A qualitative study of tobacco use in eight economically disadvantaged Dominican Republic communities

Chin, Nancy P.; Dozier, Ann; Quiñones, Zahíra; Díaz, Sergio; Weber, Emily A.; Almonte, Hector; Bautista, A. P.; Raman, K. Maneesha; McIntosh, Scott; Ossip, Deborah J.

doi:10.1177/1757975915626117

Cited by 7 publications

(4 citation statements)

References 20 publications

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“…The recent meeting of the Working Group of the European-Latin American Respiratory Diseases Society held in Madrid showed that Latin America is making progress in smoking control [209], but that it is still necessary to increase the strictness of antismoking laws, increase taxes on cigarettes and develop alternative packaging plans. In Latin America, the results of smoking control programs have been reported in recent years [210][211][212][213][214][215][216][217][218][219][220][221][222][223][224][225][226], with excellent results obtained in Uruguay, Brazil, Chile and Panama through actions, such as the prohibition of smoking in public places, the imposition of high taxes and the inclusion of large warnings on cigarette packages, all agreed with the active participation of the leaders of governments, including, in Uruguay, the direct participation of the President of the Republic. Unfortunately, the same does not occur in other countries of the region, such as Argentina, Peru, Guatemala, Honduras and Nicaragua.…”

Section: Smokingmentioning

confidence: 99%

Latin American Consensus on the management of hypertension in the patient with diabetes and the metabolic syndrome

López‐Jaramillo

Barbosa²,

Molina

et al. 2019

Journal of Hypertension

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The prevalence of hypertension, type 2 diabetes mellitus (DM2) and the metabolic syndrome continues to increase in Latin America, while the rates of diagnosis, treatment and control of these disorders remain low. The frequency of the risk factors that constitute the metabolic syndrome and are associated with an increased risk of cardiovascular disease has not diminished since the publication of the previous consensus. This document discusses the socioeconomic, demographic, environmental and cultural characteristics of most associated Latin American countries and partially explains the lack of better results in improving clinical and public health actions that allow high morbidity and mortality rates caused by cardiovascular diseases and DM2 to be reduced through programs aligned with the socalled precision medicine, which should be predictive, preventive, personalized and participatory. The Consensus ratifies the diagnostic criteria expressed in the previous consensus to define hypertension and DM2 but, for the metabolic syndrome, and in the absence of evidence, the recommendation is to implement a cohort study that determines the abdominal perimeter value associated with hard outcomes, such as DM2 and CVD. Meanwhile, we recommend modifying the criterion to more than 94 cm in men and more than 84 cm in women according to WHO recommendations. We also recommend the carrying out of a study that identifies the situation of hypertension and DM2 in people of African ancestry who, in Latin America, exceed 75 million and whose epidemiology does not include solid studies. With respect to the proposed therapeutic targets, we recommended maintaining those defined in the previous consensus, but insisting that early pharmacological management of prediabetes with metformin should be introduced, as should the treatment of diabetic hypertensive patients with a combination therapy of two fixed-dose antihypertensive drugs and management with statins. To increase adherence, the use of different drugs combined in a single pill (polypill) is recommended. The simplification of the therapeutic regimen is accompanied by greater control of cardiovascular risk factors, both in primary and secondary prevention, and has been shown to be cost-effective. The consensus recommends the use of the currently available polypill combining an angiotensin-converting enzyme inhibitor, a statin and aspirin for secondary cardiovascular prevention and in patients with a high cardiovascular risk, such as hypertension patients with DM2.

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Section: Smokingmentioning

confidence: 99%

Latin American Consensus on the management of hypertension in the patient with diabetes and the metabolic syndrome

López‐Jaramillo

Barbosa²,

Molina

et al. 2019

Journal of Hypertension

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“…We continue to report findings from PDT studies elsewhere (e.g., Chin, et al in press; Dozier et al, 2006, 2009, 2014; Lando et al 2010; McIntosh, et al, 2008; Ossip-Klein, et al 2008; Ossip, et al; 2013, 2015; Prucha, et al 2015; Torres, et al 2011, 2014; Wipfli, et al 2008). The current paper will report on lessons learned from implementing this US-DR partnered research.…”

Section: Research Rationale/descriptionmentioning

confidence: 87%

“…Communities were randomized within pairs to intervention or control, using a lagged treatment design, with all communities receiving intervention after a one year comparison period. Projects began with a qualitative Rapid Assessment Process (RAP, Beebe, 1995), with mixed DR-US teams assessing the sociocultural landscape of tobacco use during 2–3 days visits to each community (Dozier et al 2006; Dozier et al, 2009; Chin et al in press). Results informed subsequent survey and intervention development.…”

Section: Research Rationale/descriptionmentioning

confidence: 99%

Lessons Learned from Twelve Years of Partnered Tobacco Cessation Research in the Dominican Republic

et al. 2016

Self Cite

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Engaging partners for tobacco control within low and middle income countries (LMICs) at early stages of tobacco control presents both challenges and opportunities in the global effort to avert the one billion premature tobacco caused deaths projected for this century. The Dominican Republic (DR) is one such early stage country. The current paper reports on lessons learned from 12 years of partnered United States (US)-DR tobacco cessation research conducted through two NIH trials (Proyecto Doble T, PDT1 and 2). The projects began with a grassroots approach of working with interested communities to develop and test interventions for cessation and secondhand smoke reduction that could benefit the communities, while concurrently building local capacity and providing resources, data, and models of implementation that could be used to ripple upward to expand partnerships and tobacco intervention efforts nationally. Lessons learned are discussed in four key areas: partnering for research, logistical issues in setting up the research project, disseminating and national networking, and mentoring. Effectively addressing the global tobacco epidemic will require sustained focus on supporting LMIC infrastructures for tobacco control, drawing on lessons learned across partnered trials such as those reported here, to provide feasible and innovative approaches for addressing this modifiable public health crisis.

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“…Data were collected through traditional ethno-graphic methods (29) of community immersion, participant-observation, and 20 interviews over a 10-month period between August 2014–May 2015 and June 2016–July 2016. The University of Rochester Institutional Review Board approved this study.…”

Section: Methodsmentioning

confidence: 99%

Social capital, gender, and health: an ethnographic analysis of women in a Mumbai slum

Gundewar

Chin

2020

Glob Health Promot

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Objective: Quantitative studies have demonstrated that social capital can positively impact community health, but qualitative explorations of the factors mediating this relationship are lacking. Furthermore, while the world’s poor are becoming increasingly concentrated in the cities of lower-middle income countries, most of the existing literature on social capital and health explores these variables in Western or rural contexts. Even fewer studies consider the impact of social constructs like race, gender, or class on the creation of social capital and its operationalization in health promotion. Our study aimed to address these gaps in the literature through an ethnographic exploration of social capital among women living in Kaula Bandar (KB) – a marginalized slum on the eastern waterfront of Mumbai, India. We then sought to identify how these women leveraged their social capital to promote health within their households. Methods: This was a mixed-method, qualitative study involving participant observation and 20 in-depth, semi-structured, individual interviews over a nine-month period. Field notes and interview transcripts were manually analyzed for recurring content and themes. Results: We found that women in KB relied heavily on bonding social capital for both daily survival and survival during a health crisis, but that the local contexts of gender and poverty actively impeded the ability of women in this community to build forms of social capital – namely bridging or linking social capital – that could be leveraged for health promotion beyond immediate survival. Conclusions: These findings illustrate the context-specific challenges that women living in urban poverty face in their efforts to build social capital and promote health within their households and communities. Community-based qualitative studies are needed to identify the macro- and micro-level forces, like gender and class oppression, in which these challenges are rooted. Directly addressing these structural inequalities significantly increases the potential for health promotion through social capital formation.

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A qualitative study of tobacco use in eight economically disadvantaged Dominican Republic communities

Cited by 7 publications

References 20 publications

Latin American Consensus on the management of hypertension in the patient with diabetes and the metabolic syndrome

Latin American Consensus on the management of hypertension in the patient with diabetes and the metabolic syndrome

Lessons Learned from Twelve Years of Partnered Tobacco Cessation Research in the Dominican Republic

Social capital, gender, and health: an ethnographic analysis of women in a Mumbai slum

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