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Article ; Online: Decision support algorithm to revamp homestead vegetable production for climate resilience and nutrition security

Aniket Deo / Amit Arora / Subhankar Karmakar

Smart Agricultural Technology, Vol 6, Iss , Pp 100340- (2023)

2023

Abstract: Inadequate micronutrient diversity in diets remains a serious cause of malnutrition which is prevalent in rural areas especially in developing countries. The current study proposed a decision support algorithm for nutrition-sensitive vegetable production ...

Abstract	Inadequate micronutrient diversity in diets remains a serious cause of malnutrition which is prevalent in rural areas especially in developing countries. The current study proposed a decision support algorithm for nutrition-sensitive vegetable production in semi-subsistence farming systems to improve their access to micronutrient-diverse and dense foods without compromising on economics of cultivation. Multi-dimensional nutri-economic data was modelled to compute micronutrient profiles along with the relative abundance of vegetables in diets, giving an advantage over other nutrition indices that measured diversity. Besides, a novel micro-planning algorithm was developed for climate-resilient and micronutrient-sensitive vegetable production that generated multiple production plans as per farm properties, crop preferences and consumption patterns of farm households. The algorithm consisted of a cropcombination generator, uncertainty analysis and optimization procedure. The uncertainty analysis incorporated variations in climate, market rates, yields and cost of cultivation. The algorithm was demonstrated using 8 case studies based in India and investigated whether micronutrient diversity, micronutrient density, production diversity and net returns could be improved at the production stage. The results suggested that the generated plans performed better than existing plans for all four parameters in every case study. The improvement in micronutrient diversity, micronutrient density, production diversity and net returns ranged from 5.8 to 60 %, 7.2 to 79 %, 7.8 to 31 % and 5.8 to 60 % respectively. This study provides a simple framework to process large multi-dimensional nutri-economic data to measure essential well-being indices and produces sound food policies at field and regional levels.
Keywords	Decision support system ; Food security ; Nutrition security ; Climate-resilient agriculture ; Production diversity ; Multi-dimensional data ; Agriculture (General) ; S1-972 ; Agricultural industries ; HD9000-9495
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Interventions to improve health literacy among Aboriginal and Torres Strait Islander Peoples

Simone Nash / Amit Arora

BMC Public Health, Vol 21, Iss 1, Pp 1-

a systematic review

2021 Volume 15

Abstract: Abstract Background Aboriginal and Torres Strait Islander peoples continue to experience poorer health outcomes than other population groups. While data specific to Indigenous Australians are scarce, a known social health literacy gradient exists linking ...

Abstract	Abstract Background Aboriginal and Torres Strait Islander peoples continue to experience poorer health outcomes than other population groups. While data specific to Indigenous Australians are scarce, a known social health literacy gradient exists linking low health literacy and poor health outcomes within many minority populations. Improving health literacy among Indigenous Australians is an important way to support self-determination and autonomy in both individuals and communities, by enhancing knowledge and improving health outcomes. This review aims to rigorously examine the effectiveness of health literacy interventions targeting Aboriginal and Torres Strait Islander peoples. Methods A systematic review across six databases (The Cochrane Library, PubMed, Embase, SCOPUS, ProQuest Dissertation and Thesis and Web of Science) was performed for publications evaluating interventions to improve health literacy among Indigenous Australian adults using search terms identifying a range of related outcomes. Results Of 824 articles retrieved, a total of five studies met the eligibility criteria and were included in this review. The included studies evaluated the implementation of workshops, structured exercise classes and the provision of discounted fruit and vegetables to improve nutrition, modify risk factors for chronic diseases, and improve oral health literacy. All interventions reported statistically significant improvement in at least one measured outcome. However, there was limited involvement of the Aboriginal and Torres Strait Islander community members in the research process and participant retention rates were sub-optimal. Conclusion There is limited evidence on interventions to improve health literacy in Indigenous Australian adults. Participation in interventions was often suboptimal and loss to follow-up was high. Future studies co-designed with Aboriginal and Torres Strait Islander community members are needed to improve health literacy in this population.
Keywords	Aboriginal ; Torres Strait Island ; Indigenous ; First Nations Peoples ; Health literacy ; Australia ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Effectiveness of Sensory Adaptive Dental Environments to Reduce Corresponding Negative Behaviours and Psychophysiology Responses in Children and Young People with Intellectual and Developmental Disabilities

Kaitlyn Reynolds / Navira Chandio / Ritesh Chimoriya / Amit Arora

International Journal of Environmental Research and Public Health, Vol 19, Iss 13758, p

A Protocol of a Systematic Review and Meta-Analysis

2022 Volume 13758

Abstract: People with Intellectual and Developmental Disabilities (IDDs) are disproportionately vulnerable to poorer oral health due to their complex needs specifically sensory processing difficulties. This leads to increased maladaptive behaviours and ... ...

Abstract	People with Intellectual and Developmental Disabilities (IDDs) are disproportionately vulnerable to poorer oral health due to their complex needs specifically sensory processing difficulties. This leads to increased maladaptive behaviours and psychophysiology responses of dental anxiety amplified by the overstimulating aspects of the dental environment. Although, there is a growing body of evidence to suggest that sensory adaptions are an effective strategy for individuals with IDDs in a wide range of settings, there is a lack of high-quality evidence detailing the effectiveness in a dental setting. The objective of this review is to assess the effectiveness of sensory adaptive dental environments (SADE) to reduce dental anxiety, corresponding negative behaviours and psychophysiology responses in children and young people with IDDs. The systematic review will include all Randomized Controlled Trials (RCTs) that investigate the effectiveness of SADE compared to control (no intervention), waitlist or usual care (regular dental environment) to reduce dental anxiety and the corresponding negative behaviours and psychophysiology responses in children and young people (upto the ages of 24 years) with IDDs. This review will be conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases including MEDLINE (Ovid), The Cochrane Library, Embase, Google Scholar, Web of Science and OT Seeker will be searched using appropriate keywords. Additionally, citation searching will be conducted. Screening based on titles and abstracts will be done after de-duplication, followed by full-text reading for selection based on the inclusion criteria. Data extracted from the included studies will be tabulated and assessed for risk of bias. If applicable, a meta-analysis of the pooled data will be conducted. The review is registered with PROSPERO (CRD42022322083).
Keywords	dental anxiety ; intellectual developmental disorder ; multisensory ; oral health ; sensory processing ; Medicine ; R
Language	English
Publishing date	2022-10-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Skin-to-skin contact and breastfeeding practices in Nigeria

Michael Ekholuenetale / Amadou Barrow / Amit Arora

International Breastfeeding Journal, Vol 17, Iss 1, Pp 1-

a study of socioeconomic inequalities

2022 Volume 12

Abstract: Abstract Background The effects of breastfeeding practices on children’s health are undoubtedly of great interest. However, inequalities in breastfeeding practices and mother and newborn skin-to-skin contact (SSC) exist in many resource-constrained ... ...

Abstract	Abstract Background The effects of breastfeeding practices on children’s health are undoubtedly of great interest. However, inequalities in breastfeeding practices and mother and newborn skin-to-skin contact (SSC) exist in many resource-constrained settings. This study examined the regional prevalence and socioeconomic inequalities in exclusive breastfeeding (EBF), early initiation of breastfeeding and SSC in Nigeria. Methods Data on 2936 infants under six months were extracted from the 2018 Nigeria Demographic and Health Survey (NDHS) to determine EBF. In addition, data on 21,569 children were analysed for early initiation of breastfeeding and SSC. Concentration index and curves were used to measure socioeconomic inequalities in EBF, early initiation of breastfeeding and SSC. Results The prevalence of EBF, early initiation of breastfeeding and SSC were 31.8, 44.2 and 12.1% respectively. Furthermore, Ogun state had the highest prevalence of EBF (71.4%); while Bayelsa state had the highest prevalence of SSC (67.8%) and early initiation of breastfeeding (96.2%) respectively. Urban dwellers had higher prevalence of EBF, SSC and early initiation of breastfeeding across household wealth quintile and by levels of mothers’ education in contrast to their rural counterparts. We quantified inequalities in early initiation of breastfeeding, EBF, and SSC according to household wealth and maternal education. The study outcomes had greater coverage in higher household wealth, in contrast to the lower household wealth groups; early initiation of breastfeeding (concentration index = 0.103; p = 0.002), EBF (concentration index = 0.118; p < 0.001), and SSC (concentration index = 0.152; p < 0.001) respectively. Furthermore, early initiation of breastfeeding (concentration index = 0.091; p < 0.001), EBF (concentration index = 0.157; p < 0.001) and SSC (concentration index = 0.156; p < 0.001) had greater coverage among mothers with higher educational attainment. Conclusion Low prevalence and socioeconomic inequalities ...
Keywords	Breastfeeding ; Early initiation of breastfeeding ; Infant feeding ; Skin-to-skin contact (SSC) ; Socioeconomic inequalities ; Pediatrics ; RJ1-570 ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: It’s a Man’s World

Jack Thepsourinthone / Tinashe Dune / Pranee Liamputtong / Amit Arora

International Journal of Environmental Research and Public Health, Vol 19, Iss 2092, p

A Qualitative Study of Gender and Sexuality amongst Australian Gay Men

2022 Volume 2092

Abstract: Currently, research explicitly examining masculinity and internalized homonegativity is sparse, and even sparser studies are those using qualitative methods. To address this, this study aims to explore: how gender norms are constructed and experienced ... ...

Abstract	Currently, research explicitly examining masculinity and internalized homonegativity is sparse, and even sparser studies are those using qualitative methods. To address this, this study aims to explore: how gender norms are constructed and experienced amongst gay men; and how gender and sexual identity are experienced in relation to masculine norms amongst gay men. A sample of 32 self-identified gay men aged 22–72 years ( M = 34.34, SD = 12.94) participated in an online semi-structured interview on masculinity and homosexuality. The study used Zoom to facilitate the online interviews as it offered privacy, accessibility, ease of use, and voice recording, among other benefits. Thematic analyses revealed gay men’s understandings of masculinity, femininity, and sources of pressure to conform. Furthermore, gay men emphasize the conflict experienced between heteronormative gender and sexuality norms, which highlights the term homosexual male as an oxymoron.
Keywords	internalized homonegativity ; homonegativity ; masculinity ; LGBT ; gender norms ; Medicine ; R
Subject code	360
Language	English
Publishing date	2022-02-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Food Security among Libyan Migrants Living in Australia

Reima Mansour / Pranee Liamputtong / Amit Arora

Sustainability, Vol 13, Iss 13853, p

A Qualitative Study

2021 Volume 13853

Abstract: Food security among migrants and refugees is a concern across the globe, with the dearth of evidence on food labels and their influence on food security affecting disadvantaged communities especially. This paper discusses the experiences of food security ...

Abstract	Food security among migrants and refugees is a concern across the globe, with the dearth of evidence on food labels and their influence on food security affecting disadvantaged communities especially. This paper discusses the experiences of food security among Libyan migrant families in Australia. The study is situated within the food and nutrition security framework. A qualitative approach was adopted with in-depth interviews conducted with 27 Libyan migrants. Thematic analysis identified three themes: food security, food label comprehension, and strategies for dealing with food insecurity and food labelling difficulties. Food security had different meanings to different individuals. Access to culturally appropriate ( halal ) foods was problematic for families in regional and rural areas due to a lack of availability outside the main cities. In terms of food labelling, the language and terms used were a common issue for most families in both rural and city environments. Many families attempted to find ways to counteract food insecurity; however, lower-income families found this more burdensome. It is crucial that health and social welfare providers consider means to reduce food insecurity among Libyan migrants to allow them to live a healthier life in Australia.
Keywords	culturally appropriate foods ; food access ; food availability ; food affordability ; food preferences ; Environmental effects of industries and plants ; TD194-195 ; Renewable energy sources ; TJ807-830 ; Environmental sciences ; GE1-350
Subject code	360 ; 590
Language	English
Publishing date	2021-12-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A Systematic Review of Cross-Cultural Adaptation and Psychometric Properties of Oral Health Literacy Tools

Sobiya Praveen / Jinal Parmar / Navira Chandio / Amit Arora

International Journal of Environmental Research and Public Health, Vol 18, Iss 10422, p

2021 Volume 10422

Abstract: The aims of this systematic review were to critically appraise the quality of the cross-cultural adaptation and the psychometric properties of the translated versions of oral health literacy assessment tools. CINAHL (EBSCO), Medline (EBSCO), EMBASE (Ovid) ...

Abstract	The aims of this systematic review were to critically appraise the quality of the cross-cultural adaptation and the psychometric properties of the translated versions of oral health literacy assessment tools. CINAHL (EBSCO), Medline (EBSCO), EMBASE (Ovid), and ProQuest Dissertation and Thesis were searched systematically. Studies focusing on cross-cultural adaptation and psychometric properties of oral health literacy tools were included. The methodological quality of included studies was assessed according to the COSMIN Risk of Bias checklist. Sixteen oral health literacy instruments in 11 different languages were included in this systematic review. However, only seven instruments met the criteria for an accurate cross-cultural adaptation process, while the remaining tools failed to meet at least one criterion for suitable quality of cross-cultural adaptation process. None of the studies evaluated all the aspects of psychometric properties. Most of the studies reported internal consistency, reliability, structural validity, and construct validity. Despite adequate ratings for some reported psychometric properties, the methodological quality of studies on translated versions of oral health literacy tools was mostly doubtful to inadequate. Researchers and clinicians should follow standard guidelines for cross-cultural adaptation and assess all aspects of psychometric properties for using oral health literacy tools in cross-cultural settings.
Keywords	oral health literacy ; translation ; cross-cultural adaptation ; psychometric properties ; Medicine ; R
Subject code	302
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Out of the Closet, Not Yet Out of the House

Jack Thepsourinthone / Tinashe Dune / Pranee Liamputtong / Amit Arora

Healthcare, Vol 9, Iss 1479, p

Gay Men’s Experiences of Homonegativity and Internalized Homonegativity

2021 Volume 1479

Abstract: This paper explores how Australian gay men experience gender and sexuality in relation to heteronormative gender norms, specifically masculinity. A sample of 32 gay men 22–72 years of age participated in an online interview, using a videoconferencing ... ...

Abstract	This paper explores how Australian gay men experience gender and sexuality in relation to heteronormative gender norms, specifically masculinity. A sample of 32 gay men 22–72 years of age participated in an online interview, using a videoconferencing software, on masculinity and homosexuality. Thematic analyses revealed that gay men experience gender and sexuality-related strain across all levels of their socioecological environment through social regulation, homophobic discrimination/harassment, and anti-effeminacy prejudice. The gay men expressed feelings of self-loathing, shame, internalized homonegativity, and isolation as a result. In examining interactions at each level of the socioecological environment, future research and practice may gain understanding in the social phenomena and how to ameliorate such strain.
Keywords	homonegativity ; LGBT ; gender norms ; internalized homonegativity ; Medicine ; R
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Relationship between Masculinity and Internalized Homophobia amongst Australian Gay Men

Jack Thepsourinthone / Tinashe Dune / Pranee Liamputtong / Amit Arora

International Journal of Environmental Research and Public Health, Vol 17, Iss 5475, p

2020 Volume 5475

Abstract: Due to the heterosexist ideals associated with gender norms, gay men often experience negative attitudes towards their own sexuality—internalized homophobia. As a result, gay men often feel compelled to compensate for their perceived lack of masculinity. ...

Abstract	Due to the heterosexist ideals associated with gender norms, gay men often experience negative attitudes towards their own sexuality—internalized homophobia. As a result, gay men often feel compelled to compensate for their perceived lack of masculinity. The study aimed to investigate the relationship and predictive power of masculinity on gay men’s experiences of internalized homophobia. A sample of 489 self-identified Australian gay men 18–72 years old participated in an online survey on masculinity and homosexuality. Descriptive statistics, bivariate correlations, and sequential multiple regressions were used to test the study’s aims. Sequential multiple regressions revealed that conformity to masculine norms and threats to masculinity contingency were stronger predictors of internalized homophobia over and above demographic and other factors. Given the already known psychological risks associated with social isolation, internalized homophobia, and the poor mental health outcomes associated with sexual minority groups, it is suggested that gay men who are experiencing high degrees of internalized homophobia should not be distancing themselves from other gay men but, conversely, seek a strong relationship with the LGBTI community.
Keywords	internalized homophobia ; homonegativity ; masculinity ; LGBT ; gender norms ; Medicine ; R
Language	English
Publishing date	2020-07-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Prevalence, Determinants, and Effects of Food Insecurity among Middle Eastern and North African Migrants and Refugees in High-Income Countries

Reima Mansour / Pranee Liamputtong / Amit Arora

International Journal of Environmental Research and Public Health, Vol 17, Iss 7262, p

A Systematic Review

2020 Volume 7262

Abstract: Issues related to poverty and income inequality in high-income countries have led to food insecurity among some population groups, such as migrants and refugees. While there are some studies on the experience of some migrant groups (and other ... ...

Abstract	Issues related to poverty and income inequality in high-income countries have led to food insecurity among some population groups, such as migrants and refugees. While there are some studies on the experience of some migrant groups (and other subpopulations), little is known about food security among Middle Eastern and African migrants and refugees. This systematic review identified the prevalence of food insecurity and its effects among Middle Eastern and North African (MENA) migrants and refugees in high-income countries. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed in this systematic review. Four databases, namely MEDLINE (Ovid), Embase (Ovid), CINAHL (EBSCO), and PubMed were searched. Three studies met the inclusion criteria, all of which were conducted in USA: two among Sudanese migrant families, and one among Somali refugee women. The rates of reported food insecurity ranged from 40% to 71% and were significantly higher than for the general population. Food insecurity was associated with acculturation and socio-economic factors. Food insecurity adversely impacts the health of MENA migrants and refugees, creating economic implications for individuals, families, the broader community in which they now live, and for governments.
Keywords	food security ; food insecurity ; Middle Eastern ; North African ; MENA ; migrants ; Medicine ; R
Subject code	360
Language	English
Publishing date	2020-10-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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