Experience Of Health Problems Research Articles

Eco-anxiety among regional Australian youth with mental health problems: A qualitative study.

In Australia, climate-related disasters disproportionately affect rural, regional and remote young people with effects ranging from severe flooding and catastrophic fires to unbearable heat and yet most studies on eco-anxiety are based on reports by urban youth who do not have direct experiences of such impacts. Furthermore, there is a dearth of research on how eco-anxiety impacts those who already experience mental health problems. The present study aims to address this gap by focussing on the lived experiences of regional Australian youth with recent experience of climate-related disasters alongside clinical insights from those involved in their care. Two groups, a clinician and client group, were recruited through headspace Port Macquarie-a primary youth mental health service in a regional city of New South Wales, Australia. In all, 25 participants took part in focus group discussions, including 13 clinicians and 12 clients of the service. Clients and clinicians responded to a version of the same questions: (1) whether the effects of climate change impact on regional youth with mental health problems, (2) how young people cope with eco-anxiety and (3) how regional communities can help young people cope with eco-anxiety better. Group discussions were audio-recorded and transcribed. Transcripts were analysed according to the principles of Interpretative Phenomenological Analysis using a team approach. Three dimensions of eco-anxiety were identified by clinicians and clients-helplessness in the present, hopelessness about the future and acute stress and anxiety related to experiences of severe flooding and fires. Clinicians and clients also thought that a misalignment between young people and older generations, including government, was a source of eco-anxiety and having a collective voice was seen as important for regional youth as was community support through social media sites. Clinicians thought that eco-anxiety was 'in the background' for their clients, whereas the clients who participated were clearly experiencing eco-anxiety. Whereas clinicians could identify potential coping strategies, clients could not. Eco-anxiety can be experienced by regional youth with mental health problems as both an acute response to natural hazards and a more sustained sense of hopelessness about the future. Impacts of acute anxiety and chronic hopelessness, with its associated depression risk, among young people with pre-existing mental health problems warrants further investigation as this study suggests that it may exacerbate their existing conditions. Clinicians and clients in this region would benefit from specific training and resources related to the identification and treatment of eco-anxiety. Future research on climate-related mental health should be inclusive of the perspectives of those who have direct experience of climate-related adverse events.

Health Profile of Workers at Gas Station X Maulafa District Kupang City

Gas stations are areas that operate in the petroleum sector where repeated exposure to the products produced (butane, pentane, isopentane, benzene, alkylbenzene, toluene, and xylene) can have an impact in the form of health problems. The individuals with the greatest exposure to gas station products are the workers. According to data, during the period from 2016 to 2018 there were 120 cases of work accidents around gas stations. The use of Personal Protective Equipment (PPE) and training regarding the prevention for the worker and management of accidents and illnesses resulting from working at gas stations are important in ensuring worker safety. According to research that has been conducted, it was found that the use of Personal Protective Equipment (PPE) is still very low among Gas Station X workers, Maulafa District, Kupang City. Training and equipment that support Occupational Safety and Health programs are also not available to the majority of workers. This is the cause of health problems among Gas Station X workers, Maulafa District, Kupang City. Method: This research is a quantitative study with a cross sectional approach and involved 12 respondents. This study data collection techniques by interview dan physical examination directly to the samples at Gas Station X Maulafa District, Kupang City. Result: Based on the research results, it was found that the majority of Gas Station The health problems found were Peripheral Vertigo (16%), Tension Type Headache (TTH) (8%), Allergic Rhinitis (8%) and Irritant Contact Dermatitis (8%). Conclusion: An occupational risk factor that can affect the occupational safety and health of employees at GAS STATION X is exposure to fuel oil which contains volatile substances. It was found that 4 out of 12 workers at the gas station in Maulafa District, Kupang City experienced health problems, the health problems they experienced were Peripheral Vertigo, Tension Type Headache, Allergic Rhinitis and Irritant ...........

Self-initiated lifestyle changes during a fasting-mimicking diet programme in patients with type 2 diabetes: a mixed-methods study

BackgroundLifestyle changes, especially regarding diet quality and physical activity, are important in the management of type 2 diabetes (T2D). This mixed-methods study explores self-initiated lifestyle changes in patients with T2D who followed a periodic fasting-mimicking diet (FMD).MethodsQuantitative data were obtained from the Fasting In diabetes Treatment trial (November 2018 to August 2021) in which 100 participants with T2D, using metformin only or no medication, were randomised to receive a monthly 5-day FMD for twelve months next to usual care, or usual care only. Diet quality and physical activity questionnaires were completed at baseline, six and twelve months. Changes over time were analysed using linear mixed models. Focus groups were organized with FMD participants to explore experiences regarding self-initiated lifestyle changes. The qualitative data was analysed using the Theoretical Domains Framework.ResultsQuestionnaires were available from 49 FMD participants and 43 controls. No differences in diet quality were found. Total physical activity in the FMD participants changed from 34.6 to 38.5 h per week (h/wk) from baseline to twelve months, while in controls it changed from 34.9 to 29.0 h/wk (between group difference, p = 0.03). In six focus groups with FMD participants (n = 20), individual participants perceived the FMD as an encouragement for (minor) lifestyle changes. There were no barriers to behaviour change related to the FMD. Important facilitators of healthy behaviour were an increase in awareness of the impact of lifestyle on health (knowledge), better physical fitness (physical) and health improvement (reinforcement). Facilitators unrelated to the FMD included family support (social influences) and opportunities in the neighbourhood (environmental context and resources), while barriers unrelated to the FMD were experiencing health problems (physical) and social events (social influences).ConclusionsUsing an FMD for five consecutive days per month did not affect diet quality in between FMD periods in quantitative analysis, but increased the number of hours per week spent on physical activity. Qualitative analysis revealed self-initiated improvements in both diet quality and physical activity in individual participants using an FMD. Healthcare professionals could use an FMD programme as a ‘teachable moment’ to stimulate additional lifestyle changes.Trial registrationClinicalTrials.gov; NCT03811587. Registered 22 January 2019.

GENDER INEQUALITY AND HEALTH: A STUDY OF ELDERLY IN ALIGARH CITY

Women are more susceptible to unjust treatment, discrimination, and denial of fundamental human rights such as survival, education, health, inheritance, etc. due to social factors such as male domination and their subordinate status. Women experience two distinct disadvantages in the aging population due to gender-based roles and stereotypes. As a result, they are treated poorly in society. While aging is unavoidable, its gendered inequalities are not. Gender greatly impacts both mens and womens health in India. This in turn affects a persons susceptibility to illness and likelihood of experiencing health problems. The present study is both primary and secondary in nature. This paper tried to analyse the social and health issues faced by the elderly and examine gender-based inequalities in healthcare among the elderly in a selected area of Aligarh City in India and suggest ways to promote gender equality among the elderly by challenging the established pattern of inequality in health. KEYWORDS: Elderly, Gender, Health, Aging

Evaluation of Seasonal Hazelnut Workers' Emergency Department Applications in Ordu Province: A Retrospective Study

Objective: In Turkey, agricultural worker migration occurs in order to maintain different regulations and management in different seasons. Seasonal agricultural workers (SAWs) may also cause problems such as not knowing the conditions of the region they go to, experiencing health problems due to seasonal conditions, and increased workload in local institutions brought about by population growth due to humidity. This study aimed to evaluate the emergency service applications of seasonal hazelnut workers during the hazelnut harvesting season and to find solutions to possible health problems. Method: It was a single-center, retrospective study and the applications of seasonal hazelnut workers who applied to the local tertiary emergency department between 01 August 2022 and 30 September 2022 were evaluated. The socio-demographic characteristics of non-pregnant patients aged 18 and over, their reasons for admission to the emergency department, and the treatments they received were recorded. Results: 400 patients with no missing data were included in the study. 60.2% of the patients included in the study were female and 19% were SAWs who were not registered in the population of Ordu province. It was determined that the most common causes of SAWs in emergency department admissions were allergic reactions with at 37.3% and trauma with at 26%. Conclusion: It is observed that SAWs increase the rates of emergency service admissions during the hazelnut harvesting season. We think that in this period, the employment of healthcare personnel should be increased, SAWs should be trained in terms of diseases that may occur due to environmental factors and working conditions, and the necessary health plans should be determined in advance.

Internet Addiction Disorder Pada Generasi-Z Di Era Modernisasi

Internet addiction is continuous use of the internet so that it can interfere with daily life. In this case students experience health problems in society. The ease of internet access nowadays makes students more vulnerable to internet addiction. Factors that influence internet addiction such as academic stress, family closeness, closeness of peers and fast emotions. The characteristics of addiction from the emotional side are feeling better when opening favorite sites, feeling anxious when away from the internet, ignoring people around for internet access, losing interest in activities in the real world, starting to lie about what is done on the internet, preferring online from sleeping at night. The characteristics of addiction from the physical side are experiencing physical changes in the body, headaches, back pain, wrist pain due to holding gadgets for too long. To overcome this problem students need to limit the use of internet time, delete applications that are less useful, pursue interests and hobbies that do not use the internet. The purpose of this study was to find out whether students engage in behavior that leads to internet addiction. This research uses literature study method. This research can be concluded that the internet is very influential on the student environment because it starts to decrease student interest in learning. This is because the student's learning motivation also decreases because he is more concerned with his social network than his academic achievement. To minimize these negative impacts, as users we have to be smarter, smart internet is how an internet user can manage and use internet technology wisely according to their needs and not violate internet ethics and code of ethics.

Prevention Of Lack of Nutrition And Stunting through Class of Pregnant Women And Toddlers 0 – 5 Years

Nutritional status is an indicator of success in health development in Indonesia. One of the nutritional problems that is still a serious challenge for health workers is malnutrition in toddlers and toddlers. Even though toddlers are the seeds of the nation's future generation. Toddlers themselves are very vulnerable to experiencing health problems as a result of poor nutritional status. Given that toddler age is the beginning of child growth and development. The impact of malnutrition on toddlers is quite diverse, including increasing the risk of infectious diseases, inhibiting the growth and development of children, causing health problems during adolescence and adulthood, and even increasing the risk of child death. This community service activity aims to increase knowledge and develop the skills of pregnant women and toddlers in meeting nutritional needs during pregnancy and toddler nutrition as well as managing healthy eating for toddlers. The methods used in the activity is counseling/education, demonstrations, and competitions for healthy infants and toddlers. The results of this activity helped almost all participants to understand infant nutrition and pregnant women's nutrition and participants were also able to manage food accordingly

Factors Related to Pregnant Women’s Satisfaction with Antenatal Care Services at Puskesmas Purwokerto Utara II

Background: The maternal mortality rate is increasing along with the increasing number of pregnant women who experience health problems or even die during pregnancy. One of the causes of these health problems is the irregularity of pregnant women in antenatal care examination visits because pregnant women have unfulfilled expectations regarding satisfaction with the services they receive. Objective: to determine the correlation between satisfaction factors, which include empathy, assurance, responsiveness, facilities, reliability, and responsibility, with the satisfaction of pregnant women, and to determine the most dominant factor related to the satisfaction of pregnant women. Method: This quantitative research with a cross-sectional approach had 33 respondents. The sampling technique used consecutive sampling. The research instrument used a questionnaire, the bivariate analysis used the Spearman Rhos test, and the multivariate analysis used multiple logistic regression tests. Results: it is known that the empathy factor (p-value 0.029), the responsiveness factor (p-value 0.001), the facility factor (p-value 0.011), and the responsibility factor (p-value 0.009) have a significant correlation with the satisfaction of pregnant women, while the assurance factor (p-value 0.095) and the reliability factor (p-value 0.370), have no significant correlation with the satisfaction of pregnant women. The most dominant factor related to the satisfaction of pregnant women is the responsibility factor (p-value 0.024). Conclusion: factors significantly related to the satisfaction of pregnant women are empathy, responsiveness, facilities, and responsibility. The most dominant factor related to the satisfaction of pregnant women is the responsibility factor of health workers.

The experience of seeking and accessing help from mental health services among young people of Eastern European backgrounds: A qualitative interview study.

Most lifetime mental health problems (MHP) start before the age of 25. Yet young people-particularly those of minority backgrounds-often do not seek or access professional help. In the UK, young people of Eastern European (EE) backgrounds represent a large minority group; however, little is known about their experiences of MHP and help-seeking. In this study, we aim to understand the help-seeking process from the perspectives of EE young people. We used a qualitative study design with semi-structured individual interviews. The results were analysed using reflexive thematic analysis. Twelve young people (18-25 years) of EE backgrounds, living in Oxfordshire, UK, took part. All participants had experienced a severe MHP and were identified in the community. EE young people's experiences of MHP and help-seeking were driven by a sense of being caught between different cultures and simultaneously needing to navigate the potentially contrasting expectations of both cultures. This process was reinforced or tempered by the perceived continuing influence of young people's families, that is, families with more open views about MHP made it easier for young people to navigate through the process of help-seeking. Young people's internalised cultural and familial beliefs about MHP affected their decision-making when experiencing difficulties, their levels of trust in services, and perceived sense of resourcefulness and ability to cope. Recognising and responding to the cultural tension that young people of EE backgrounds may experience can help us to develop more accessible and inclusive mental health services.

LITERATURE REVIEW: THE EFFECTIVENESS OF TELEHEALTH-BASED HEALTH EDUCATION OF MOTHERS TREATING LOW BIRTH WEIGHT INFANTS

Background: Knowledge and skills of mothers and families in the care of low birthweight babies are very important to prevent mortality and morbidity, because LBW babies are at risk of experiencing health problems. Care is therefore required from when the baby is hospitalized until the baby is discharged. Purpose: To determine the effectiveness of using telehealth-based health education to increase the knowledge and skills of mothers in caring for LBW infants. Methods: This literature review was conducted based on the search for data sources and selection of articles with references used, namely Google Scholar and PubMed. The keywords used are telehealth OR miHealth OR app health AND low birth weight AND knowledge AND skills. The inclusion criteria for articles taken were those published in full text, in the period 2012-2021, quantitative research types, as well as articles with the main content being the use of health education media regarding the care of LBW babies. The search results contained 38 articles that had been adjusted to the inclusion criteria, there were 6 remaining articles. Results: knowledge and skills of mothers in caring for babies can increase after being given telehealth-based health education compared to conventional health education, namely leaflets and demonstrations. Conclusion: Health education based on telehealth is effective in increasing knowledge and skills so that mothers can care for LBW babies.

Application of the Forward Chaining Method in Diagnosing Tomato Fever

Health is a factor that always needs to be taken care of by each personal. Some things you can do to stay healthy are eating nutritious foods, exercising, taking care of the environment, etc. However, a person can experience health problems due to communicable diseases and non-communicable diseases. A communicable disease is a disease that can be transmitted from one person to another, directly or indirectly. One of the infectious diseases discussed some time ago in India was tomato flu. Tomato flu is an illness that results from a red rash and blisters that look like tomatoes caused by the flu. This disease is contagious in children under five years old. Tomato flu has some symptoms that are common with other infectious diseases, so people can be infected with other infectious diseases. The role of experts is necessary, but the number of experts cannot be compared with the number of victims. Therefore, an expert system is needed to diagnose these infectious diseases by the method of Forward Chaining. This method was chosen because it can diagnose infectious diseases based on a set of established data. Expert system testing is done using Black Box Testing, where each tested item generates a succesfull state.

Pengaruh Rendam Kaki dengan Air Hangat Campur Kencur terhadap Penurunan Tekanan Darah Lansia Hipertensi Di Desa Pohsanten

<p><em>Elderly is a phase of someone who experiences increasing age where the group is at risk of experiencing health problems. Hypertension is a condition in which a person experiences an increase in high blood pressure which reaches a systolic number of more than 140 mmHg and a diastolic number of more than 90 mmHg. Several treatments for lowering blood pressure can be carried out, one of which is with non-pharmacological actions. This study aims to determine whether or not there is an effect of soaking feet with warm water mixed with kencur on reducing blood pressure in elderly hypertensives in Pohsanten Village. This study used a quasi-experimental design with a non-equivalent control group before-after design. The population in this study were all hypertensive elderly people in Pohsanten Village. Sampling used a purposive sampling technique with 102 research samples, the experimental group totaling 51 people and the control group totaling 51 people were given the intervention of foot soaks with plain water. The analysis of this study used the Wilcoxon test and the Mann-Whitney test. In this study, the results obtained were p value = 0.000 for systolic blood pressure and diastolic blood pressure with a p value = 0.000, meaning that there was an average difference in systolic and diastolic blood pressure before and after the intervention. It can be concluded that there is an effect of soaking feet in warm water mixed with kencur on reducing blood pressure in elderly hypertensives in Pohsanten Village.<strong></strong></em></p>

Stability of Serotonin Transporter Essential Amino Acid Complex with Curcumin and Demethoxycurcumin Compounds as Antidepressant Candidates Based on In Silico Test

A Depression is a mental problem that is common in all communities, including teenagers. It is estimated that 10-20% of teenagers in the world experience mental health problems. Turmeric at a dose of 560mg/KgBW was shown to be effective as an antidepressant in Wistar rats (rattus norvegicus). Computers offer in silico test methods as a complement to in vitro and in vivo methods which are commonly used in the process of discovering and developing the biological activity of chemical compounds or natural materials as drug candidates. The research results show that MD simulations on the serotonin transporter complex protein with the ligand Demethoxycurcumin are more stable than curcumin and fluvoxamine. The results of identifying the molecular dynamics determinant of binding with the native ligand are amino acid SER336 and the reference ligand is amino acid SER438.

Application of Artificial Neural Network, K-Nearest Neighbor and Naive Bayes Algorithms for Classification of Obesity Risk Cardiovascular Disease

The rate of obesity sufferers continues to increase every year. This happens due to improper lifestyle and diet, as well as various physical conditions. This research aims to analyze the level of obesity using data mining techniques with classification algorithms. This research was conducted on people from countries on the American continent between the ages of 14 and 61 years. Data is collected and information is processed using a web platform that includes surveys where anonymous users answer each question to obtain 17 attributes and 2111 records. This research uses 3 algorithms, namely the Artificial Neural Network algorithm, K-Nearest Neighbor and Naive Bayes. People who are obese are also at higher risk of experiencing health problems, such as asthma, stroke, heart disease, diabetes and cancer. The results after comparing the three algorithms, it is better to use the k-nearest neighbor algorithm compared to Artificial Neural Network and Naive Bayes because the accuracy is 95.74%. Therefore, the K-Nearest Neighbor algorithm is very suitable to use when classifying data.

Supporting Personal Growth in Childhood, Adolescent and Young-Adult Cancer Survivors Through Challenges in Nature - A Qualitative Study of WAYA Wilderness Programme Participation.

Childhood, adolescent and young-adult (AYA) cancer survivors often experience health problems due to late or long-term effects of their cancer or the treatment thereof. The general population gains health benefits from immersion in nature, and nature-based programmes seem to be an intervention that can promote health among childhood and AYA cancer survivors. To explore the impact of the WAYA wilderness programme on the health of childhood and AYA cancer survivors. The study had a qualitative approach, with data from individual interviews (n = 18) 3months after completion of the WAYA programme. In addition, case report data was collected during follow-up talks (1, 2 and 12months after the programme) (n = 19). The WAYA programme consisted of an 8-day expedition, followed 3months later by a 4-day base camp. The programme included activities such as hiking, backpacking, kayaking, rock climbing, bushcraft and mindfulness. Data was analysed according to a qualitative content analysis. The consolidated criteria for reporting qualitative research (COREQ) were followed. An overarching theme was identified: "Personal growth from challenges in nature supported by deep connections with others". In 4 additional themes, participants' experiences describe how deep personal connections arose, as they developed a feeling of being able and competent in nature. Nature provided a space that supported relaxation and respite from everyday challenges and stimuli, which also led to an experience of being more connected to nature. The WAYA programme was experienced as being of support to childhood and AYA cancer survivors. The programme provided them with skills and tools to be safe in nature. When connected to nature, the participants developed trust and self-confidence, personal growth, relaxation and recovery from stress. Their engagement in outdoor activities continued after completion of the programme, when they returned to everyday life at home.

Promotive And Preventive Efforts in Improving Clean and Healthy Living Behavior at SDN 3 Jatiroto Sumberbaru Jember

Clean and Healthy Living Behavior (Perilaku Hidup Bersih dan Sehat/PHBS) is an important strategy to improve health status because many diseases can be prevented if people adopt healthy living behavior. School children are an age group that is vulnerable to experiencing health problems because most of their time is spent outside the home environment and under the supervision of their parents. When children are in the school environment, they can experience disease transmission from peers, from the school environment or they may consume food that does not meet health requirements. School children are also an age group that is easy to provide knowledge about PHBS to form healthy behavior. This service activity aims to increase promotive and preventive efforts for the PHBS behavior of elementary school children. The number of respondents in this service activity was 40 students. The service activities include improving the behavior of washing hands with running water and using soap on an ongoing basis, increasing the behavior of using healthy and clean latrines on an ongoing basis, and increasing knowledge about consuming healthy snacks at school. As for the results of this activity, PHBS behavior among children at SDN 3 Jatiroto increased from good behavior from only 5 respondents (12.4%) to 32 respondents (80%). It is hoped that this activity can continue to be carried out continuously for students who have just entered school so that the students will continue to do this activity when they move up to grade.

Occupational Health Hazards of Pesticides Use among Commercial Vegetable Farmers of Kirtipur Municipality, Kathmandu

Background: Occupational health and safety are the integral components of the general concepts of health. In Nepalese context, misuse of pesticides have been observed and practiced in several ways. Nepalese farmers use too much pesticide than needed with too little protection when using pesticides due to which many accidental poisonings occur annually. This study aims to assess the occupational health hazards related to pesticide use among commercial vegetable farmers of Kirtipur municipality, Kathmandu. Methodology: A community-based cross-sectional study was conducted among 107 randomly selected commercial vegetable farmers in Kirtipur Municipality of Kathmandu by using semi-structured questionnaire. Data were collected using face to face interview method. The questionnaire included socio-demographic characters, pesticide use practices, storage and disposal techniques and health effects among the farmers. Data were entered in Epidata and then analyzed in SPSS version 21. Frequency, percentage, mean, and standard deviation were calculated to measure the practice of pesticide use and occupational health hazards related to pesticide use among farmers. Result: The study is comprised of 52% male and 48% female. About 89% of farmers were wearing Personal Protective Equipment (PPE) during spraying of pesticides. Maximum numbers of farmers change clothes and take a bath right after the application of pesticide i.e. 87% and 88% respectively. Almost half of the vegetable farmers (45.1%) use burn method for disposal of empty pesticide containers. However, 45.6% of the respondents experience health problems within 48 hours of pesticide application. Conclusion: The study concluded that almost half of the pesticide users have shown various symptoms of health hazards. Unsafe equipment and condition, inadequate training, limited availability and use of PPE all contribute to the health hazards of pesticide users.

Overcoming structural inequity in healthcare for people living with substance use issues and mental illness.

Structural stigma arbitrarily limits the opportunities and/or constrains the right of persons with lived and living experience of mental health problems and illnesses and/or substance use (PWLLE). While it often occurs unknowingly, it creates inequities embedded in the fabric of our social institutions, organizations, and our shared ways of thinking and acting. In health care, structural stigma exists in the laws, policies, practices, and models of care that deprioritize, dehumanize, and fail to treat PWLLE as equitably as those with physical health concerns. Such unfairness leads to overall poorer healthcare access, less availability of evidence-based services, and lower quality of care for these individuals, whether their concerns relate to physical health, mental health, and/or substance use.
 In 2019, the Mental Health Commission of Canada (MHCC) set out on a multi-year project to examine structural stigma in health-care settings and develop tools and approaches for dismantling it. Through this work, the MHCC has published a literature review, produced a conceptual framework for dismantling structural stigma in health systems, and co-developed a measure with PWLLE to assess structural stigma in different healthcare settings and contexts. A major part of this work includes engaging with PWLLE and health leaders to better understand the priorities and strategies for successfully addressing structural stigma within the health system. 
 The presentation will showcase one such engagement project, known as the Champions and Changemakers project. The goal was to learn and work with champions within the Canadian health system (health providers, leaders, and decision makers, PWLLE, other stakeholders) who were implementing innovations to enhance the equity of care for PWLLE- including changes to service delivery, models of care, training models, as well as policy, advocacy and leadership and power-sharing structures. Through this collaboration process, we expanded knowledge of the key ingredients and processes for structural change (features, strategies, context, mechanisms, outcomes), and co-designed an implementation guide that can be used to provide guidance to others interested in reducing structural stigma within their own organizations. The collaboration and co-design process involved several group and one-on-one interviews and stakeholder meetings, facilitated participatory workshops with all stakeholders, and ongoing input, feedback, and review from all stakeholders in the building of the guide.
 
 In addition to the knowledge products and relationship building that came from this project, the other main impact is that the MHCC is now working to build a sustainable community of practice to promote and support ongoing work and efforts in addressing structural stigma in the Canadian healthcare context.
 Learning Objectives:
 
 Describe and understand Structural Stigma and how it creates inequity in healthcare for PWLLE;
 Demonstrate an understanding of key elements of select promising practices that support improved access to- and quality of- health care for PWLLE;
 Identify opportunities to disrupt and dismantle structural stigma, and;
 Understand the next steps to continue to address mental health and substance use-related structural stigma in health-care settings.
 
 Audience: Health-care leaders, administrators, providers, policymakers, people with lived and living experience and their caregivers and/or family of choice.

‘Keeping it real’: A qualitative exploration of preferences of people with lived experience for participation and active involvement in mental health research in Australia

AbstractBackgroundHistorically, researchers have been apt at conducting research on, rather than with, the people who are the focus of their efforts. Such approaches often fail to effectively support and benefit the populations they are intended to. This study aimed to explore the preferences of people with lived experience for engagement with research either as research participants within studies, or through active involvement in mental health research.MethodsData for this paper were collected in three separate lived experience agenda‐setting studies conducted over a 9‐year period from 2013 to 2022; two group discussions and an open‐ended online survey. Data were combined and thematic analysis undertaken.ResultsParticipants described the inclusion of lived experience as a critical ingredient and the highest level of knowledge and expertise in mental health research that should lead to knowledge generation and research agendas. Participants discussed the importance and value of research that enables sharing experiences and stories, expressed a need for flexibility in research methods for choice and agency, and support for greater active involvement of people with lived experience across all stages of research. Participants also spoke to the need for perspective and knowledge generated from people with lived experience to have equal power in research, making space for lived experience voices across multiple aspects of research, and greater respect and recognition of the value of lived experience.ConclusionLived experience in mental health research is coming of age, but dedicated, cocreated development is needed to get it right. People with lived experience increasingly understand the value their experiential knowledge brings to the mental health research effort, and describe a wide range of ways that researchers can support them to be research participants, and to get actively involved. Power‐sharing, respect and recognition of lived experience as central to effective mental health research are the keys to ‘keeping it real’.Patient or Public ContributionPeople with lived experience of mental health problems or distress either personally, and/or as carers, family and kinship group members, were involved in the coideation and codesign of this research. All authors identify as people with lived experience.

The Impact of Carrying Heavy Loads on the Donkeys Health in Benadir Region Somalia

Background The number of donkeys worldwide has increased from 37 million in 1961 to an estimated 44 million. However, they are not distributed evenly; the bulk of them reside in semi-arid and hilly areas. Most donkeys kept around the world are only utilized for work or transportation. Study A descriptive design was used to perform the study. This method was employed by the researcher to describe and examine the effects of carrying big loads on the health of donkeys in the Mogadishu, Somalia, Deynile neighborhood. Objectives The major goal of this study was to determine how large loads of donkeys affected their health in the Benadir region of Somalia. Results The study’s results showed that 160 (80%) of the respondents let the donkeys rest when they were ill, while 40 (20%) of the respondents did not let the majority of the respondents rest. According to the results of the current survey, 188 respondents (94%) believe that a donkey may experience pain, whereas 12 respondents (6%) disagree. This study found that the majority of donkeys do not have shelter at night, with 38 (19%) of respondents stating as much. These results also showed that the owners observed 146 (73%) lesions involving hair loss and 54 (27%) lesions involving minor abrasions in their heavily laden donkeys. The results of the current study also suggest that using donkeys to haul high loads is bad for their health. Out of 158 owners 80% strongly disagreed and out of 12 owners 6% strongly agreed and out of 6 owners 3% agreed. Conclusion According to the current study, donkeys who pull carts in and around the Banadir region of Somalia experience health problems as a result of carrying heavy loads. Health and welfare are complicated issues that we are addressing. The main causes of health and welfare problems included poorly made wooden carts, a lack of standards for harnessing equipment, an unapproved policy regarding working animals, a lack of knowledge regarding animal welfare, relying on cart work as a primary source of income, overloading, overworking, and work types. Recommendation The findings of this study strongly advise the Ministry of Livestock to create laws and rules governing donkey maintenance, health, and load-carrying capacity.