OBJECTIVES Poor adherence to anti-hypertensive medication severely compromises the effectiveness of treatment. The aim of this study was to determine the factors that are associated with poor adherence in a sample of hypertensive patients in Nsukka, Nigeria. METHODS The study employed a cross sectional, household survey to identify cases of hypertension in Nsukka. Adherence to antihypertensiv...

BACKGROUND The aim of this study was to investigate the influence of contextual (social capital and administrative/neo-materialist) and individual factors on lack of access to a regular doctor. METHODS The 2000 public health survey in Scania is a cross-sectional study. A total of 13,715 persons answered a postal questionnaire, which is 59% of the random sample. A multilevel logistic regressio...

BACKGROUND Providing e-learning modules can be an effective strategy for enhancing gatekeepers' knowledge, self-confidence and skills in adolescent suicide prevention. The aim of this study was to test the effectiveness of an online training program called Mental Health Online which consists of eight short e-learning modules, each capturing an important aspect of the process of recognition, gui...

Self-criticism of physicians and patient participation are the pillars of modern medical ethics and medical programmes. Patients expect risk minimisation from physicians, mostly without realising how much they could actively do themselves in this respect. But what about the willingness of German people to take risks, how high is it really at present? Direct empirical data are not available, but...

introduction: patient safety culture is an important part of improvement in the safety of health care. knowing its present status is required for development of safety culture. the present study aimed to evaluate the current status of patient safety culture in hospitals of three central provinces of iran. method: the present cross-sectional study was performed in teaching hospitals of tehran, a...

ISSUE ADDRESSED this paper reports on an initiative conducted within the Shire of Cardinia, Victoria, to increase skills and confidence of hairdressers to act as a resource and referral source for mental health issues, including family violence. METHODS the intervention consisted of a workshop for hairdressers, follow-up telephone, e-mail and dropin support on how to enhance communication rel...

BACKGROUND We studied the intention of a group of insurance physicians to use the guidelines for depression, and their behaviour in disability assessments. We considered attitude, social norm and self-efficacy, knowledge/skills and stimuli, based on the Attitude-Social norm-self-Efficacy model (ASE model) as possible determinants of both intention and behaviour.The aim of this study was to unde...

OBJECTIVE To describe differences in trajectories of self reported health in an ageing cohort according to occupational grade. DESIGN Prospective cohort study of office based British civil servants (1985-2004). PARTICIPANTS 10 308 men and women aged 35-55 at baseline, employed in 20 London civil service departments (the Whitehall II study); follow-up was an average of 18 years. MAIN OUTCO...

OBJECTIVES To explore systematically the care seeking trajectories of tuberculosis (TB) cases up to four subsequent places of care and to assess the type of services provided at each place. METHODS TB cases detected actively during the 2007-2009 national TB prevalence survey and passively under the routine programme in the same period were interviewed by administering a standardised questionn...

OBJECTIVE To combine insights from service users with long-term conditions (LTCs) to assist the development of a community referral intervention designed to promote engagement and improve access to health-relevant resources. BACKGROUND Social deprivation and reduced access to resources have been causally linked with social isolation and the ability to manage LTCs. Participation in meaningful ...