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1.
LGBT Health ; 3(2): 109-15, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27046541

RESUMO

PURPOSE: In Boston and Outer Cape, Massachusetts, we explored the expectations of lesbians 60 years and older regarding healthy aging and community importance. METHODS: Focus groups were conducted with participants after completing an anonymous demographic questionnaire. Thematic analysis was used to generate themes and identify how they varied by urban versus rural settings. RESULTS: Group discussions focused on community, finances, housing, and healthcare. Primary concerns included continued access to supportive and lesbian communities as a source of resilience during aging. CONCLUSION: Concerns about discrimination and isolation mirror themes found in national research. The study findings suggest a need for more research into the housing and transportation needs of lesbians approaching later life, with a focus on how those needs relate to affordability, accessibility, and proximity to social support and healthcare. These findings also suggest the need for substantial investments in strengthening the LGBT-related cultural competence of providers of services for the elderly.


Assuntos
Envelhecimento/psicologia , Homossexualidade Feminina/psicologia , Minorias Sexuais e de Gênero/psicologia , Idoso , Feminino , Grupos Focais , Disparidades em Assistência à Saúde , Habitação , Humanos , Massachusetts , Pessoa de Meia-Idade , Preconceito , População Rural , Isolamento Social , População Urbana
2.
Bull World Health Organ ; 83(3): 195-201, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15798843

RESUMO

OBJECTIVE: To achieve high and equitable coverage of insecticide-treated bednets by integrating their distribution into a measles vaccination campaign. METHODS: In December 2002 in the Lawra district in Ghana, a measles vaccination campaign lasting 1 week targeted all children aged 9 months-15 years. Families with one or more children less than five years old were targeted to receive a free insecticide-treated bednet. The Ghana Health Service, with support from the Ghana Red Cross and UNICEF, provided logistical support, volunteer workers and social mobilization during the campaign. Volunteers visited homes to inform caregivers about the campaign and encourage them to participate. We assessed pre-campaign coverage of bednets by interviewing caregivers leaving vaccination and distribution sites. Five months after distribution, a two-stage cluster survey using population-proportional sampling assessed bednet coverage, retention and use. Both the pre-campaign and post-campaign survey assessed household wealth using an asset inventory. FINDINGS: At the campaign exit interview 636/776 (82.0%) caregivers reported that they had received a home visit by a Red Cross volunteer before the campaign and that 32/776 (4.1%) of the youngest children in each household who were less than 5 years of age slept under an insecticide-treated bednet. Five months after distribution caregivers reported that 204/219 (93.2%) of children aged 9 months to 5 years had been vaccinated during the campaign; 234/248 (94.4%) of households were observed to have an insecticide-treated bednet; and 170/249 (68.3%) were observed to have a net hung over a bed. Altogether 222/248 (89.5%) caregivers reported receiving at least one insecticide-treated bednet during the campaign, and 153/254 (60.2%) said that on the previous night their youngest child had slept under a bednet received during the campaign. For households in the poorest quintile, post-campaign coverage of insecticide-treated bednets was 10 times higher than pre-campaign coverage of households in the wealthiest quintile (46/51 (90.2%) versus 14/156 (9.0%)). The marginal operational cost was 0.32 US dollars per insecticide-treated bednet delivered. CONCLUSION: These findings suggest that linking bednet distribution to measles vaccination campaigns may provide an important opportunity for achieving high and equitable coverage of bednets.


Assuntos
Roupas de Cama, Mesa e Banho/provisão & distribuição , Programas de Imunização/organização & administração , Inseticidas , Malária/prevenção & controle , Vacina contra Sarampo/provisão & distribuição , Sarampo/prevenção & controle , Desenvolvimento de Programas , Adolescente , Adulto , Idoso , Animais , Roupas de Cama, Mesa e Banho/economia , Criança , Pré-Escolar , Custos e Análise de Custo , Prestação Integrada de Cuidados de Saúde , Feminino , Gana , Humanos , Programas de Imunização/economia , Lactente , Masculino , Pessoa de Meia-Idade , Controle de Mosquitos
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