe mental disorders have impaired health, and low self-care skills, while presenting a higher risk of developing infections, other chronic diseases, and higher mortality compared to the general population. The majority of health promotion interventions targeting them are methodologically designed based on the subjective assessments of health professionals. This qualitative study aims to assess the health promotion needs among people with severe mental disorders, as well as to explore their perceptions regarding the concept of co-production. Two focus groups were conducted with 18 adults, diagnosed with severe mental disorders receiving services from community mental health settings in Attica, Greece. The data was analyzed using content analysis. Regarding health promotion needs, five themes emerged: psycho-education, rights, settings and services, community education, and physical health. Concerning the co-production concept, five themes emerged: equality, collaboration, inclusion, peer support, and feedback. The findings of this study could be used to design a health promotion program for people with severe mental disorders based on the principles of co-production.

BackgroundSexual and reproductive health services aim at the promotion of sexual health and elimination of the risk of sexually transmitted infections (STI's). Therefore, they constitute an important framework for the improvement of young people's quality of life. The aim of this study was to investigate the main reasons that young people visit these services and furthermore what drives the choice between public and private sector.
MethodsThe study included participants aged 18-20 years, living in the capital city of Athens, Greece. The questionnaire was developed for the purposes of the current study, including questions about the reasons for visiting sexual and reproductive health services, preferences between public and private sector.
FindingsFrom 162 participants who visited sexual and reproductive health services, the main reason was for a Pap test (Pap smear) followed by STI/HIV testing, vaccination for HPV and other gynecological tests (i.e. ultrasounds). The majority of the participants, though not significant, preferred the private compared to public sector (n=127 vs n=35, respectively). The main reasons for choosing the private sector was accessibility and flexibility of appointments (p=0.02) and privacy (p=0.008). Even though, most of the participants (61.1%) who visited the private sector were informed about the existence of public sexual and reproductive health services.
ConclusionsConvenience and privacy seemed to be the most important reasons for visiting the private sector. Efforts should be made for public sexual and reproductive health services in order to be more accessible and flexible to young people. These efforts can be supported by community engagement initiatives.

Funding Information: This study is part of an NIDCR funded project called VOYAGER (R01DE025712) with co-PIs Paul Brennan (IARC, Lyon), Brenda Diergaarde (University of Pittsburgh) and Neil Hayes (University of Tennessee Health Science Centre). Genotyping of cases and controls was performed at the Center for Inherited Disease Research (CIDR) and funded by the US National Institute of Dental and Craniofacial Research (NIDCR; 1X01HG007780-0). The work performed in MSH-PMH study was supported by The Canadian Cancer Society Research Institute (020214), Ontario Institute of Cancer, Canada Research Chair Award to R.J.H. and the Alan Brown Chair to G.L. and Lusi Wong Programs at the Princess Margaret Hospital Foundation. Coordination of the EPIC study is financially supported by the European Commission (DG SANCO) and the International Agency for Research on Cancer. The University of Pittsburgh head and neck cancer case–control study is supported by US National Institutes of Health grants P50CA097190 and P30CA047904. The Alcohol-Related Cancers and Genetic Susceptibility Study in Europe (ARCAGE) was funded by the European Commission's fifth framework program (QLK1-2001-00182), the Italian Association for Cancer Research, Compagnia di San Paolo/FIRMS, Region Piemonte and Padova University (CPDA057222). The Carolina Head and Neck Cancer Study (CHANCE) was supported by the National Cancer Institute (R01CA90731). This publication presents data from the Head and Neck 5000 study. The study was a component of independent research funded by the National Institute for Health Research (NIHR) under its Program Grants for Applied Research scheme (RP-PG-0707-10034). The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. Core funding was also provided through awards from Above and Beyond, University Hospitals Bristol Research Capability Funding and the NIHR Senior Investigator award to Professor Andy Ness. Human papillomavirus (HPV) serology was supported by a Cancer Research UK Programme Grant, the Integrative Cancer Epidemiology Programme (grant number: C18281/A19169). This study is supported by the US National Institute of Dental and Craniofacial Research (R01DE025712 to P.B., B.D., and N.H.). The IARC Oral Cancer Multicenter study was funded by grant S06 96 202489 05F02 from Europe against Cancer; grants FIS 97/0024, FIS 97/0662 and BAE 01/5013 from Fondo de Investigaciones Sanitarias, Spain; the UICC Yamagiwa-Yoshida Memorial International Cancer Study; the National Cancer Institute of Canada; Associazione Italiana per la Ricerca sul Cancro; and the Pan-American Health Organization. The IARC Central Europe study was supported by the European Commission's INCO-COPERNICUS Program (IC15-CT98-0332), US NIH/National Cancer Institute grant CA92039 and World Cancer Research Foundation grant WCRF 99A28. The Rome Study was supported by the Associazione Italiana per la Ricerca sul Cancro (AIRC) awards IG 2011 10491 and IG 2013 14220 to S.B. and by Fondazione Veronesi to S.B. This publication presents data that contributes to the HEADSpAcE study supported by the European Union Horizon 2020 (grant no 825771). ; Peer reviewed ; Publisher PDF