12 results for "Michele Heisler"
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Primary care models for treating opioid use disorders: What actually works? A systematic review
Background: Primary care-based models for Medication-Assisted Treatment (MAT) have been shown to reduce mortality for Opioid Use Disorder (OUD) and have equivalent efficacy to MAT in specialty substance treatment facilities. Objective: The objective of this study is to systematically analyze…
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The psychological effects of forced family separation on asylum-seeking children and parents at the US-Mexico border: A qualitative analysis of medico-legal documents
The U.S. government forcibly separated more than 5,000 children from their parents between 2017 and 2018 through its “Zero Tolerance” policy. It is unknown how many of the children have since been reunited with their parents. As of August 1, 2021, however, at least 1,841 children are still…
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Medical Evidence of Human Rights Violations against Non-Arabic-Speaking Civilians in Darfur: A Cross-Sectional Study
Alexander Tsai and colleagues review medical records from the Amel Centre, Sudan, to assess consistency between recorded medical evidence and patient reports of human rights violations by the Government of Sudan and Janjaweed forces. Background: Ongoing conflict in the Darfur region of Sudan has…
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Discriminatory Attitudes and Practices by Health Workers toward Patients with HIV/AIDS in Nigeria
Background: Nigeria has an estimated 3.6 million people with HIV/AIDS and is home to one out of every 11 people with HIV/AIDS worldwide. This study is the first population-based assessment of discrimination against people living with HIV/AIDS in the health sector of a country. The purpose of this…
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Gender Inequity Norms Are Associated with Increased Male-Perpetrated Rape and Sexual Risks for HIV Infection in Botswana and Swaziland
Background: There is limited empirical research on the underlying gender inequity norms shaping gender-based violence, power, and HIV risks in sub-Saharan Africa, or how risk pathways may differ for men and women. This study is among the first to directly evaluate the adherence to gender inequity…
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Health system interventions for adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis
Background: Effective health system interventions may help address the disproportionate burden of diabetes in low- and middle-income countries (LMICs). We assessed the impact of health system interventions to improve outcomes for adults with type 2 diabetes in LMICs. Methods and findings: We…
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Routine HIV Testing in Botswana: A Population-Based Study on Attitudes, Practices, and Human Rights Concerns
Background: The Botswana government recently implemented a policy of routine or “opt-out” HIV testing in response to the high prevalence of HIV infection, estimated at 37% of adults. Methods and Findings: We conducted a cross-sectional, population-based study of 1,268 adults from five districts in…
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Food Insufficiency Is Associated with High-Risk Sexual Behavior among Women in Botswana and Swaziland
Background: Both food insufficiency and HIV infection are major public health problems in sub-Saharan Africa, yet the impact of food insufficiency on HIV risk behavior has not been systematically investigated. We tested the hypothesis that food insufficiency is associated with HIV transmission…
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Primary care providers’ perceived barriers to obesity treatment and opportunities for improvement: A mixed methods study
Background: Primary care patients with obesity seldom receive effective weight management treatment in primary care settings. This study aims to understand PCPs’ perspectives on obesity treatment barriers and opportunities to overcome them. Study design: This is an explanatory sequential mixed…
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A Population-Based Study on Alcohol and High-Risk Sexual Behaviors in Botswana
Background: In Botswana, an estimated 24% of adults ages 15–49 years are infected with HIV. While alcohol use is strongly associated with HIV infection in Africa, few population-based studies have characterized the association of alcohol use with specific high-risk sexual behaviors. Methods and…
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Innovative strategies and implementation science approaches for health delivery among migrants in humanitarian settings: A scoping review
Introduction: Over 100 million displaced people rely on health services in humanitarian contexts, defined as unstable or transitory settings created in response to complex emergencies. While services are often described, there is a dearth of evidence on best practices for successful implementation…