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6501. Prevalence of overweight, obesity, and associated factors among adolescents in the occupied Palestinian territory: a cross-sectional study.
Overweight and obesity are multifactorial conditions that are spreading fast in both developing and developed countries. They are emerging as a major public health threat among children and adolescents, and present a serious morbidity and mortality burden. Adolescence is a critical period in which lifestyle and dietary behaviours are shaped that persist into adulthood. Therefore, adolescents are an ideal study target in terms of estimating the magnitude of the problem, understanding its risk factors and investigating potential effective intervention programmes. This study assesses the prevalence of overweight, obesity, and associated factors among adolescents in Palestinian schools.
6502. Knowledge and attitude of Palestinian women to contraceptives: a cross-sectional study.
作者: Beesan Warasna.;Naeema Rajabi.;Balqees Mustafa.;Anas Najjar.;Sojod Daraghmeh.;Anwar Ma'ali.;Maryam Sawalha.;Abrar Ali.;Aya Ateeq.;Bara'a Ghannam.;Belal Ashhab.;Georgette Kharoufeh.;Muhannad Qiq.;Salam Abu Sharar.;Samaa Al-Atrash.;Ahmad Amro.
来源: Lancet. 2021年398 Suppl 1卷S45页
Contraceptives have documented efficiency, but outcomes are highly dependent on women's understanding of how they should be used. We assessed the knowledge and attitudes of married Palestinian women about contraceptives and understanding of use of the available methods and side-effects.
6503. Wellbeing, symptoms of trauma, and personal resources in Palestinian professional helpers: a cross-sectional quantitative survey.
作者: Alessandro Pepe.;Federica Cavazzoni.;Loredana Addimando.;Alaa Jaradah.;Hania Obaid.;Guido Veronese.
来源: Lancet. 2021年398 Suppl 1卷S44页
Professional helpers working in adverse circumstances are at risk of developing psychosocial stress and signs of primary and secondary trauma (eg, anxiety and hyperarousal). We used modelling to investigate whether and to what extent personal resources (ie, post-traumatic growth, sense of coherence, and wellbeing) of Palestinian helpers affected their experience of psychological distress and trauma symptoms.
6504. Morbidity patterns among hospitalised Palestine refugees from Syria in Jordan: a population-based study.
作者: Akiko Kitamura.;Gloria Paolucci.;Ishtaiwi Abu-Zayed.;Akihiro Seita.
来源: Lancet. 2021年398 Suppl 1卷S43页
Palestine refugees from Syria (PRS) are among the most vulnerable refugee groups for adverse health outcomes and require assistance from humanitarian agencies. As the armed conflict in Syria has continued, most Palestinians have been displaced from that country to neighbouring countries, where they have experienced difficulties in accessing essential services. More than 17 000 PRS are in Jordan as of 2018 and have received assistance from the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), including free primary care and subsidised secondary and tertiary care through contracted governmental hospitals. In this study, we investigated the morbidity patterns among PRS in Jordan receiving UNRWA-supported hospital care.
6505. The prevalence and risk factors of urinary incontinence among women with type 2 diabetes in the north West Bank: a cross-sectional study.
作者: Zaher Nazzal.;Batool Khatib.;Bayan Al-Quqa.;Lina Abu-Taha.;Ahmad Jaradat.
来源: Lancet. 2021年398 Suppl 1卷S42页
Diabetes is one of the most common chronic illnesses worldwide, and it is increasing in prevalence. Urinary incontinence is another worldwide health problem, with a reported prevalence that ranges from 9% to 67%. It decreases quality of life for men and women and has been associated with many poor outcomes, such as longer hospital stays, recurrent or persistent urinary tract infection, and a higher mortality rate. Previous studies have suggested that diabetes is an independent risk factor for urinary incontinence. In addition, the patients' background and clinical characteristics such as age, obesity, and child-bearing history have been found to increase the risk. The aim of this study was to determine the prevalence of urinary incontinence in women with type 2 diabetes in the north West Bank and to assess the role of potential risk factors, including age, marital status, weight, and diabetes control.
6506. Life conditions and quality of life of Palestinians living in the Biddu Enclave: a qualitative study.
Palestinians have been exposed to long-term violence, displacement, and conflict since the 1940s. Continued expropriation and fragmentation of the region has affected people's quality of life. The Biddu Enclave communities, located northwest of Jerusalem, are behind a barrier wall that detaches them from Jerusalem and the rest of the West Bank other than by access through a tunnel controlled by the Israeli authorities. The enclave is fully or partially under Israeli administration. We explored the effects of socioeconomic and geographical transformations and isolation on the quality of life of these communities, specifically on daily uncertainty, stress, and overall wellbeing of residents.
6507. Prevalence of chronic diseases in older Palestinian adults and common pharmacological interventions: a cross-sectional study.
作者: Anas Najjar.;Beesan Warasna.;Islam Kitaneh.;Salam Abu-Sharar.;Maryam Sawalha.;Abrar Jamous.;Muhannad Qiq.;Wafa Amro.;Enas Makharzeh.;Yazan Amro.;Bayan Subb Laban.;Ahmad Amro.
来源: Lancet. 2021年398 Suppl 1卷S40页
Older people (aged 60 years and older) are more susceptible than younger people to multiple medical disorders and are therefore more frequently exposed to polypharmacy. We investigated prevalence of chronic diseases and medical conditions, medications used, and associated sociodemographic factors among older adults of the Palestinian population.
6508. Emergency response of the UNRWA health programme to Great March of Return injuries: a descriptive analytic study in Gaza.
作者: Sanaa Al Najjar.;Tamer Al Shaer.;Khalil Hamad.;Mahmoud Al Kahlout.;Hala Mughari.;Ghada Al Jadba.
来源: Lancet. 2021年398 Suppl 1卷S4页
The United Nations Relief and Work Agency for Palestine Refugees (UNRWA) is one of the main health-care providers in the Gaza Strip. It provides primary health services to approximately 1·3 million Palestine refugees, comprising approximately 76% of the population of the Gaza Strip. UNRWA has well-prepared emergency health plans that are based on previous conflict experiences. However, the Great March of Return (GMR) injuries that UNRWA has faced since Mar 31, 2018, are considered a new experience of emergency. GMR is a protest activity launched by Palestinians in the Gaza Strip to express their right to return to their homes, from which they were expelled in 1948. This study aimed to describe the GMR-related injury patterns in patients and the health services provided as a part of the UNRWA emergency response in Gaza.
6509. Self-perceived health among children with spina bifida in the West Bank: a cross-sectional study.
Children born with spina bifida endure constant physical disability, which is challenging for themselves and their families. To date, the impact of spina bifida on the health-related quality of life (HRQOL; eg, physical, psychological, and social wellbeing) of these children has been assessed mainly through parent proxy reports, and self-perceived health among these children is rarely measured. This study aimed to measure self-perceived health in children with spina bifida in the West Bank, to compare this with that in a healthy reference group also from the West Bank, and to assess the potential association between self-perceived health and the level of disability in children with spina bifida.
6510. Clinical and pathological characteristics and hormone receptor status of women with breast cancer in the European Gaza Hospital: a retrospective chart-based review.
作者: Rami Musallam.;Mohammed Alnajjar.;Ahmad Al-Shurafa.;Bettina Bottcher.
来源: Lancet. 2021年398 Suppl 1卷S38页
Breast cancer is the most common cancer (accounting for 31·3% of all cancers) among women in the Gaza Strip. This audit examines clinical and pathological characteristics of women presenting with breast carcinoma to the European Gaza Hospital (EGH), a governmental hospital and oncological centre serving 600 000 people in the southern Gaza Strip.
6511. Perceptions of health-care professionals about quality of care and barriers to management of war injuries in Gaza Strip: a qualitative analysis.
作者: Marwan Mosleh.;Yousef Al Jeesh.;Koustuv Dalal.;Heidi Carlerby.;Eija Viitasara.
来源: Lancet. 2021年398 Suppl 1卷S37页
War-related injury is a growing clinical and public health concern in occupied Palestinian territory, especially in the Gaza Strip. However, little research has been done into the quality of care and management of war injuries in public hospitals. We explored the perceptions of health-care workers about these factors in Palestinian health-care facilities in Gaza.
6512. Pain management in adults during long-bone fracture reduction in the Gaza Strip: a clinical audit.
作者: Mohammed Lubbad.;Mohammed Ahmad.;Hassan Adwan.;Abed Al-Ra'of Sammor.;Bettina Böttcher.
来源: Lancet. 2021年398 Suppl 1卷S36页
Ongoing protests in Gaza have led to numerous injuries, including long-bone fractures. We investigated assessment of pain severity and strategies for pain management in the emergency department. As no local guidelines exist, delivered care was compared with the guidance of the UK National Institute for Health and Care Excellence (NICE).
6513. Food insecurity in the context of conflict: analysis of survey data in the occupied Palestinian territory.
作者: Tracy Kuo Lin.;Rawan Kafri.;Weeam Hammoudeh.;Suzan Mitwalli.;Zeina Jamaluddine.;Hala Ghattas.;Rita Giacaman.;Tiziana Leone.
来源: Lancet. 2021年398 Suppl 1卷S35页
Conflict impacts food security and decreases household dietary diversity. However, few studies have explored the routes by which prolonged conflict and social stressors affect food insecurity experience and food diversity. This study examines the influence of political, economic, and agricultural stressors on food insecurity and food diversity, and evaluates variations in food insecurity and food diversity with location of residence for households in the occupied Palestinian territory.
6514. Enhancing the quality of maternal and neonatal care by the Safe Childbirth Project in Al Shifa Hospital, Gaza occupied Palestinian territory (oPt): a descriptive retrospective study.
作者: Itimad Abu Ward.;Amani Jouda.;Suha Balousha.;Signe Egenberg.;Naila Al Masri.;Ellen Blix.
来源: Lancet. 2021年398 Suppl 1卷S34页
The Safe Childbirth Project is a campaign, launched by WHO in 2012, to improve the quality of care for women and babies during childbirth by promoting evidence-based practice and a midwifery-led approach to care. It was intended to contribute towards achieving UN Sustainable Development Goal 3: ensure healthy lives and promote wellbeing for all at all ages. In September, 2015, the project was launched in the maternity ward of Dar Al-Shifa Hospital, Gaza City, to promote midwifery-led care for low-risk deliveries, with de-medicalisation of normal birth, early initiation of breastfeeding, and early detection of complications during the postpartum period.
6515. Associations between stressful working conditions and psychosomatic symptoms among Palestinian nurses: a cross-sectional survey.
作者: Yousef Jaradat.;Espen Bjertness.;Morten Birkeland Nielsen.;Rita Bast-Pettersen.
来源: Lancet. 2021年398 Suppl 1卷S33页
Stressful working conditions among nurses have adverse effects on their physical and mental health. We investigated associations between self-reported stressful working conditions and psychosomatic symptoms among nurses in the Hebron district, occupied Palestinian Territory, and whether there are differences the sexes in the perceptions of working conditions and psychosomatic symptoms.
6516. Child deprivation among Palestinian refugees in Lebanon and Palestinian refugees from Syria living in Lebanon: a cross-sectional analysis of co-occurrence of deprivation indicators.
作者: Zeina Jamaluddine.;Alexandra Irani.;Nisreen Salti.;Sawsan Abdulrahim.;Jad Chaaban.;Khalil El-Asmar.;Hala Ghattas.
来源: Lancet. 2021年398 Suppl 1卷S32页
Palestinian refugees in Lebanon (PRL) and Palestinian refugees from Syria (PRS) living in Lebanon have high poverty rates. As the social, economic, and physical environment in which a child develops is a strong determinant of health and wellbeing, a comprehensive approach that recognises the influence of multidimensional deprivation on child wellbeing is needed. This study investigates overlaps (co-occurrences) in deprivation indicators experienced by Palestinian children compared to those experienced by other vulnerable children living alongside them in Lebanon; children who are Syrian refugees (SYR) and children who are Lebanese nationals (LBN).
6517. Gestational age recorded at delivery versus estimations using antenatal care data from the Electronic Maternal and Child Health Registry in the West Bank: a comparative analysis.
作者: Mervett Isbeih.;Mahima Venkateswaran.;Eatimad Abbas.;Khadija Abu-Khader.;Tamara Awwad.;Mohammad Baniode.;Buthaina Ghanem.;Taghreed Hijaz.;Asad Ramlawi.;Rand Salman.;Richard White.;J Frederik Frøen.
来源: Lancet. 2021年398 Suppl 1卷S31页
Estimated dates of delivery have important consequences for clinical decisions during pregnancy and labour. The Electronic Maternal and Child Health Registry (MCH eRegistry) in Palestine includes antenatal care data and birth data from hospitals. Our objective was to compare computed best estimates of gestational age in the MCH eRegistry with the gestational ages recorded by health-care providers in hospital delivery units.
6518. Long-term health effects after conflict-related traumatic amputation among patients in Gaza.
作者: Hanne Heszlein-Lossius.;Anas Ismail.;Yahya Al-Borno.;Samar Shaqqoura.;Nashwa Skaik.;Iman Al Hinnawi.;Mahmoud Matar.;Mads Gilbert.
来源: Lancet. 2021年398 Suppl 1卷S30页
In the past 10-15 years, thousands of civilians in Gaza have experienced conflict-related traumatic injuries. How injuries affect survivors' risks of negative long-term health effects and serious illness is unclear. We report follow-up findings in a group of patients with traumatic amputations.
6519. WHO/International Society of Hypertension risk prediction charts versus the UK Prospective Diabetes Study risk engine for cardiovascular risk assessment among patients with type 2 diabetes: a comparative study.
作者: Tayseer Afifi.;Mohammed Obeid.;Meral Abdelati.;Abdarrahman Almoqaid.;Mosab Samaan.;Khamis Elessi.
来源: Lancet. 2021年398 Suppl 1卷S3页
Patients with type 2 diabetes are at increased risk of developing cardiovascular diseases, and assessment of cardiac risk is important for preventive strategies. We compared the performance of two cardiac assessment tools to predict 10-year cardiovascular risk.
6520. The psychological impact of deprivation in regions affected by conflict: a multilevel analysis of a cross-sectional survey in the occupied Palestinian territory.
作者: Weeam Hammoudeh.;Suzan Mitwalli.;Rawan Kafri.;Tracy Kuo Lin.;Rita Giacaman.;Tiziana Leone.
来源: Lancet. 2021年398 Suppl 1卷S29页
Deprivation is an important determinant of poor health. Locality can be key in understanding variation in deprivation across a population. This study aimed to analyse how different forms of deprivation affect mental health among Palestinians, and how they account for locality effects in the occupied Palestinian territory.
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