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  1. Article ; Online: Editorial

    Shanquan Chen / Chi Kin Law / Wai-kit Ming / Stefano Orlando

    Frontiers in Public Health, Vol

    Addressing the sustainable development goals “leave no one behind” promise: migration and health

    2023  Volume 11

    Keywords migration ; urban-rural dual division system ; people-centered integrated care ; medical insurance ; internal migrant men who have sex with men ; rare diseases ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-05-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Coordinated Management of COVID-19 Response

    Shanquan Chen / Pan Zhang / Yun Zhang / Hong Fung / Yong Han / Chi Kin Law / Zhiqiang Li

    Frontiers in Public Health, Vol

    Lessons From Whole-of-Society and Whole-of-Health Strategies in Wuhan, China

    2021  Volume 9

    Abstract: Background: The outbreak of novel coronavirus disease 2019 (COVID-19) has been challenging globally following the scarcity of medical resources after a surge in demand. As the pandemic continues, the question remains on how to accomplish more with the ... ...

    Abstract Background: The outbreak of novel coronavirus disease 2019 (COVID-19) has been challenging globally following the scarcity of medical resources after a surge in demand. As the pandemic continues, the question remains on how to accomplish more with the existing resources and improve the efficiency of existing health care delivery systems worldwide. In this study, we reviewed the experience from Wuhan - the first city to experience a COVID-19 outbreak – that has presently shown evidence for efficient and effective local control of the epidemic.Material and Methods: We performed a retrospective qualitative study based on the document analysis of COVID-19-related materials and interviews with first-line people in Wuhan.Results: We extracted two themes (the evolution of Wuhan's prevention and control strategies on COVID-19 and corresponding effectiveness) and four sub-themes (routine prevention and control period, exploration period of targeted prevention and control strategies, mature period of prevention and control strategies, and recovery period). How Wuhan combatted COVID-19 through multi-tiered and multi-sectoral collaboration, overcoming its fragmented, hospital-centered, and treatment-dominated healthcare system, was illustrated and summarized.Conclusion: Four lessons for COVID-19 prevention and control were summarized: (a) Engage the communities and primary care not only in supporting but also in screening and controlling, and retain community and primary care as among the first line of COVID-19 defense; (b) Extend and stratify the existing health care delivery system; (c) Integrate person-centered integrated care into the whole coordination; and (d) Delink the revenue relationship between doctors and patients and safeguard the free-will of physicians when treating patients.
    Keywords COVID-19 ; epidemic ; coordinated management ; Wuhan ; document analysis ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Restricting access to a suicide hotspot does not shift the problem to another location. An experiment of two river bridges in Brisbane, Australia

    Chi‐kin Law / Jerneja Sveticic / Diego De Leo

    Australian and New Zealand Journal of Public Health, Vol 38, Iss 2, Pp 134-

    2014  Volume 138

    Abstract: Abstract Background: Restricting access to lethal means is a well‐established strategy for suicide prevention. However, the hypothesis of subsequent method substitution remains difficult to verify. In the case of jumping from high places (‘hotspots’), ... ...

    Abstract Abstract Background: Restricting access to lethal means is a well‐established strategy for suicide prevention. However, the hypothesis of subsequent method substitution remains difficult to verify. In the case of jumping from high places (‘hotspots’), most studies have been unable to control for a potential shift in suicide locations. This investigation aims to evaluate the short‐ and long‐term effect of safety barriers on Brisbane's Gateway Bridge and to examine whether there was substitution of suicide location. Methods: Data on suicide by jumping – between 1990 and 2012, in Brisbane, Australia – were obtained from the Queensland Suicide Register. The effects of barrier installation at the Gateway Bridge were assessed through a natural experiment setting. Descriptive and Poisson regression analyses were used. Results: Of the 277 suicides by jumping in Brisbane that were identified, almost half (n=126) occurred from the Gateway or Story Bridges. After the installation of barriers on the Gateway Bridge, in 1993, the number of suicides from this site dropped 53.0% in the period 1994–1997 (p=0.041) and a further reduction was found in subsequent years. Analyses confirmed that there was no evidence of displacement to a neighbouring suicide hotspot (Story Bridge) or other locations. Conclusions: The safety barriers were effective in preventing suicide from the Gateway Bridge, and no evidence of substitution of location was found.
    Keywords suicide hotspot ; access to means ; method substitution ; suicide prevention ; Australia ; Public aspects of medicine ; RA1-1270
    Subject code 310
    Language English
    Publishing date 2014-04-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Measuring health-related social deprivation in small areas

    Kailu Wang / Chi-Kin Law / Jiaying Zhao / Alvin Yik-Kiu Hui / Benjamin Hon-Kei Yip / Eng Kiong Yeoh / Roger Yat-Nork Chung

    International Journal for Equity in Health, Vol 20, Iss 1, Pp 1-

    development of an index and examination of its association with cancer mortality

    2021  Volume 13

    Abstract: Abstract Background The small-area deprivation indices are varied across countries due to different social context and data availability. Due to lack of chronic disease-related social deprivation index (SDI) in Hong Kong, China, this study aimed to ... ...

    Abstract Abstract Background The small-area deprivation indices are varied across countries due to different social context and data availability. Due to lack of chronic disease-related social deprivation index (SDI) in Hong Kong, China, this study aimed to develop a new SDI and examine its association with cancer mortality. Methods A total of 14 socio-economic variables of 154 large Tertiary Planning Unit groups (LTPUGs) in Hong Kong were obtained from 2016 population by-census. LTPUG-specific all-cause and chronic condition-related mortality and chronic condition inpatient episodes were calculated as health outcomes. Association of socio-economic variables with health outcomes was estimated for variable selection. Candidates for SDI were constructed with selected socio-economic variables and tested for criterion validity using health outcomes. Ecological association between the selected SDI and cancer mortality were examined using zero-inflated negative binomial regression. Results A chronic disease-related SDI constructed by six area-level socio-economic variables was selected based on its criterion validity with health outcomes in Hong Kong. It was found that social deprivation was associated with higher cancer mortality during 2011–2016 (most deprived areas: incidence relative risk [IRR] = 1.40, 95% confidence interval [CI]: 1.27–1.55; second most deprived areas: IRR = 1.34, 95%CI: 1.21–1.48; least deprived areas as reference), and the cancer mortality gap became larger in more recent years. Excess cancer death related to social deprivation was found to have increased through 2011–2016. Conclusions Our newly developed SDI is a valid and routinely available measurement of social deprivation in small areas and is useful in resource allocation and policy-making for public health purpose in communities. There is a potential large improvement in cancer mortality by offering relevant policies and interventions to reduce health-related deprivation. Further studies can be done to design strategies to reduce the expanding ...
    Keywords Deprivation ; Inequalities ; Chronic disease ; Cancer ; Small area indices ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2021-09-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Seasonal Differences in the Day-of-the-Week Pattern of Suicide in Queensland, Australia

    Diego De Leo / Chi-kin Law

    International Journal of Environmental Research and Public Health, Vol 10, Iss 7, Pp 2825-

    2013  Volume 2833

    Abstract: Various temporal patterns of suicide events, according to time of day, day of week, month and season, have been identified. However, whether different dimensions of time interact has not been investigated. Using suicide data from Queensland, Australia, ... ...

    Abstract Various temporal patterns of suicide events, according to time of day, day of week, month and season, have been identified. However, whether different dimensions of time interact has not been investigated. Using suicide data from Queensland, Australia, this study aims to verify if there is an interaction effect between seasonal and day-of-the-week distribution. Computerized suicide data from the Queensland Suicide Register for those aged 15+ years were analyzed according to date of death, age, sex and geographic location for the period 1996–2007. To examine seasonal differences in day-of-the-week pattern of suicide, Poisson regressions were used. A total of 6,555 suicides were recorded over the whole study period. Regardless of the season, male residents of Brisbane had a significantly marked day-of-the-week pattern of suicide, with higher rates between Mondays and Thursdays. When seasonal differences were considered, male residents in Brisbane showed a Monday peak in summer and a wave-shape pattern with a peak on Thursday and a nadir on Saturdays in winter. Whilst males have distinctive peaks in terms of days of the week for summer and winter, females do not show similar patterns.
    Keywords day of the week ; season ; temporal variation ; suicide ; Australia ; Queensland ; Medicine ; R
    Subject code 590
    Language English
    Publishing date 2013-07-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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