Last data update: Jan 27, 2025. (Total: 48650 publications since 2009)
Records 1-3 (of 3 Records) |
Query Trace: Zielinski-Gutierrez EC[original query] |
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HIV control in hyperendemic communities in east Africa
Zielinski-Gutierrez EC , De Cock KM . Lancet HIV 2019 6 (10) e643-e644 In The Lancet HIV, Joseph Kagaayi and colleagues1 report on impressive reductions in HIV incidence in hyperendemic fisherfolk communities in Uganda, from 3·43 per 100 person-years in November, 2011, to 1·59 per 100 person-years in August, 2017, with declines observed in both sexes. This decrease in HIV incidence was in the context of a strong programme of implementation of combination HIV interventions; the authors report a marked increase in HIV testing coverage over the period, almost doubled circumcision coverage, large increases in antiretroviral therapy (ART) coverage, and associated population viral load suppression, which was at 80% by the end of the study period. |
Evaluating public housing residents for knowledge, attitudes, and practices following dengue prevention outreach in Key West, Florida
Matthias J , Zielinski-Gutierrez EC , Tisch DJ , Stanek D , Blanton RE , Doyle MS , Eadie RB , Gazdick EJ , Leal AL , Pattison KJ , Perez-Guerra CL , Tittel CJ , Vyas J , Wagner T , Blackmore CG . Vector Borne Zoonotic Dis 2014 14 (11) 788-93 BACKGROUND: In 2009-2010, 93 cases of dengue were identified in Key West, Florida. This was the first outbreak of autochthonous transmission of dengue in Florida since 1934. In response to this outbreak, a multifaceted public education outreach campaign was launched. The aim of this study is to compare dengue prevention knowledge, attitudes, perceptions, and prevention practices among residents of subsidized public housing to the general population in Key West and to assess whether there were barriers preventing effective outreach from reaching specific vulnerable populations. METHODS: A randomized population-based evaluation of knowledge, attitudes, and behaviors toward dengue prevention consisting of 521 separate household interviews was undertaken in July of 2011. A subset analysis was performed on interviews collected from 28 public housing units within four subsidized public housing complexes. Analysis was performed to determine whether knowledge, attitudes, and behaviors exhibited by public housing residents differed from the non-public housing study population. RESULTS: Public housing residents recalled fewer outreach materials (p=0.01) and were 3.4 times (95% confidence interval [CI] 1.4-8.3) more likely not to recall any outreach materials. Public housing residents were less likely to correctly identify how dengue transmission occurs (61% vs. 89%), where mosquitoes lay their eggs (54% vs. 85%), or to identify any signs or symptoms related to dengue (36% vs. 64%). Public housing residents were less likely to perform dengue prevention practices such as removing standing water or always using air conditioning. CONCLUSIONS: Examination of public housing residents identified an at-risk population that recalled less exposure to outreach materials and had less knowledge about dengue infection and prevention than the randomized study population. This provides public health systems the opportunity to target or modify future health messages and interventions to this group. Differences identified in the demographics of this population suggest that alternative methods or non-English materials may be required to reach desired outcomes. |
U.S. healthcare providers' experience with Lyme and other tick-borne diseases
Brett ME , Hinckley AF , Zielinski-Gutierrez EC , Mead PS . Ticks Tick Borne Dis 2014 5 (4) 404-8 Surveillance indicates that tick-borne diseases are a common problem in the United States. Nevertheless, little is known regarding the experience or management practices of healthcare providers who treat these conditions. The purpose of the present study was to characterize the frequency of tick-borne diseases in clinical practice and the knowledge of healthcare providers regarding their management. Four questions about tick-borne diseases were added to the 2009 Docstyles survey, a nationally representative survey of >2000 U.S. healthcare providers. Topics included diseases encountered, management of patients with early Lyme disease (LD), provision of tick-bite prophylaxis, and sources of information on tick-borne diseases. Overall, 51.3% of practitioners had treated at least one patient for a tick-borne illness in the previous year. Among these, 75.1% had treated one type of disease, 19.0% two types of disease, and 5.9% three or more diseases. LD was encountered by 936 (46.8%) providers; Rocky Mountain spotted fever was encountered by 184 (9.2%) providers. Given a scenario involving early LD, 89% of providers would prescribe antibiotics at the first visit, with or without ordering a blood test. Tick-bite prophylaxis was prescribed by 31.0% of all practitioners, including 41.1% in high-LD-incidence states and 26.0% in low-incidence states. Tick-borne diseases are encountered frequently in clinical practice. Most providers would treat early LD promptly, suggesting they are knowledgeable regarding the limitations of laboratory testing in this setting. Conversely, providers in low-LD-incidence states frequently prescribe tick-bite prophylaxis, suggesting a need for education to reduce potential misdiagnosis and overtreatment. |
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