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  1. Article ; Online: Adaptation of a community health outreach model during the COVID-19 pandemic: the case of the Mexican consulates in the United States of America.

    Gaitán-Rossi, Pablo / Vilar-Compte, Mireya / Bustamante, Arturo Vargas

    International journal for equity in health

    2023  Volume 22, Issue 1, Page(s) 138

    Abstract: The Ventanillas de Salud (VDS - "Health Windows") are a culturally sensitive outreach program within the 49 Mexican Consulates in the United States that provides information and health care navigation support to underserved and uninsured Mexican ... ...

    Abstract The Ventanillas de Salud (VDS - "Health Windows") are a culturally sensitive outreach program within the 49 Mexican Consulates in the United States that provides information and health care navigation support to underserved and uninsured Mexican immigrants. During the COVID-19 pandemic the VDS rapidly transitioned to remote operations adding new services. Based on the EquIR implementation framework, this qualitative study investigates how adaptations to improve emergency preparedness were performed. We conducted motivational interviews with three actors - six VDS coordinators, eight partner organizations, and ten VDS users- in two VDS, Los Angeles and New York, to document specific needs of the target population and identify implementation processes to adapt and continue operating. The VDS adapted their model by adding new services for emerging needs, by switching service provision modalities, and by expanding the network of partner organizations. According to the VDS staff, these adaptations increased their topics, depth, reach, and diversified their users. Users had mostly positive opinions about the VDS adaptation, although they highlighted some heterogeneity across service provision. The VDS is a public health intervention able to serve a marginalized population and its implementation offers valuable lessons to complement health systems and to improve preparedness and resiliency for future crises.
    MeSH term(s) Humans ; United States ; COVID-19/epidemiology ; Public Health ; Pandemics ; Qualitative Research ; Mexico
    Language English
    Publishing date 2023-07-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2092056-8
    ISSN 1475-9276 ; 1475-9276
    ISSN (online) 1475-9276
    ISSN 1475-9276
    DOI 10.1186/s12939-023-01911-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Association between Feelings of Trust and Security with Subjective Health among Mexican Migrants in the New York City Area.

    Gaitán-Rossi, Pablo / Vilar-Compte, Mireya / Ferré-Eguiluz, Isabel / Ortiz, Luis / Garcia, Erika

    International journal of environmental research and public health

    2023  Volume 20, Issue 4

    Abstract: The size of the foreign-born population living in the United States makes migrants' health a substantive policy issue. The health status of Mexican immigrants might be affected by the level of social capital and the social context, including the rhetoric ...

    Abstract The size of the foreign-born population living in the United States makes migrants' health a substantive policy issue. The health status of Mexican immigrants might be affected by the level of social capital and the social context, including the rhetoric around immigration. We hypothesize that a diminished perception of trust and safety in the community has a negative impact on self-reported health. In a cross-sectional study, we conducted a survey among 266 Mexican Immigrants in the New York City Area who used the Mexican Consulate between May and June 2019 for regular services provided to documented and undocumented immigrants. A univariate and bivariate descriptive analysis by trust and security items first shows the diversity of the Mexican population living in the US and the conditions of vulnerability. Then, logistic regression models estimate the association between trust and security items with self-reported health status. Results show that safety is consistently associated with good self-rated health, especially when rating the neighborhood, and trust showed mixed results, more reliant to the way it is operationalized. The study illustrates a pathway by which perceptions of the social context are associated with migrants' health.
    MeSH term(s) Female ; Humans ; United States ; Diagnostic Self Evaluation ; Trust ; Cross-Sectional Studies ; New York City ; Emotions ; Transients and Migrants
    Language English
    Publishing date 2023-02-08
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20042981
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Association Between Breastfeeding and Child Overweight in Mexico.

    Campos, Ana Paola / Vilar-Compte, Mireya / Hawkins, Summer Sherburne

    Food and nutrition bulletin

    2021  Volume 42, Issue 3, Page(s) 414–426

    Abstract: Background: Globally, the prevalence of child overweight has increased over the past few decades. The largest burden of child overweight is identified among upper-middle-income countries, such as Mexico. Breastfeeding has been identified as one of the ... ...

    Abstract Background: Globally, the prevalence of child overweight has increased over the past few decades. The largest burden of child overweight is identified among upper-middle-income countries, such as Mexico. Breastfeeding has been identified as one of the key affordable and modifiable maternal health behaviors protecting against child overweight.
    Objective: To examine the association between breastfeeding and child overweight while sequentially controlling for individual, household, and area factors in Mexican children.
    Methods: Secondary data analysis using the 2012 Mexican National Health and Nutrition Survey which included risk factors for overweight on 2089 children aged 6 to 35 months and analyzed data to estimate fixed- and mixed-effects logistic regression models.
    Results: Overall, 9.0% of children were overweight and 71.1% of mothers reported any breastfeeding for ≥ 6 months. We found no evidence for a protective effect of any breastfeeding for ≥ 6 months on child overweight when compared to children who were never breastfed in the fully adjusted model and across all models (model 4, adjusted odds ratio [AOR] [95% CI] = 0.76 [0.31-1.86]). We identified risk factors for child overweight at the individual and area levels, with maternal obesity and offspring high birthweight being significant in the fully adjusted model and across all models (model 4, AOR [95% CI] = 2.26 [1.32-3.85] and 2.83 [1.44-5.56], correspondingly).
    Conclusions: Our results suggest shared obesogenic environment influences from which the overweight-obese maternal-child dyads are emerging in Mexican households. More research is needed to better understand these obesogenic environments grounded on the particular contexts among upper-middle-income countries.
    MeSH term(s) Breast Feeding ; Female ; Humans ; Mexico/epidemiology ; Mothers ; Obesity ; Overweight/epidemiology ; Pregnancy ; Prevalence
    Language English
    Publishing date 2021-05-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2075729-3
    ISSN 1564-8265 ; 0379-5721
    ISSN (online) 1564-8265
    ISSN 0379-5721
    DOI 10.1177/03795721211014778
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: [No title information]

    Gaitán-Rossi, Pablo / Pérez-Hernández, Víctor / Vilar-Compte, Mireya / Teruel-Belismelis, Graciela

    Salud publica de Mexico

    2022  Volume 64, Issue 4, jul-ago, Page(s) 341–342

    Abstract: No disponible. ...

    Title translation Respuesta a la crítica del artículo “Prevalencia mensual de trastorno de ansiedad generalizada durante la pandemia por Covid-19 en México”.
    Abstract No disponible.
    MeSH term(s) Anxiety Disorders ; COVID-19 ; Humans ; Mexico ; Pandemics ; Prevalence
    Language Spanish
    Publishing date 2022-07-08
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 954220-6
    ISSN 1606-7916 ; 0036-3634
    ISSN (online) 1606-7916
    ISSN 0036-3634
    DOI 10.21149/13653
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Association Between Breastfeeding and Child Stunting in Mexico.

    Campos, Ana Paola / Vilar-Compte, Mireya / Hawkins, Summer Sherburne

    Annals of global health

    2020  Volume 86, Issue 1, Page(s) 145

    Abstract: Background: Globally, the prevalence of child stunting has been decreasing over the past decades. However, in low- and middle-income countries such as Mexico, stunting is still the most prevalent form of undernutrition affecting a large number of ... ...

    Abstract Background: Globally, the prevalence of child stunting has been decreasing over the past decades. However, in low- and middle-income countries such as Mexico, stunting is still the most prevalent form of undernutrition affecting a large number of children in the most vulnerable conditions. Breastfeeding has been identified as one of the key affordable and modifiable maternal health behaviors protecting against child stunting.
    Objective: To examine the association between breastfeeding (defined as never breastfed, any breastfeeding for <6 months, and any breastfeeding for ≥6 months) and other individual-, household-, and area-level factors with child stunting (defined as length/height-for-age-z-score for sex under -2 standard deviations of the World Health Organization child growth standards' median) in Mexico.
    Methods: Secondary data analysis using the 2012 Mexican Health and Nutrition Survey, which allowed representativeness of rural and urban areas at national level and among 4 regions in Mexico. Our subset included data on 2,089 singleton Mexican children aged 6-35 months with information on previously identified risk and protective factors for stunting. We conducted fixed- and mixed-effects logistic regression models sequentially controlling for each level of factors.
    Findings: Overall, 12.3% of children were stunted and 71.1% were breastfed for ≥6 months. Any breastfeeding and being female were consistent protective factors against child stunting across all models. In contrast, child low birthweight, maternal short stature, higher number of children aged <5 years per household, and moderate to severe food insecurity were consistent risk factors for child stunting across all models.
    Conclusions: According to our findings, efforts to reduce child stunting in Mexico should include prenatal strategies aiming to prevent low birthweight offspring particularly among short-stature women, moderate to severe food insecure households, families with a higher number of children aged <5 years, and indigenous communities. Postnatal components should include multilevel strategies to support breastfeeding.
    MeSH term(s) Breast Feeding ; Child ; Cross-Sectional Studies ; Female ; Growth Disorders/epidemiology ; Humans ; Infant ; Mexico/epidemiology ; Prevalence ; Rural Population
    Language English
    Publishing date 2020-11-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2821756-1
    ISSN 2214-9996 ; 2214-9996
    ISSN (online) 2214-9996
    ISSN 2214-9996
    DOI 10.5334/aogh.2836
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: [No title information]

    Lozano-Hidalgo, Erika / Hernández Fernández, Mauricio / Gaitán-Rossi, Pablo / Vilar-Compte, Mireya

    Salud publica de Mexico

    2022  Volume 64, Issue 4, jul-ago, Page(s) 357–366

    Abstract: Objetivo: Estimar la frecuencia con la que se consumen algunos alimentos recomendables y no recomendables du-rante la pandemia por Covid-19 en México, y su asociación con características sociodemográficas y seguridad alimentaria. Material y métodos. Se ... ...

    Title translation Aproximación al consumo de alimentos recomendables y no recomendables en la primera ola de la pandemia por Covid-19 en México.
    Abstract Objetivo: Estimar la frecuencia con la que se consumen algunos alimentos recomendables y no recomendables du-rante la pandemia por Covid-19 en México, y su asociación con características sociodemográficas y seguridad alimentaria. Material y métodos. Se analizó la Encuesta de Seguimien-to de los Efectos del Covid en el Bienestar de los Hogares Mexicanos (Encovid-19). Se identificaron cuatro grupos con información de la frecuencia de su consumo y se estimaron modelos de regresión logística ajustando por características sociodemográficas y seguridad alimentaria.
    Resultados: Los niveles socioeconómicos más altos A/B y C se asociaron con una mayor frecuencia de consumo de alimentos recomenda-bles y no recomendables. La inseguridad leve se asoció con un menor consumo de alimentos recomendables, y la inseguridad moderada y severa se asociaron con un menor consumo de todos los grupos estudiados.
    Conclusiones: Comprender la experiencia de la inseguridad alimentaria durante una cri-sis como la pandemia puede indicar la necesidad de incluir grupos de población tradicionalmente no considerados en los programas de apoyo.
    MeSH term(s) COVID-19/epidemiology ; Chemokine CCL5 ; Food ; Humans ; Mexico/epidemiology ; Pandemics ; Retrospective Studies
    Chemical Substances Chemokine CCL5
    Language Spanish
    Publishing date 2022-06-29
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 954220-6
    ISSN 1606-7916 ; 0036-3634
    ISSN (online) 1606-7916
    ISSN 0036-3634
    DOI 10.21149/13342
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Breastfeeding inequities in South Africa: Can enforcement of the WHO Code help address them? - A systematic scoping review.

    Vitalis, Debbie / Vilar-Compte, Mireya / Nyhan, Kate / Pérez-Escamilla, Rafael

    International journal for equity in health

    2021  Volume 20, Issue 1, Page(s) 114

    Abstract: Introduction: Suboptimal breastfeeding rates in South Africa have been attributed to the relatively easy access that women and families have had to infant formula, in part as a result of programs to prevent maternal-to-child transmission (MTCT) of HIV. ... ...

    Abstract Introduction: Suboptimal breastfeeding rates in South Africa have been attributed to the relatively easy access that women and families have had to infant formula, in part as a result of programs to prevent maternal-to-child transmission (MTCT) of HIV. This policy may have had an undesirable spill-over effect on HIV-negative women as well. Thus, the aims of this scoping review were to: (a) describe EBF practices in South Africa, (b) determine how EBF has been affected by the WHO HIV infant feeding policies followed since 2006, and (c) assess if the renewed interest in The Code has had any impact on breastfeeding practices in South Africa.
    Methods: We applied the Joanna Briggs Institute guidelines for scoping reviews and reported our work in compliance with the PRISMA Extension (PRISMA-ScR). Twelve databases and platforms were searched. We included all study designs (no language restrictions) from South Africa published between 2006 and 2020. Eligible participants were women in South Africa who delivered a healthy live newborn who was between birth and 24 months of age at the time of study, and with known infant feeding practices.
    Results: A total of 5431 citations were retrieved. Duplicates were removed in EndNote and by Covidence. Of the 1588 unique records processed in Covidence, 179 records met the criteria for full-text screening and 83 were included in the review. It was common for HIV-positive women who initiated breastfeeding to stop doing so prior to 6 months after birth (1-3 months). EBF rates rapidly declined after birth. School and work commitments were also reasons for discontinuation of EBF. HIV-positive women expressed fear of HIV MTCT transmission as a reason for not breastfeeding.
    Conclusion: The Review found that while enforcing the most recent WHO HIV infant feeding guidelines and the WHO Code may be necessary to improve breastfeeding outcomes in South Africa, they may not be sufficient because there are additional barriers that impact breastfeeding outcomes. Mixed-methods research, including in-depth interviews with key informants representing different government sectors and civil society is needed to prioritize actions and strategies to improve breastfeeding outcomes in South Africa.
    MeSH term(s) Breast Feeding/statistics & numerical data ; Feeding Behavior ; Female ; Guideline Adherence/statistics & numerical data ; Guidelines as Topic ; HIV Infections/prevention & control ; HIV Infections/transmission ; Humans ; Infant ; Infant Formula/supply & distribution ; Infant, Newborn ; Infectious Disease Transmission, Vertical/prevention & control ; Public Policy ; South Africa ; World Health Organization
    Language English
    Publishing date 2021-05-04
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 2092056-8
    ISSN 1475-9276 ; 1475-9276
    ISSN (online) 1475-9276
    ISSN 1475-9276
    DOI 10.1186/s12939-021-01441-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: A Qualitative Assessment of the Essential Health and Nutrition Service Delivery in the Context of COVID-19 in Bangladesh: The Perspective of Divisional Directors.

    Gaitán-Rossi, Pablo / Vilar-Compte, Mireya / Cruz-Villalba, Valeria / Sabina, Nazme / Villar-Uribe, Manuela

    Healthcare (Basel, Switzerland)

    2022  Volume 10, Issue 9

    Abstract: Bangladesh suffered disruptions in the utilization of essential health and nutrition services (EHNS) during the COVID-19 pandemic. The magnitude of the pandemic has been documented, but little is known from the perspectives of health administrators. A ... ...

    Abstract Bangladesh suffered disruptions in the utilization of essential health and nutrition services (EHNS) during the COVID-19 pandemic. The magnitude of the pandemic has been documented, but little is known from the perspectives of health administrators. A rapid qualitative assessment of division-level capacity identified successes and bottlenecks in providing EHNS- and COVID-19-related services during the first months of the pandemic in Bangladesh. Semi-structured interviews were held with the Health and Family Planning Divisional Directors of the Ministry of Health and Family Welfare. The Primary Health Care System Framework guided the content analysis, focusing on (i) service delivery, (ii) communication and community outreach, and (iii) surveillance and service monitoring. Our findings identified low care seeking due to fears of getting infected and unawareness that EHNS were still available. Adaptations to telemedicine were highly heterogeneous between divisions, but collaboration with NGOs were fruitful in reinstating outreach activities. Guidelines were centered on COVID-19 information and less so on EHNS. The inflexibility of spending capacities at divisional and clinic levels hindered service provision. Misinformation and information voids were difficult to handle all around the country. Community health workers were useful for outreach communication. EHNS must be guaranteed during sanitary emergencies, and Bangladesh presented with both significant efforts and areas of opportunity for improvement.
    Language English
    Publishing date 2022-08-25
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare10091619
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Barriers to COVID-19 vaccination among older adults in Mexico City.

    Gaitán-Rossi, Pablo / Mendez-Rosenzweig, Miranda / García-Alberto, Erika / Vilar-Compte, Mireya

    International journal for equity in health

    2022  Volume 21, Issue 1, Page(s) 85

    Abstract: Vaccines are effective to reduce COVID-19 related outcomes, but universal vaccination campaigns can reveal within-country access inequities. Mexico City has had high rates of COVID-19 related morbidity and mortality and a population survey warned that ... ...

    Abstract Vaccines are effective to reduce COVID-19 related outcomes, but universal vaccination campaigns can reveal within-country access inequities. Mexico City has had high rates of COVID-19 related morbidity and mortality and a population survey warned that vaccine acceptance was lowest in older adults. Since February 2021, Mexico started a universal and free vaccination campaign prioritizing older adults. By April 17, every older adult in Mexico City had been eligible to receive the first dose. A week later, we conducted a telephone survey representative of older adults residing in Mexico City (n = 503). We asked if they received their first dose and, if they haven't, we followed-up with an open question to register their reasons. In addition to sociodemographic characteristics and food insecurity, we also inquired about vaccine hesitancy, health concerns related to COVID-19, self-rated health, comorbidities, frailty, and depression. The objective of the study was to identify the main barriers to receive the first dose of the vaccine. We estimated descriptive statistics and logistic regression models. Results show that 7.6% of older adults in Mexico City did not receive their first dose. Barriers for not receiving it were vaccine hesitancy (60.4%), not having COVID-19 health concerns (46.4%), poor self-rated health (46.7%), a previous diagnosis of depression (35.7%), low socioeconomic status (65.4%), and household food insecurity (59.8%). Responses to the open question clustered in four themes: misinformation about the process (30%), distrust of the vaccine (24%), personal health problems (24%), and difficulties to get an appointment (22%). Logistic regression models adjusted for vaccine hesitancy and revealed two distinct reasons for not having their first dose: 1) vaccine hesitancy and misinformation on COVID-19, and 2) household food insecurity. Reaching these two groups requires active and differentiated public-health measures; the first with additional information from trusted sources, and the second by facilitating vaccination in neighborhoods with high levels of food insecurity and informal labor, where missing a day's work is a strong disincentive. Vaccination campaigns need an equity lens to reach universal coverage; ensuring full access demands thorough and carefully tailored new interventions.
    MeSH term(s) Aged ; COVID-19/prevention & control ; COVID-19 Vaccines ; Humans ; Mexico/epidemiology ; Vaccination ; Vaccines
    Chemical Substances COVID-19 Vaccines ; Vaccines
    Language English
    Publishing date 2022-06-19
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 2092056-8
    ISSN 1475-9276 ; 1475-9276
    ISSN (online) 1475-9276
    ISSN 1475-9276
    DOI 10.1186/s12939-022-01685-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: An analysis of actors participating in the design and implementation of workplace breastfeeding interventions in Mexico using the NetMap analysis approach.

    Litwan, Kathrin / Lara-Mejía, Vania / Chahine, Teresa / Hernández-Cordero, Sonia / Vilar-Compte, Mireya / Pérez-Escamilla, Rafael

    Frontiers in public health

    2023  Volume 11, Page(s) 1192600

    Abstract: Introduction: While breastfeeding is recognized as providing optimal nutrition for infants and toddlers, maternal employment is a commonly mentioned barrier to breastfeeding. The goal was to (a) identify key actors participating in the design and ... ...

    Abstract Introduction: While breastfeeding is recognized as providing optimal nutrition for infants and toddlers, maternal employment is a commonly mentioned barrier to breastfeeding. The goal was to (a) identify key actors participating in the design and implementation of workplace breastfeeding interventions in Mexico, (b) understand the complexity of interactions between the actors, and (c) map the connections and influence between the actors when looking into networks of Advice, Command, Funding, and Information.
    Method: Following the NetMap methodology, a total of 11 semi-structured interviews with 12 interview partners from 10 organizations were conducted. Interview data were analyzed, and networks were analyzed and visualized, using a social network mapping software.
    Results: A total of 83 actors from five different actor groups were identified. Four networks were constructed along the four types of connections: Advice, Command, Funding, and Information. The actors were connected by 580 connections with 446 unique links. Based on various network statistics, the Mexican Institute of Social Security, the Mexican Secretary of Labor and Social Welfare, UNICEF, and the Mexican Secretary of Health were identified to be key actors.
    Conclusion: To increase the likelihood of success of workplace breastfeeding interventions, the role of the actors "Employers" and "Women" needs to expand. They should be actively involved in the decision-making process, together with the identified key actors. It is further recommended to re-introduce a national breastfeeding strategy for Mexico that includes policies for workplace breastfeeding interventions.
    MeSH term(s) Female ; Infant ; Humans ; Breast Feeding ; Mexico ; Women, Working ; Workplace ; Mothers
    Language English
    Publishing date 2023-11-08
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1192600
    Database MEDical Literature Analysis and Retrieval System OnLINE

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