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Article ; Online: Double Disparity of Sexual Minority Status and Rurality in Cardiometabolic Hospitalization Risk

Neeru Gupta / Samuel R. Cookson

Healthcare, Vol 11, Iss 21, p

A Secondary Analysis Using Linked Population-Based Data

2023 Volume 2854

Abstract: Studies have shown separately that sexual minority populations generally experience poorer chronic health outcomes compared with those who identify as heterosexual, as do rural populations compared with urban dwellers. This Canadian national ... ...

Abstract	Studies have shown separately that sexual minority populations generally experience poorer chronic health outcomes compared with those who identify as heterosexual, as do rural populations compared with urban dwellers. This Canadian national observational study explored healthcare patterns at the little-understood intersections of lesbian, gay, or bisexual (LGB) identity with residence in rural and remote communities, beyond chronic disease status. The secondary analysis applied logistic regressions on multiple linked datasets from representative health surveys, administrative hospital records, and a geocoded index of community remoteness to examine differences in the risk of potentially avoidable cardiometabolic-related hospitalization among adults of working age. Among those with an underlying cardiometabolic condition and residing in more rural and remote communities, a significantly higher hospitalization risk was found for LGB-identified persons compared with their heterosexual peers (odds ratio: 4.2; 95% confidence interval: 1.5–11.7), adjusting for sociodemographic characteristics, behavioral risk factors, and primary healthcare access. In models stratified by sex, the association remained significant among gay and bisexual men (5.6; CI: 1.3–24.4) but not among lesbian and bisexual women (3.5; CI: 0.9–13.6). More research is needed leveraging linkable datasets to better understand the complex and multiplicative influences of sexual minority status and rurality on cardiometabolic health to inform equity-enhancing preventive healthcare interventions.
Keywords	health services research ; rural health ; sexual minorities ; healthcare inequalities ; preventable hospitalization ; data linkage ; Medicine ; R
Subject code	360
Language	English
Publishing date	2023-10-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Evaluation of Survey Nonresponse in Measuring Cardiometabolic Health Risk Factors and Outcomes among Sexual Minority Populations

Neeru Gupta / Samuel R. Cookson

International Journal of Environmental Research and Public Health, Vol 20, Iss 5346, p

A National Data Linkage Analysis

2023 Volume 5346

Abstract: Understanding cardiometabolic health among lesbian, gay, and bisexual (LGB) people is challenged by methodological constraints, as most studies are either based on nonprobability samples or assume that missing values in population-based samples occur at ... ...

Abstract	Understanding cardiometabolic health among lesbian, gay, and bisexual (LGB) people is challenged by methodological constraints, as most studies are either based on nonprobability samples or assume that missing values in population-based samples occur at random. Linking multiple years of nationally representative surveys, hospital records, and geocoded data, we analyzed selection biases and health disparities by self-identified sexual orientation in Canada. The results from 202,560 survey respondents of working age identified 2.6% as LGB, 96.4% as heterosexual, and <1.0% with nonresponse to the sexual identity question. Those who did not disclose their sexual identity were older, less highly educated, less often working for pay, and less often residing in rural and remote communities; they also had a diagnosed cardiometabolic condition or experienced a cardiometabolic-related hospitalization more often. Among those reporting their sexual identity, LGB individuals were younger, more likely to smoke tobacco or drink alcohol regularly, more likely to have heart disease, and less likely to have a regular medical provider than heterosexual persons. This investigation highlighted the potential of leveraging linked population datasets to advance measurements of sexual minority health disparities. Our findings indicated that population health survey questions on sexual identity are not generally problematic, but cautioned that those who prefer not to state their sexual identity should neither be routinely omitted from analysis nor assumed to have been randomly distributed.
Keywords	sexual orientation ; sexual minorities ; health surveys ; data linkage ; health measurement ; Medicine ; R
Subject code	360
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Evaluation of Survey Nonresponse in Measuring Cardiometabolic Health Risk Factors and Outcomes among Sexual Minority Populations: A National Data Linkage Analysis.

Gupta, Neeru / Cookson, Samuel R

International journal of environmental research and public health

2023 Volume 20, Issue 7

Abstract	Understanding cardiometabolic health among lesbian, gay, and bisexual (LGB) people is challenged by methodological constraints, as most studies are either based on nonprobability samples or assume that missing values in population-based samples occur at random. Linking multiple years of nationally representative surveys, hospital records, and geocoded data, we analyzed selection biases and health disparities by self-identified sexual orientation in Canada. The results from 202,560 survey respondents of working age identified 2.6% as LGB, 96.4% as heterosexual, and <1.0% with nonresponse to the sexual identity question. Those who did not disclose their sexual identity were older, less highly educated, less often working for pay, and less often residing in rural and remote communities; they also had a diagnosed cardiometabolic condition or experienced a cardiometabolic-related hospitalization more often. Among those reporting their sexual identity, LGB individuals were younger, more likely to smoke tobacco or drink alcohol regularly, more likely to have heart disease, and less likely to have a regular medical provider than heterosexual persons. This investigation highlighted the potential of leveraging linked population datasets to advance measurements of sexual minority health disparities. Our findings indicated that population health survey questions on sexual identity are not generally problematic, but cautioned that those who prefer not to state their sexual identity should neither be routinely omitted from analysis nor assumed to have been randomly distributed.
MeSH term(s)	Humans ; Male ; Female ; Sexual and Gender Minorities ; Bisexuality ; Sexual Behavior ; Surveys and Questionnaires ; Risk Factors ; Cardiovascular Diseases/epidemiology
Language	English
Publishing date	2023-03-31
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/ijerph20075346
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Double Disparity of Sexual Minority Status and Rurality in Cardiometabolic Hospitalization Risk: A Secondary Analysis Using Linked Population-Based Data.

Gupta, Neeru / Cookson, Samuel R

Healthcare (Basel, Switzerland)

2023 Volume 11, Issue 21

Abstract	Studies have shown separately that sexual minority populations generally experience poorer chronic health outcomes compared with those who identify as heterosexual, as do rural populations compared with urban dwellers. This Canadian national observational study explored healthcare patterns at the little-understood intersections of lesbian, gay, or bisexual (LGB) identity with residence in rural and remote communities, beyond chronic disease status. The secondary analysis applied logistic regressions on multiple linked datasets from representative health surveys, administrative hospital records, and a geocoded index of community remoteness to examine differences in the risk of potentially avoidable cardiometabolic-related hospitalization among adults of working age. Among those with an underlying cardiometabolic condition and residing in more rural and remote communities, a significantly higher hospitalization risk was found for LGB-identified persons compared with their heterosexual peers (odds ratio: 4.2; 95% confidence interval: 1.5-11.7), adjusting for sociodemographic characteristics, behavioral risk factors, and primary healthcare access. In models stratified by sex, the association remained significant among gay and bisexual men (5.6; CI: 1.3-24.4) but not among lesbian and bisexual women (3.5; CI: 0.9-13.6). More research is needed leveraging linkable datasets to better understand the complex and multiplicative influences of sexual minority status and rurality on cardiometabolic health to inform equity-enhancing preventive healthcare interventions.
Language	English
Publishing date	2023-10-30
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare11212854
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Research to support evidence-informed decisions on optimizing gender equity in health workforce policy and planning

Neeru Gupta

Human Resources for Health, Vol 17, Iss 1, Pp 1-

2019 Volume 3

Abstract: Abstract Women constitute 70% of the global health and social care workforce, but important knowledge gaps persist to effectively support decision making to optimize gender equity. In this Editorial introducing a new thematic series on ‘Research to ... ...

Abstract	Abstract Women constitute 70% of the global health and social care workforce, but important knowledge gaps persist to effectively support decision making to optimize gender equity. In this Editorial introducing a new thematic series on ‘Research to support evidence-informed decisions on optimizing gender equity in health workforce policy and planning,’ we are calling for submissions focusing on research concerning the monitoring, evaluation and accountability of human resources for health policy options through a gender equity lens. We are particularly interested to receive manuscripts advancing the innovative use of data and methodologies in the areas of occupational segregation, decent work, gender pay gap and gendered leadership in the health workforce that could be reproducible across different country contexts.
Keywords	Health workforce ; Human resources for health ; Gender equality ; Occupational segregation ; Leadership ; Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2019-06-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Research to support evidence-informed decisions on optimizing gender equity in health workforce policy and planning.

Gupta, Neeru

Human resources for health

2019 Volume 17, Issue 1, Page(s) 46

Abstract: Women constitute 70% of the global health and social care workforce, but important knowledge gaps persist to effectively support decision making to optimize gender equity. In this Editorial introducing a new thematic series on 'Research to support ... ...

Abstract	Women constitute 70% of the global health and social care workforce, but important knowledge gaps persist to effectively support decision making to optimize gender equity. In this Editorial introducing a new thematic series on 'Research to support evidence-informed decisions on optimizing gender equity in health workforce policy and planning,' we are calling for submissions focusing on research concerning the monitoring, evaluation and accountability of human resources for health policy options through a gender equity lens. We are particularly interested to receive manuscripts advancing the innovative use of data and methodologies in the areas of occupational segregation, decent work, gender pay gap and gendered leadership in the health workforce that could be reproducible across different country contexts.
MeSH term(s)	Decision Making ; Female ; Health Planning ; Health Policy ; Health Workforce ; Humans ; Male ; Periodicals as Topic ; Personnel Management ; Personnel Selection ; Publishing ; Sexism/prevention & control ; Social Justice
Language	English
Publishing date	2019-06-24
Publishing country	England
Document type	Editorial
ISSN	1478-4491
ISSN (online)	1478-4491
DOI	10.1186/s12960-019-0380-6
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: The political economy of agricultural policy reform in India

Birner, Regina / Gupta, Surupa / Sharma, Neeru

fertilizers and electricity for irrigation

(IFPRI research monograph ; [174])

2011

Author's details	Regina Birner, Surupa Gupta, and Neeru Sharma
Series title	IFPRI research monograph ; [174] Research monograph / International Food Policy Research Institute
Collection	Research monograph / International Food Policy Research Institute
Language	English
Size	XXVII, 231 S. : graph. Darst., 24 cm
Publisher	Internat. Food Policy Research Inst
Publishing place	Washington, DC
Publishing country	United States
Document type	Book
Note	Includes bibliographical references (p. 209-221) and index ; Erscheinungsjahr in Vorlageform:c2011
HBZ-ID	HT016951354
ISBN	978-0-89629-172-0 ; 0-89629-172-3
Database	Catalogue ZB MED Nutrition, Environment, Agriculture

In stock of ZB MED Bonn / Germany

Shelf mark	Loan status	Location
118/1215	available for loan (reading room)	Freihandmagazin (U1)

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Article ; Online: Incision-Free Minimally Invasive Conjunctival Surgery (MICS) for Late-Onset Bleb Leaks After Trabeculectomy (An American Ophthalmological Society Thesis).

Gupta, Neeru

American journal of ophthalmology

2019 Volume 207, Page(s) 333–342

Abstract: Purpose: This study describes an incision-free minimally invasive conjunctival surgical (MICS) technique to repair late-onset leaking blebs after trabeculectomy.: Methods: A surgical technique to repair leaking blebs without incision or excision of ... ...

Abstract	Purpose: This study describes an incision-free minimally invasive conjunctival surgical (MICS) technique to repair late-onset leaking blebs after trabeculectomy. Methods: A surgical technique to repair leaking blebs without incision or excision of conjunctiva is described. This is followed by retrospective review of all patients treated at the Glaucoma Unit at St. Michael's Hospital for bleb leaks repaired with MICS from 2012 to 2017. With Research Ethics Board approval, clinical data obtained from the charts included demographic information, vision, intraocular pressure (IOP) data before and after surgery, need for additional medication, and complications. Resolution of the bleb leak without the need for additional therapy or intervention for glaucoma control was considered a success. Results: The MICS approach was applied to 14 eyes of 13 consecutive patients with a leaking bleb. Mean age of presentation was 70.2 ± 14.8 years, and all patients had a history of mitomycin use at the time of glaucoma surgery. The onset of bleb leak following trabeculectomy ranged from 7 months to 16.3 years. Mean pre-operative IOP was 4.5 ± 2.8 mm Hg; IOP measured 12.3 ± 3.0 mm Hg immediately after the procedure. Complete resolution of the bleb leak was observed following surgery in all cases. The follow-up period ranged from 2 weeks to 61 months (10.2 ± 18.1). Recurrent bleb leak was reported in 1 patient 2 years following initial surgery. In all cases, the initially repaired filtering blebs remained functional at last follow-up, and no additional medications were required. Conclusions: The MICS procedure is an effective option for treating late-onset leaking blebs without cutting or excising conjunctival tissue. The minimal requirements of this method make it additionally accessible to low-resource settings. NOTE: Publication of this article is sponsored by the American Ophthalmological Society.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Conjunctiva/surgery ; Female ; Follow-Up Studies ; Glaucoma, Open-Angle/physiopathology ; Glaucoma, Open-Angle/surgery ; Humans ; Intraocular Pressure/physiology ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Reoperation ; Retrospective Studies ; Surgical Wound Dehiscence/etiology ; Surgical Wound Dehiscence/surgery ; Tonometry, Ocular ; Trabeculectomy/adverse effects
Language	English
Publishing date	2019-05-13
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80030-2
ISSN	1879-1891 ; 0002-9394
ISSN (online)	1879-1891
ISSN	0002-9394
DOI	10.1016/j.ajo.2019.04.031
Database	MEDical Literature Analysis and Retrieval System OnLINE

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bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Reduced Risk of Hospitalization With Stronger Community Belonging Among Aging Canadians Living With Diabetes: Findings From Linked Survey and Administrative Data.

Gupta, Neeru / Sheng, Zihao

Frontiers in public health

2021 Volume 9, Page(s) 670082

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Adult ; Aging ; COVID-19 ; Canada/epidemiology ; Diabetes Mellitus/epidemiology ; Hospitalization ; Humans ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2021-05-14
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.2021.670082
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Upstaging of Tuberculosis in the Post-COVID-19 Era: A Case Series.

Malik, Neeru / Sidhar, Meenakshi / Sehgal, Nidhi Prabha / Gupta, Anurag / Gupta, Ishita

Cureus

2024 Volume 16, Issue 2, Page(s) e54687

Abstract: The COVID-19 pandemic has significantly impacted the global health system as well as the social and economic impact on tuberculosis (TB) treatment and diagnostic services. A high volume of patients diagnosed and treated for TB were impacted by the ... ...

Abstract	The COVID-19 pandemic has significantly impacted the global health system as well as the social and economic impact on tuberculosis (TB) treatment and diagnostic services. A high volume of patients diagnosed and treated for TB were impacted by the pandemic restrictions, particularly reduced access to TB services provided by the National Tuberculosis Elimination Programme in India; this in turn increased the number of deaths due to TB. The Indian healthcare system has been struggling with the eradication of TB, and this additional worldwide health crisis caused by SARS-CoV-2 has put the Indian healthcare system under severe stress. Both COVID-19 and TB are infectious diseases that primarily affect the lungs and have similar symptoms such as cough, fever, and difficulty breathing. The need of the hour is to take proper actions to mitigate and reverse these impacts urgently. The immediate priority is to aggressively step up the provision of essential TB services so that the levels of TB case detection and treatment return to at least pre-COVID-19 levels. The diagnosis of genital TB especially needs a high index of suspicion, as most of the cases are asymptomatic and diagnosed by chance in young women being evaluated for fertility. Here, we present a series of advanced genital TB cases that required intensive care and could have been detected and treated at an early stage.
Language	English
Publishing date	2024-02-22
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.54687
Database	MEDical Literature Analysis and Retrieval System OnLINE

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