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The silent killer in media stories: Representations of hypertension as health risk factor in French-language Canadian newspapers.

Health, Risk & Society; 09/01/2011
(AN 65638123)
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The role of maternal nutrition in the aetiology of gastroschisis: an incident case-control study

Background Gastroschisis, a congenital anomaly involving a defect in the fetal abdominal wall, has increased in prevalence in many countries, but the aetiology is uncertain. We tested the hypothesis that high maternal alcohol consumption and poor diet in the first trimester are risk factors in a case–control study in the UK (1 July 2007 to 28 February 2010).

Methods Gastroschisis cases and three controls per case (matched for maternal age) were identified at 18- to 20-week routine anomaly screening ultrasound scan (USS). Interviews were carried out during the antenatal period (median 24 weeks' gestation) using a piloted questionnaire. Conditional logistic regression was used to describe the associations between exposure variables and gastroschisis, adjusted for known confounding variables.

Results The response rate was 73% for cases (n = 91) and 70% for controls (n = 217). High consumption of fruits and vegetables during the first trimester (aOR 0.2; 95% CI 0.04–0.6), taking folic acid for at least 6 weeks during the first trimester (aOR 0.3; 95% CI 0.1–0.7) and increasing body fat percentage of total maternal body weight (aOR 0.9; 95% CI 0.8–0.9 per 1% increase) were independently associated with reduced risk. Cigarette smoking (aOR 2.7; 95% CI 1.1–6.8) was an independent risk factor.

Conclusion We report for the first time that higher intake of fruits and vegetables during the first trimester, longer duration of folic acid supplementation and higher body fat percentage are associated with reduced risk of fetal gastroschisis, independent of cigarette smoking. The increased risk of cigarette smoking is greatest in older women and in high socio-economic groups.

Source: http://ije.oxfordjournals.org/cgi/content/short/41/4/1141?rss=1

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Reduced price on rotavirus vaccines: enough to facilitate access where most needed?

Bulletin of the World Health Organization; 07/01/2012
(AN 2011626141)
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Commentary: Personal reflection on 'Serum-cholesterol, diet and coronary heart-disease in Africans and Asians in Uganda'*

Source: http://ije.oxfordjournals.org/cgi/content/short/41/5/1225?rss=1

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Framing and tone-of-voice of disaster media coverage: The aftermath of the Enschede fireworks disaster in the Netherlands.

Health, Risk & Society; 05/01/2011
(AN 59835842)
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The representation of highly pathogenic avian influenza in the Chinese media.

Health, Risk & Society; 10/01/2011
(AN 69733236)
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Prolonged sexual abstinence after childbirth: gendered norms and perceived family health risks. Focus group discussions in a Tanzanian suburb

Background:
Prolonged sexual abstinence after childbirth is a socio-cultural practice with health implications, and is described in several African countries, including Tanzania. This study explored discourses on prolonged postpartum sexual abstinence in relation to family health after childbirth in low-income suburbs of Dar es Salaam, Tanzania.
Methods:
Data for the discourse analysis were collected through focus group discussions with first-time mothers and fathers and their support people in Ilala, Dar es Salaam, Tanzania.
Results:
In this setting, prolonged sexual abstinence intended at promoting child health was the dominant discourse in the period after childbirth. Sexual relations after childbirth involved the control of sexuality for ensuring family health and avoiding the social implications of non-adherence to sexual abstinence norms. Both abstinence and control were emphasised more with regard to women than to men. Although the traditional discourse on prolonged sexual abstinence for protecting child health was reproduced in Ilala, some modern aspects such as the use of condoms and other contraceptives prevailed in the discussion.
Conclusion:
Discourses on sexuality after childbirth are instrumental in reproducing gender-power inequalities, with women being subjected to more restrictions and control than men are. Thus, interventions that create openness in discussing sexual relations and health-related matters after childbirth and mitigate gendered norms suppressing women and perpetuating harmful behaviours are needed. The involvement of males in the interventions would benefit men, women, and children through improving the gender relations that promote family health.

Source: http://www.biomedcentral.com/1472-698X/13/4