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Research Article
Modification of Micronutrient Intake for Prevention of Gout in Japanese People in 2022: 2024 Update
Takashi Koguchi*
Issue:
Volume 13, Issue 1, February 2025
Pages:
1-27
Received:
17 December 2024
Accepted:
30 December 2024
Published:
17 January 2025
DOI:
10.11648/j.ajhr.20251301.11
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Abstract: The number of gout patients of Japanese people increased 5.12-fold from 1986 to 2022 (1986: 0.255 million; 2022: 1.306 million). The aim of this article is to suggest what micronutrient intake is important for the prevention of gout in Japanese people in 2022 referencing the results of clinical research reported. The author used the data of the Comprehensive Survey of Living Conditions in Japan for the number of gout patients (1986-2022) and the data of the National Health and Nutrition Survey in Japan (1946-2022) for the intake of micronutrients. Micronutrient intake of Japanese people in 2022 were compared with those in 2019. The relationship between the number of gout patients and micronutrient intake in Japanese people was examined. The daily intake of micronutrients of Japanese people in 2022 were evaluated using Dietary Reference Intakes. The daily intake of vitamin E, vitamin K, and pantothenic acid of Japanese people in 2022 were higher compared to those in 2019, respectively. Whereas the daily intake of vitamin A, vitamin D, vitamin B2, niacin, vitamin B6, folate, vitamin B12, vitamin C, sodium, salt, calcium, potassium, magnesium, phosphorus, iron, copper, and zinc of Japanese people in 2022 were lower compared to those in 2019. The daily intake of vitamin B1 of Japanese people in 2022 was the same as that in 2019. The daily intake of vitamin A, vitamin D, vitamin E, vitamin B1, vitamin B2, folate, vitamin B12, vitamin C, salt, calcium, iron, and copper were negatively correlated with the number of gout patients, respectively. The daily niacin intake was positively correlated with the number of gout patients. Modification of micronutrient intake for the prevention of gout in Japanese people (especially adults) in 2022 is suggested as follows: limiting or decreasing intake of sodium and salt; decreasing intake of niacin; decreasing or pay attention to not to excessive intake of vitamin K, pantothenic acid, vitamin B12, phosphorus, and copper; increase intake of vitamin A, vitamin D, vitamin E, vitamin B1, vitamin B6, folate, calcium, potassium, and magnesium; increase intake of vitamin B2 in Japanese men (aged 15-59 years) and women (aged 15-49 years), vitamin C in Japanese men (aged 20-59 years) and women (aged 20-49 years), iron in Japanese men (aged 20-59 years) and women (aged 20-69 years, ≥ 75 years), and zinc in Japanese men (aged ≥ 20 years) and women (aged 20-69 years, aged ≥ 80 years).
Abstract: The number of gout patients of Japanese people increased 5.12-fold from 1986 to 2022 (1986: 0.255 million; 2022: 1.306 million). The aim of this article is to suggest what micronutrient intake is important for the prevention of gout in Japanese people in 2022 referencing the results of clinical research reported. The author used the data of the Com...
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Research Article
Evaluating Feasibility and Effectiveness of Implementing Cross-Country Mhealth Interventions in Sub-Saharan Africa
Ogweno Stephen*,
Harrison Roger,
Murithi Bernard,
Otieno Bonface
Issue:
Volume 13, Issue 1, February 2025
Pages:
28-42
Received:
21 December 2024
Accepted:
5 January 2025
Published:
22 January 2025
Abstract: Non-communicable diseases (NCDs) pose a significant public health challenge in Sub-Saharan Africa, where traditional healthcare systems in Sub-Saharan Africa often grapple with limited infrastructure, healthcare worker shortages, and accessibility challenges. Mobile health (mHealth) interventions have emerged as promising tools to enhance health promotion and literacy, providing innovative solutions to these challenges. This study evaluates the feasibility and effectiveness of cross-country mHealth interventions through a secondary analysis of the NCD 365 project, which utilized outcome data from January to December 2020. A multi-stage sampling technique was employed to select participants from five countries, and data were collected via an online Google form. The analysis focused on platform usage, literacy distribution, and the relationship between health literacy levels and the platforms used. Descriptive statistics and the Kruskal-Wallis test were used to evaluate the data. Results indicated that WhatsApp was the most widely used platform in four of the five countries, while Twitter predominated in Uganda. Adjusted literacy levels varied slightly, with Kenya and Nigeria showing higher levels compared to Cameroon, Zimbabwe, and Uganda. Gender differences in literacy were minimal, with males displaying marginally higher literacy scores. The Kruskal-Wallis test revealed no significant differences in literacy levels across platforms or countries, reinforcing the feasibility and effectiveness of cross-country mHealth interventions. These findings suggest that initiatives like the NCD 365 project can effectively promote health literacy and healthcare delivery across diverse settings in Sub-Saharan Africa. While regional differences in platform preferences exist, the overall success of the project highlights the potential for scalable and adaptable mHealth strategies. Future research should focus on the long-term impacts and platform-specific effectiveness to further optimize mHealth interventions.
Abstract: Non-communicable diseases (NCDs) pose a significant public health challenge in Sub-Saharan Africa, where traditional healthcare systems in Sub-Saharan Africa often grapple with limited infrastructure, healthcare worker shortages, and accessibility challenges. Mobile health (mHealth) interventions have emerged as promising tools to enhance health pr...
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Research Article
Chronic Kidney Disease in Hispanic Population in US: A Public Health Research Gap
Shyam Chirravoori*
Issue:
Volume 13, Issue 1, February 2025
Pages:
43-46
Received:
26 December 2024
Accepted:
20 January 2025
Published:
10 February 2025
DOI:
10.11648/j.ajhr.20251301.13
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Abstract: Hispanic population is very fast growing in the United States of America. The incidence and prevalence of End Stage Renal Disease (ESRD) is Hispanics is higher than that of non-Hispanic Whites. The Hispanics with Chronic Kidney Disease (CKD) are at a greater risk for kidney failure. The main contributing factors for this higher burden of chronic kidney disease are diabetes, and metabolic syndrome. Both diabetes and metabolic syndrome are common in Hispanics. In addition, Health care access, quality of health care, language barrier, health literacy, low socioeconomic status, life style etc., may further contribute to the increased disease burden of CKD in the Hispanic population in the Unites States of America. Despite the recognition of public health importance of the problem, there is very little data about Hispanics with CKD. Rio Grande Valley (RGV) is a very important hub for Hispanics and an appropriate geographic place to study the CKD problem due to various reasons. A review of the literature on CKD and other issues in Hispanic population in US is ascertained using PubMed and Google scholar. Even when the issues and contexts are well appreciated there are paucity of valid data on the subject. Research on CKD including ESRD in Hispanics may be reassessed in RGV.
Abstract: Hispanic population is very fast growing in the United States of America. The incidence and prevalence of End Stage Renal Disease (ESRD) is Hispanics is higher than that of non-Hispanic Whites. The Hispanics with Chronic Kidney Disease (CKD) are at a greater risk for kidney failure. The main contributing factors for this higher burden of chronic ki...
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Research Article
Black History Matters: Integrating Post Traumatic Slave Syndrome into SDOH Trainings to Enhance Health Equity
Garssandra Presumey-Leblanc*,
Megan Sandel
Issue:
Volume 13, Issue 1, February 2025
Pages:
47-56
Received:
3 January 2025
Accepted:
22 January 2025
Published:
17 February 2025
DOI:
10.11648/j.ajhr.20251301.14
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Abstract: This study aimed to examine the integration of Post-Traumatic Slave Syndrome (PTSS) into Social Determinants of Health (SDOH) trainings as a means to enhance the understanding and addressing of health disparities, particularly among Black populations. Given the growing emphasis on SDOH in health education, the study sought to explore how historical trauma, specifically PTSS, contributes to ongoing health inequities and to evaluate whether its inclusion in training could lead to more culturally informed approaches in health and human services (HHS). Through ethnographic interviews with six Black female professionals in Massachusetts and Rhode Island, who had participated in SDOH trainings organized by a medical-legal partnership (MLP), the research aimed to uncover the connections between historical trauma and health disparities in the context of contemporary healthcare. By highlighting the lived experiences of professionals and their perspectives on PTSS, the study also sought to propose methods for incorporating these historical dimensions into current SDOH frameworks to foster deeper, more systemic change. The findings suggest that integrating PTSS within SDOH education is essential for developing comprehensive strategies to promote health equity and advance social justice in medical-legal collaborations.
Abstract: This study aimed to examine the integration of Post-Traumatic Slave Syndrome (PTSS) into Social Determinants of Health (SDOH) trainings as a means to enhance the understanding and addressing of health disparities, particularly among Black populations. Given the growing emphasis on SDOH in health education, the study sought to explore how historical...
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Research Article
Achieving Universal Health Coverage Through Health Insurance: The Case of Readymade Garment Industry’s Employees in Bangladesh
Syeda Naushin Parnini*,
Md Mahmudul Hasan
Issue:
Volume 13, Issue 1, February 2025
Pages:
57-72
Received:
3 January 2025
Accepted:
5 February 2025
Published:
21 February 2025
DOI:
10.11648/j.ajhr.20251301.15
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Abstract: Aim: this study aims at assessing the contribution of health insurance for the employees of selected garment factories in reducing OPP in terms of% of total costs of medical treatment, identifying the problems of health insurance and claim realisation and developing a model for the effective health insurance, which is expected to contribute in achieving Universal Health Coverage (UHC). Subject and Methods: The study has been conducted on the employees of selected garment factories which have introduced health insurance scheme for their employees and the garment factories which have not yet introduced health insurance for their employees. Both qualitative and quantitative approach has been applied to collect the data from employees, management officials of the readymade garment (RMGs) industries and concerned insurance companies to meet the objectives of the study. Questionnaire survey on the employees of the selected garment factories, in-depth interview, focus group discussions (FGDs) with the stakeholders has been conducted. Results: Health insurance of RMGs has not got momentum yet. It is at the initial stage only. At this stage, the study finds that health insurance can reduce OPP relating to benefit package, claim realization, follow up treatment etc. The employers and the employees face several problems. Moreover, monitoring and supervision need to be ensured. Conclusion: Most of the employees are not aware of their rights and terms and conditions of health insurance, despite of having such problems, health insurance can contribute to the reduction of OPP of the employees under HI. By reducing OPP, HI contributes to the expansion of health care coverage. By expanding the outreach, health insurance can contribute to achieving the goal of UHC, provided that the health insurance policies are well-designed.
Abstract: Aim: this study aims at assessing the contribution of health insurance for the employees of selected garment factories in reducing OPP in terms of% of total costs of medical treatment, identifying the problems of health insurance and claim realisation and developing a model for the effective health insurance, which is expected to contribute in achi...
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