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  1. Article ; Online: COVID-19 related stigma and health-protective behaviours among adolescents in the Netherlands: An explorative study.

    Preusting, L C / Raadsen, M P / Abourashed, A / Voeten, H A C M / Wagener, M N / de Wit, E / van Gorp, E C M / Doornekamp, L

    PloS one

    2021  Volume 16, Issue 6, Page(s) e0253342

    Abstract: The COVID-19 pandemic has forced many governments to impose social distancing measures upon its citizens, including in the Netherlands. Motivating adolescents to adhere to measures such as social distancing can be challenging, since adolescents are ... ...

    Abstract The COVID-19 pandemic has forced many governments to impose social distancing measures upon its citizens, including in the Netherlands. Motivating adolescents to adhere to measures such as social distancing can be challenging, since adolescents are relatively more affected by them, while experiencing virtually no personal health benefit. In addition, the COVID-19 pandemic seems to impact the social environment of adolescents in schools, as some media sources have reported bullying and stigmatisation of students with an Asian appearance. This study aims to explore the experiences of adolescents regarding their Health-Protective Behaviour (HPB), as well as the prevalence and expression of stigma towards ethnic minorities within the context of the first wave of COVID-19 pandemic. We performed a cross-sectional mixed-methods study, including two independent online questionnaires. An adapted version of the "HPB" questionnaire (n = 528) and the "Measure of Disease-Related Stigma (MDRS)" questionnaire (n = 380), were administered to Dutch adolescents of 10-16 years old, attending primary or secondary school. Furthermore, 15 interviews were held with eight male and seven female adolescents. All data collection took place between March 17 and April 20, 2020. Results show that adolescents perceive COVID-19 as a threat to other peoples' health, rather than their own, and report adherence to public health measures in the interest of older and more vulnerable members of their community. We found no convincing evidence for widespread misinformation or stigmatising of certain ethnic groups among adolescents related to COVID-19 during this study. Participants acknowledged such behaviour happened in the early stages of the pandemic, before this study was initiated. Adolescents are a vital group for public health researchers to engage with during a pandemic, even when reaching them can be challenging.
    MeSH term(s) Adolescent ; COVID-19/economics ; COVID-19/epidemiology ; COVID-19/psychology ; COVID-19/virology ; Child ; Emotions ; Factor Analysis, Statistical ; Fear ; Female ; Health Behavior ; Health Care Costs ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Multivariate Analysis ; Netherlands/epidemiology ; Patient Compliance ; Reproducibility of Results ; SARS-CoV-2/physiology ; Self Efficacy ; Severity of Illness Index ; Social Stigma
    Language English
    Publishing date 2021-06-22
    Publishing country United States
    Document type Journal Article
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0253342
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The effect of a hand hygiene intervention on infections in residents of nursing homes: a cluster randomized controlled trial.

    Teesing, G R / Richardus, J H / Nieboer, D / Petrignani, M / Erasmus, V / Verduijn-Leenman, A / Schols, J M G A / Koopmans, M P G / Vos, M C / Voeten, H A C M

    Antimicrobial resistance and infection control

    2021  Volume 10, Issue 1, Page(s) 80

    Abstract: Background: The primary goal of hand hygiene is to reduce infectious disease rates. We examined if a nursing home's participation in a hand hygiene intervention resulted in residents having fewer healthcare associated infections (HAIs) when compared to ... ...

    Abstract Background: The primary goal of hand hygiene is to reduce infectious disease rates. We examined if a nursing home's participation in a hand hygiene intervention resulted in residents having fewer healthcare associated infections (HAIs) when compared to nursing homes without the hand hygiene intervention.
    Methods: This study is a part of a cluster randomized controlled trial (RCT) in 33 nursing homes to improve hand hygiene (HANDSOME). The incidence of five illnesses was followed over 13 months: gastroenteritis, influenza-like illness, pneumonia, urinary tract infections and infections from methicillin-resistant Staphylococcus aureus (MRSA). Incidence rates per study arm were reported for baseline (October-December 2016) and two follow-up periods (January-April 2017, May-October 2017). HAI rates were compared in a Poisson multilevel analysis, correcting for baseline differences (the baseline infection incidence and the size of the nursing home), clustering of observations within nursing homes, and period in the study.
    Results: There was statistically significantly more gastroenteritis (p < 0.001) and statistically significantly less influenza-like illness (p < 0.01) in the intervention arm when compared to the control arm. There were no statistically significant differences or pneumonia, urinary tract infections, and MRSA infections in the intervention arm when compared to the control arm. In a sensitivity analysis, gastroenteritis was no longer statistically significantly higher in the intervention arm (p = 0.92).
    Conclusions: As in comparable studies, we could not conclusively demonstrate the effectiveness of an HH intervention in reducing HAIs among residents of nursing homes, despite the use of clearly defined outcome measures, a standardized reporting instrument, and directly observed HH in a multicenter cluster RCT. Trial registration Netherlands Trial Register, trial NL6049 (NTR6188). Registered October 25, 2016, https://www.trialregister.nl/trial/6049 .
    MeSH term(s) Cross Infection/epidemiology ; Cross Infection/prevention & control ; Hand Hygiene ; Humans ; Incidence ; Infection Control/methods ; Methicillin-Resistant Staphylococcus aureus ; Netherlands/epidemiology ; Nursing Homes
    Language English
    Publishing date 2021-05-20
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2666706-X
    ISSN 2047-2994 ; 2047-2994
    ISSN (online) 2047-2994
    ISSN 2047-2994
    DOI 10.1186/s13756-021-00946-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Improving hand hygiene compliance in child daycare centres: a randomized controlled trial.

    Zomer, T P / Erasmus, V / Looman, C W / VAN Beeck, E F / Tjon-A-Tsien, A / Richardus, J H / Voeten, H A C M

    Epidemiology and infection

    2016  Volume 144, Issue 12, Page(s) 2552–2560

    Abstract: Gastrointestinal and respiratory infections in children attending daycare centres (DCCs) are common and compliance with hand hygiene (HH) guidelines to prevent infections is generally low. An intervention was developed to increase HH compliance and ... ...

    Abstract Gastrointestinal and respiratory infections in children attending daycare centres (DCCs) are common and compliance with hand hygiene (HH) guidelines to prevent infections is generally low. An intervention was developed to increase HH compliance and reduce infections in DCCs. The objective of this paper was to evaluate the effectiveness of this intervention on HH compliance. The intervention was evaluated in a two-arm cluster randomized controlled trial in 71 DCCs in The Netherlands. Thirty-six DCCs received the intervention including: (1) HH products; (2) training about HH guidelines; (3) two team training sessions aimed at goal setting and formulating HH improvement activities; and (4) reminders and cues for action (posters/stickers). Intervention DCCs were compared to 35 control DCCs that continued usual practice. HH compliance of caregivers and children was observed at baseline and at 1, 3 and 6 months follow-up. Using multilevel logistic regression, odds ratios (ORs) with 95% confidence intervals (CIs) were obtained for the intervention effect. Of 795 caregivers, 5042 HH opportunities for caregivers and 5606 opportunities for supervising children's HH were observed. At 1 month follow-up caregivers' compliance in intervention DCCs was 66% vs. 43% in control DCCs (OR 6·33, 95% CI 3·71-10·80), and at 6 months 59% vs. 44% (OR 4·13, 95% CI 2·33-7·32). No effect of the intervention was found on supervising children's HH (36% vs. 32%; OR 0·64, 95% CI 0·18-2·33). In conclusion, HH compliance of caregivers increased due to the intervention, therefore dissemination of the intervention can be considered.
    MeSH term(s) Caregivers/statistics & numerical data ; Child Day Care Centers/statistics & numerical data ; Child, Preschool ; Gastrointestinal Diseases/prevention & control ; Guideline Adherence ; Hand Hygiene ; Humans ; Infant ; Infant, Newborn ; Logistic Models ; Netherlands ; Respiratory Tract Infections/prevention & control
    Language English
    Publishing date 2016-05-19
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 632982-2
    ISSN 1469-4409 ; 0950-2688
    ISSN (online) 1469-4409
    ISSN 0950-2688
    DOI 10.1017/S0950268816000911
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A hand hygiene intervention to reduce infections in child daycare: a randomized controlled trial.

    Zomer, T P / Erasmus, V / Looman, C W / Tjon-A-Tsien, A / Van Beeck, E F / De Graaf, J M / Van Beeck, A H E / Richardus, J H / Voeten, H A C M

    Epidemiology and infection

    2015  Volume 143, Issue 12, Page(s) 2494–2502

    Abstract: Infections are common in children attending daycare centres (DCCs). We evaluated the effect of a hand hygiene (HH) intervention for caregivers on the incidence of gastrointestinal and respiratory infections in children. The intervention was evaluated in ... ...

    Abstract Infections are common in children attending daycare centres (DCCs). We evaluated the effect of a hand hygiene (HH) intervention for caregivers on the incidence of gastrointestinal and respiratory infections in children. The intervention was evaluated in a two-arm cluster randomized controlled trial. Thirty-six DCCs received the intervention including HH products, training sessions, and posters/stickers. Thirty-five control DCCs continued usual practice. Incidence of episodes of diarrhoea and the common cold in children was monitored by parents during 6 months. Using multilevel Poisson regression, incidence rate ratios (IRRs) with 95% confidence intervals (CIs) were obtained. Diarrhoeal incidence was monitored in 545 children for 91 937 days. During follow-up, the incidence was 3·0 episodes per child-year in intervention DCCs vs. 3·4 in control DCCs (IRR 0·90, 95% CI 0·73-1·11). Incidence of the common cold was monitored in 541 children for 91 373 days. During follow-up, the incidence was 8·2 episodes per child-year in intervention DCCs vs. 7·4 in control DCCs (IRR 1·07, 95% CI 0·97-1·19). In this study, no evidence for an effect of the intervention was demonstrated on the incidence of episodes of diarrhoea and the common cold.
    MeSH term(s) Child Day Care Centers ; Child, Preschool ; Common Cold/epidemiology ; Common Cold/prevention & control ; Diarrhea/epidemiology ; Diarrhea/microbiology ; Diarrhea/prevention & control ; Female ; Follow-Up Studies ; Gastrointestinal Diseases/epidemiology ; Gastrointestinal Diseases/microbiology ; Gastrointestinal Diseases/prevention & control ; Hand Hygiene ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male
    Language English
    Publishing date 2015-01-08
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 632982-2
    ISSN 1469-4409 ; 0950-2688
    ISSN (online) 1469-4409
    ISSN 0950-2688
    DOI 10.1017/S095026881400329X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The impact of mobility on HIV control: a modelling study.

    Vissers, D C J / DE Vlas, S J / Bakker, R / Urassa, M / Voeten, H A C M / Habbema, J D F

    Epidemiology and infection

    2011  Volume 139, Issue 12, Page(s) 1845–1853

    Abstract: Mobility is associated with HIV due to more risky sexual behaviour of mobile groups such as travellers and migrants. Limited participation of such groups may reduce the effectiveness of HIV interventions disproportionally. The established STDSIM model, ... ...

    Abstract Mobility is associated with HIV due to more risky sexual behaviour of mobile groups such as travellers and migrants. Limited participation of such groups may reduce the effectiveness of HIV interventions disproportionally. The established STDSIM model, which simulates transmission and control of HIV and STD, was extended to simulate mobility patterns based on data from Tanzania. We explored the impact of non-participation of mobile groups (travellers and recent migrants) on the effectiveness of two interventions: condom promotion and health education aiming at partner reduction. If mobile groups do not participate, the effectiveness of both interventions could be reduced by 40%. The impact of targeting travellers with a combined HIV campaign is close to that of a general population intervention. In conclusion, it is important to account for possible non-participation of migrants and travellers. If non-participation is substantial, impact of interventions can be greatly improved by actively approaching these people.
    MeSH term(s) Adolescent ; Adult ; Computer Simulation ; Emigration and Immigration ; Female ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; HIV Infections/transmission ; Health Promotion/methods ; Humans ; Male ; Middle Aged ; Models, Biological ; Patient Acceptance of Health Care ; Program Evaluation ; Risk-Taking ; Tanzania/epidemiology ; Travel ; Young Adult
    Language English
    Publishing date 2011-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632982-2
    ISSN 1469-4409 ; 0950-2688
    ISSN (online) 1469-4409
    ISSN 0950-2688
    DOI 10.1017/S0950268811000069
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Female sex workers and unsafe sex in urban and rural Nyanza, Kenya: regular partners may contribute more to HIV transmission than clients.

    Voeten, H A C M / Egesah, O B / Varkevisser, C M / Habbema, J D F

    Tropical medicine & international health : TM & IH

    2007  Volume 12, Issue 2, Page(s) 174–182

    Abstract: Objectives: To compare the sexual behaviour of female sex workers in urban and rural areas in Nyanza province in Kenya, and to compare their unsafe sex with clients and with regular partners.: Methods: In a cross-sectional study among 64 sex workers ( ...

    Abstract Objectives: To compare the sexual behaviour of female sex workers in urban and rural areas in Nyanza province in Kenya, and to compare their unsafe sex with clients and with regular partners.
    Methods: In a cross-sectional study among 64 sex workers (32/32 in urban/rural areas), sex workers kept a sexual diary for 14 days after being interviewed face-to-face.
    Results: Most sex workers were separated/divorced and had one or two regular partners, who were mostly married to someone else. Sex workers in Kisumu town were younger, had started sex work at an earlier age, and had more clients in the past 14 days than rural women (6.6 vs. 2.4). Both groups had an equal number of sex contacts with regular partners (4.7). With clients, condom use was fairly frequent (75%) but with regular partners, it was rather infrequent (<40%). For both urban and rural areas, the mean number of sex acts in which no condom was used was greater for regular partners (3.2 and 2.8 respectively) than for clients (1.9 and 1.0 respectively).
    Conclusions: Sex workers in urban and rural areas of Nyanza province practise more unsafe sex with regular partners than with clients. Interventions for sex workers should also focus on condom use in regular partnerships.
    MeSH term(s) Adolescent ; Adult ; Age Distribution ; Condoms ; Cross-Sectional Studies ; Female ; HIV Infections/transmission ; Humans ; Kenya/epidemiology ; Middle Aged ; Rural Health ; Sex Work/psychology ; Sexual Behavior/psychology ; Sexual Partners ; Socioeconomic Factors ; Unsafe Sex/psychology ; Urban Health
    Language English
    Publishing date 2007-02
    Publishing country England
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1314080-2
    ISSN 1365-3156 ; 1360-2276
    ISSN (online) 1365-3156
    ISSN 1360-2276
    DOI 10.1111/j.1365-3156.2006.01776.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Traditional healers and the management of sexually transmitted diseases in Nairobi, Kenya.

    Kusimba, J / Voeten, H A C M / O'Hara, H B / Otido, J M / Habbema, J D F / Ndinya-Achola, J O / Bwayo, J J

    International journal of STD & AIDS

    2003  Volume 14, Issue 3, Page(s) 197–201

    Abstract: To describe the role of traditional healers in STD case management, in-depth interviews were held with 16 healers (seven witchdoctors, five herbalists and four spiritual healers) in four slum areas in Nairobi, Kenya. All healers believed that STDs are ... ...

    Abstract To describe the role of traditional healers in STD case management, in-depth interviews were held with 16 healers (seven witchdoctors, five herbalists and four spiritual healers) in four slum areas in Nairobi, Kenya. All healers believed that STDs are sexually transmitted and recognized the main symptoms. The STD-caseload varied largely, with a median of one patient per week. Witchdoctors and herbalists dispensed herbal medication for an average of seven days, whereas spiritual healers prayed. Thirteen healers gave advice on sexual abstinence during treatment, 11 on contact treatment, four on faithfulness and three on condom use. All healers asked patients to return for review and 13 reported referring patients whose conditions persist to public or private health care facilities. Thus, traditional healers in Nairobi play a modest but significant role in STD management. Their contribution to STD health education could be strengthened, especially regarding the promotion of condoms and faithfulness.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Female ; Health Education ; Health Knowledge, Attitudes, Practice ; Health Policy ; Health Services, Indigenous/utilization ; Humans ; Kenya ; Male ; Medicine, African Traditional ; Rural Health ; Sexually Transmitted Diseases/prevention & control ; Sexually Transmitted Diseases/therapy
    Language English
    Publishing date 2003-03
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1018089-8
    ISSN 1758-1052 ; 0956-4624
    ISSN (online) 1758-1052
    ISSN 0956-4624
    DOI 10.1258/095646203762869223
    Database MEDical Literature Analysis and Retrieval System OnLINE

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