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Journal articles on the topic 'Environmental health – Dominican Republic'

Author: Grafiati

Published: 4 June 2021

Last updated: 16 February 2022

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1

Turner, Chloe, Maura A. Powell, Rodney R. Finalle, Kate Westmoreland, Kevin Osterhoudt, Ramona Cordero Paulino, and Elizabeth D. Lowenthal. "Talking trash: Perspectives on community environmental health in the Dominican Republic." PLOS ONE 16, no. 3 (March 29, 2021): e0248843. http://dx.doi.org/10.1371/journal.pone.0248843.

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A safe and healthy natural and built environment is fundamental to children’s health and represents a significant determinant of community well-being. We aimed to identify and prioritize environmental health concerns within resource-poor neighborhoods in the Dominican Republic using free-listing and semi-structured focus groups composed of parents and caregivers in the perirural community of Consuelo, Dominican Republic. Transcripts were coded and relevant themes identified using qualitative content analysis. Demographic data and information regarding trash disposal practices were also collected. Participants described common health concerns, including respiratory infections, asthma, vector-borne illnesses, and diarrheal diseases and linked them to environmental hazards in their communities, such as air quality and sanitation. Interventional priorities that emerged included reduction of trash accumulation and trash burning as well as improvement of sanitation facilities.

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Bouilly, Roberta, Giovanna Gatica-Domínguez, Marilia Mesenburg, Francisco I. Cáceres Ureña, Daniel G. P. Leventhal, Aluísio J. D. Barros, Cesar G. Victora, and Fernando C. Wehrmeister. "Maternal and child health inequalities among migrants: the case of Haiti and the Dominican Republic." Revista Panamericana de Salud Pública 44 (November 20, 2020): 1. http://dx.doi.org/10.26633/rpsp.2020.144.

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Objective. To assess coverage and inequalities in maternal and child health interventions among Haitians, Haitian migrants in the Dominican Republic and Dominicans. Methods. Cross-sectional study using data from nationally representative surveys carried out in Haiti in 2012 and in the Dominican Republic in 2014. Nine indicators were compared: demand for family planning satisfied with modern methods, antenatal care, delivery care (skilled birth attendance), child vaccination (BCG, measles and DPT3), child case management (oral rehydration salts for diarrhea and careseeking for suspected pneumonia), and the composite coverage index. Wealth was measured through an asset-based index, divided into tertiles, and place of residence (urban or rural) was established according to the country definition. Results. Haitians showed the lowest coverage for demand for family planning satisfied with modern methods (44.2%), antenatal care (65.3%), skilled birth attendance (39.5%) and careseeking for suspected pneumonia (37.9%), and the highest for oral rehydration salts for diarrhea (52.9%), whereas Haitian migrants had the lowest coverage in DPT3 (44.1%) and oral rehydration salts for diarrhea (38%) and the highest in careseeking for suspected pneumonia (80.7%). Dominicans presented the highest coverage for most indicators, except oral rehydration salts for diarrhea and careseeking for suspected pneumonia. The composite coverage index was 79.2% for Dominicans, 69.0% for Haitian migrants, and 52.6% for Haitians. Socioeconomic inequalities generally had pro-rich and pro-urban pattern in all analyzed groups. Conclusion. Haitian migrants presented higher coverage than Haitians, but lower than Dominicans. Both countries should plan actions and policies to increase coverage and address inequalities of maternal health interventions.

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Ebanks, G. Edward, and Edilberto Loaiza. "Nuptiality and fertility in the Dominican Republic." Journal of Biosocial Science 21, no. 1 (January 1989): 71–82. http://dx.doi.org/10.1017/s0021932000017739.

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SummaryWomen in marital unions had more live births than those in consensual unions. The relationship between cumulative fertility and the number of fertile sexual unions is positive for the early childbearing years and negative for the later ones. There is no consistent pattern of relationship between fertility and the sociocultural independent variables for different subgroups according to nuptiality pattern. The relationship between fertility and nuptiality in the Dominican Republic is consistent with that for the Caribbean region.

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4

Gonzalez Rodriguez, Humberto, Deshira D. Wallace, and Clare Barrington. "Contextualizing Experiences of Diabetes-Related Stress in Rural Dominican Republic." Qualitative Health Research 29, no. 6 (November 18, 2018): 857–67. http://dx.doi.org/10.1177/1049732318807207.

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Type 2 diabetes (T2D) is changing the burden of disease across Latin America. In this formative, qualitative study, we explored experiences of T2D diagnosis and management among adults in rural Dominican Republic. We conducted 28 in-depth interviews (12 men, 16 women) and used inductive analysis to explore the emotional burden of T2D and identify coping strategies. We found that stress relating to T2D began at diagnosis and persisted throughout management. Stress was produced by concerns about healthy food and medication access, fears about illness-induced injury, and the cyclical process of experiencing stress. Participants identified diabetes care and free medication services as external stress-reducers. Internally, participants’ mitigated stress by not thinking about diabetes (“ no dar mente”). Our study highlights the importance of a contextualized understanding of diabetes-related stress and the need for individual, clinic, and community-level interventions to reduce stressors and improve health outcomes among adults with T2D.

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Ugalde, Antonio, and Nuria Homedes. "Toward a Rural Health Corps Concept: Lessons from the Dominican Republic." Journal of Rural Health 4, no. 1 (January 1988): 41–58. http://dx.doi.org/10.1111/j.1748-0361.1988.tb00301.x.

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6

Nordhauser, Jennifer, and Jason Rosenfeld. "Adapting a water, sanitation, and hygiene picture-based curriculum in the Dominican Republic." Global Health Promotion 27, no. 3 (November 17, 2019): 6–14. http://dx.doi.org/10.1177/1757975919848111.

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Water, sanitation, and hygiene issues present barriers to health in rural Dominican Republic. Limited access to adequate water, sanitation, and hygiene accompanies a prevalence of water, sanitation, and hygiene-related diseases. To address these issues, an education and behavior change program using community health clubs has been adapted for areas at greatest risk of water, sanitation, and hygiene disease transmission. To support this initiative, a protocol was created to evaluate 147 images from a community health clubs toolkit for Dominican agricultural communities, or bateyes, to determine image comprehension and cultural appropriateness, as well as the demographic variables associated with visual literacy. A total of 112 interviews were completed across seven bateyes located near the city of La Romana; 60 images were determined to require additional adaptation. Further analyses demonstrated that age and education were significantly associated with greater visual literacy. These results reinforce that educational visual aids require testing for cultural appropriateness and that future work should be conducted to investigate factors that contribute to visual literacy.

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7

Dozier, A. M. "Tobacco use in the Dominican Republic: understanding the culture first." Tobacco Control 15, suppl_1 (June 1, 2006): i30—i36. http://dx.doi.org/10.1136/tc.2005.014852.

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8

Zeledon, R., H. Bogaert-Diaz, A. Bradley McPherson, R. N. Johnson, and J. Murillo. "Epidemiological observations on cutaneous leishmaniases in the Dominican Republic." Transactions of the Royal Society of Tropical Medicine and Hygiene 79, no. 6 (January 1985): 881–82. http://dx.doi.org/10.1016/0035-9203(85)90155-5.

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9

McLennan, John D., Tina Leon, Sue Haffey, and Leslie A. S. Barker. "Exporting a Canadian Parenting Education Program to the Dominican Republic." Public Health Nursing 26, no. 2 (March 2009): 183–91. http://dx.doi.org/10.1111/j.1525-1446.2009.00769.x.

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10

Bautista, Leonelo E. "Factors associated with initiation of breast-feeding in the Dominican Republic." Revista Panamericana de Salud Pública 2, no. 2 (August 1997): 107–14. http://dx.doi.org/10.1590/s1020-49891997000800003.

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11

Kerrigan, Deanna. "Caribbean pleasure industry: Tourism, sexuality and AIDS in the Dominican Republic." Global Public Health 4, no. 6 (November 2009): 621–23. http://dx.doi.org/10.1080/17441690802472844.

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12

Casado, W., and R. Skewes. "Domestic violence in San Jose De Ocoa, Dominican Republic 2008–2011." Injury Prevention 18, Suppl 1 (October 2012): A180.2—A180. http://dx.doi.org/10.1136/injuryprev-2012-040590q.8.

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13

Ossip-Klein, Deborah, Susan Fisher, Sergio Diaz, Zahira Quinones, Essie Sierra, Ann Dozier, Scott McIntosh, et al. "Tobacco use in six economically disadvantaged communities in the Dominican Republic." Nicotine & Tobacco Research 10, no. 5 (May 2008): 851–60. http://dx.doi.org/10.1080/14622200802027164.

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14

Westhoff, Wayne W., Ercilia R. Calcano, Robert J. McDermott, Tara E. Trudnak, and Guillermo E. Lopez. "Estimating Maternal Mortality in Monseñor Nouel Province, Dominican Republic." Maternal and Child Health Journal 13, no. 5 (September 9, 2008): 707–14. http://dx.doi.org/10.1007/s10995-008-0410-9.

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15

Castellanos, Pedro Luis, and Carmen Rodriguez. "The First National Scientific Meeting on Epidemiology in the Dominican Republic." Journal of Public Health Policy 11, no. 3 (1990): 368. http://dx.doi.org/10.2307/3342715.

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Santosh, Arvind Babu R., James R. Collins, Thaon Jones, Michael Brache, Milagros Toro, Sona Tumanyan, Christine Walters, Sharon White, and Augusto Elias-Boneta. "The SmoCar Study: A Caribbean-Based Multicenter Study on the Prevalence and Disparities Linked to Smoking and Gingival Health." International Quarterly of Community Health Education 40, no. 4 (December 22, 2019): 321–30. http://dx.doi.org/10.1177/0272684x19895901.

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The aim of the SmoCar (Smoking in the Caribbean) study was to estimate the prevalence of smoking and the disparities in the smoking practices of three regions in the Caribbean: Jamaica, Dominican Republic, and Puerto Rico. The secondary objective was to assess the prevalence and severity of gingivitis in relation to the smoking practices. The study population comprised 1,847 (weighted N = 1,830) individuals (18 years and older) who were volunteer participants from the capitals of Jamaica, Dominican Republic, and Puerto Rico. A structured interview was used to assess the participants’ smoking behaviors. The gingival index was used to determine the extent of gingival inflammation. Polytomous regression was used to estimate the adjusted odds ratios (aORs) for smoking status (current, past, or never), according to risk factors (sex, age-group, education, marital status, tooth-brushing frequency, and city of residence). Logistic regression models were used to assess the associations between different smoking status variables and mild to moderate/severe gingivitis. The majority of the participants were never-smokers, with current smokers being found most commonly in Kingston (33.22%), followed by San Juan (12.76%) and Santo Domingo (8.8%). Both current (aOR = 2.22, 95% confidence interval [1.45, 3.40]) and past (aOR = 1.87, 95% confidence interval [1.19, 2.93]) smoking (vs. never smoking) was strongly associated with severe gingivitis. Smoking was the most prevalent in Jamaicans and the least prevalent in Dominicans. The study population of current smokers was found to have a fourfold increased risk of severe gingivitis and a twofold increased risk of moderate gingivitis.

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Dohn, Anita L., Andrea Chávez, Michael N. Dohn, Luis Saturria, and Carlos Pimentel. "Changes in health indicators related to health promotion and microcredit programs in the Dominican Republic." Revista Panamericana de Salud Pública 15, no. 3 (March 2004): 185–93. http://dx.doi.org/10.1590/s1020-49892004000300007.

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18

Carrier, Joseph. "Caribbean pleasure industry: tourism, sexuality and AIDS in the Dominican Republic." Culture, Health & Sexuality 11, no. 3 (April 2009): 345–47. http://dx.doi.org/10.1080/13691050802663882.

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19

Chapman, Helena J., Bienvenido A. Veras-Estévez, Jamie L. Pomeranz, Eddy N. Pérez-Then, Belkys Marcelino, and Michael Lauzardo. "Health care workers' recommendations for strengthening tuberculosis infection control in the Dominican Republic." Revista Panamericana de Salud Pública 42 (December 28, 2018): 1–9. http://dx.doi.org/10.26633/rpsp.2018.169.

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20

Salmi, LR, A. Puello, and J. Bhatti. "Comparing road traffic injury datasets in the Dominican Republic with Health Organisation recommendations." Injury Prevention 18, Suppl 1 (October 2012): A214.2—A214. http://dx.doi.org/10.1136/injuryprev-2012-040590u.36.

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21

Weir, Sharon S., Laurie J. Fox, Antonio Demoya Bayardo, Gomez Ernesto Guerrero, and Susan E. Hassig. "Measuring condom use among sex workers in the Dominican Republic." International Journal of STD & AIDS 9, no. 4 (April 1, 1998): 223–26. http://dx.doi.org/10.1258/0956462981922089.

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The purpose of this paper is to assess the internal consistency of selfreported condom use among sex workers in Puerto Plata and Santo Domingo, Dominican Republic. We examined the responses to questions about condom use among 4 crosssectional samples of sex workers. We compared measures based on: (1) questions using always-to-never scales; (2) questions about use with the past 5 clients; and (3) questions about use in the past week obtained from a retrospective coital log. In each sample, more women reported 'always' using condoms with clients than with each of the past 5 clients. In 3 of the 4 samples, only about half of the women who reported 'always' using condoms used condoms with the most recent 5 clients and with all clients in the past week. Internal consistency was significantly higher when the comparison was limited to use with the most recent 5 clients and use in the past week. Self-reported measures of condom use can be difficult to interpret. Assessing the internal consistency of several measures of use provides insight into the strengths and weaknesses of each measure.

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de Luna, David, José Javier Sánchez, Miguel Peguero, Wilmary García, Sylmari Liciaga, Frank Brito, Pamela Fernández, et al. "Antimicrobial resistance profiles of microorganisms isolated from hospitalized patients in Dominican Republic." Revista Panamericana de Salud Pública 44 (September 23, 2020): 1. http://dx.doi.org/10.26633/rpsp.2020.36.

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Objective. To define the antimicrobial resistance profiles of the microorganisms most commonly isolated from hospitalized adult patients in Dominican Republic (DR). Methods. A retrospective, cross-sectional study of phenotypic antimicrobial susceptibility patterns was conducted using data from 3 802 clinical microbiology reports specifying positive bacterial cultures in samples collected from patients admitted to the clinical, surgery, and intensive care units (ICU) at three tertiary-level care hospitals in the city of Santiago de los Caballeros from 1 January 2016 – 31 December 2017. Descriptive statistics and chi-square test (P ≤ 0.05) were used to analyze the qualitative variables. Results. At the three hospitals, there were 932, 1 090, and 1 780 microbiology reports analyzed. Of the total, 1274 were from the ICU, 1 042 from the surgery unit, and 1 486 from the clinical unit. Methicillin resistance was found in 57.3% of the Staphylococcus aureus isolates and 75.3% of the coagulase-negative staphylococci. Third-generation cephalosporin resistance was detected in 54.4% of isolates identified as members of the Enterobacteriaceae family, 67.3% of the Acinetobacter spp., and 91.7% of the Pseudomonas, while carbapenem resistance was shown by 8.0%, 23.8%, and 51.0% of these, respectively. Most of the resistant Acinetobacter spp. isolates were found in just one hospital and the prevalence of Enterobacteriaceae resistant to carbapenems was highest in the ICU. Conclusion. Antimicrobial resistance levels are high among hospitalized patients in Dominican Republic and may cause enhanced risk factors that impact clinical outcomes. Urgent measures are needed to address antimicrobial resistance in DR.

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23

Perez-Then, Eddy. "Tuberculosis in the Dominican Republic: addressing the barriers to sustain the achievements." Bulletin of the World Health Organization 85, no. 5 (May 1, 2007): 384–85. http://dx.doi.org/10.2471/blt.06.036459.

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Kangmennaang, Joseph, and Isaac Luginaah. "The Influences of Health Insurance and Access to Information on Prostate Cancer Screening among Men in Dominican Republic." Journal of Cancer Epidemiology 2016 (2016): 1–11. http://dx.doi.org/10.1155/2016/7284303.

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Objectives.Although research demonstrates the public health burden of prostate cancer among men in the Caribbean, relatively little is known about the factors that underlie the low levels of testing for the disease among this population.Study Design.A cross-sectional study of prostate cancer testing behaviours among men aged 40–60 years in Dominican Republic using the Demographic and Health Survey (2013).Methods.We use hierarchical binary logit regression models and average treatment effects combined with propensity score matching to explore the determinants of prostate screening as well as the average effect of health insurance coverage on screening. The use of hierarchical binary logit regression enabled us to control for the effect of unobserved heterogeneity at the cluster level that may affect prostate cancer testing behaviours.Results.Screening varied significantly with health insurance coverage, knowledge of cholesterol level, education, and wealth. Insured men were more likely to test for prostate cancer (OR = 1.65,p=0.01) compared to the uninsured.Conclusions.The expansion and restructuring of Dominican Republic universal health insurance scheme to ensure equity in access may improve health access that would potentially impact positively on prostate cancer screening among men.

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Gonzales, Manuel, Gregory S. Noland, Eileen F. Mariano, and Stephen Blount. "Lymphatic filariasis elimination in the Dominican Republic: History, progress, and remaining steps." PLOS Neglected Tropical Diseases 15, no. 8 (August 10, 2021): e0009590. http://dx.doi.org/10.1371/journal.pntd.0009590.

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Lymphatic filariasis (LF) is a mosquito-transmitted parasitic disease that is a leading cause of disability globally. The island of Hispaniola, which the Dominican Republic shares with Haiti, accounts for approximately 90% of LF cases in the Americas region. In 1998, the Dominican Ministry of Public Health created the Program to Eliminate Lymphatic Filariasis (PELF) with the goal of eliminating LF transmission by 2020. Baseline mapping revealed 19 (12% of total) endemic municipalities clustered into three geographic foci (Southwest, La Ciénaga and East), with a total at-risk population of 262,395 people. Beginning in 2002, PELF sequentially implemented mass drug administration (MDA) in these foci using albendazole and diethylcarbamazine (DEC). In total, 1,174,050 treatments were given over three to five annual rounds of house-to-house MDA per focus with a median coverage of 81.7% (range 67.4%–92.2%). By 2018, LF antigen prevalence was less than 2% in all foci, thus meeting criteria to stop MDA and begin post-treatment surveillance (PTS). This success has been achieved against a shifting landscape of limited domestic funding, competing domestic public health priorities, and sporadic external donor support. Remaining steps include the need to scale-up morbidity management and disability prevention services for LF and to continue PTS until LF transmission is interrupted across Hispaniola.

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Chin, Nancy, Ann Dozier, Zahira Quinones, Sergio Diaz, Emily Weber, Hector Almonte, Arisleyda Bautista, Kiran Raman, Scott McIntosh, and Deborah Ossip. "A qualitative study of tobacco use in eight economically disadvantaged Dominican Republic communities." Global Health Promotion 24, no. 4 (June 28, 2016): 23–32. http://dx.doi.org/10.1177/1757975915626117.

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Understanding social conditions prior to intervention design can enhance tobacco control interventions. This paper describes formative research conducted in 2010 about tobacco use in eight economically disadvantaged Dominican Republic communities, four of which participated in a previous intervention study (2003–2008). A combined US-Dominican team used a rapid assessment process to collect qualitative social and cultural data on tobacco use, knowledge and attitudes; plus observations about social and policy factors, such as exposure to secondhand smoke (SHS), tobacco regulations, pregnancy, health care provider (HCP) practices and sustainability of the 2003–2008 intervention. This assessment found that tobacco use varied by age. While all ages typically used cigarettes, older adults used relatively more unprocessed tobacco, which is seen as less harmful and less addictive. Middle-aged smokers typically used commercial cigarettes, which are viewed as dangerous, addictive, expensive and offensive. Young adults reported avoiding smoking, but using relatively more smokeless tobacco. Smoking during pregnancy has reportedly decreased. SHS was viewed as harmful, although smoke-free homes were uncommon. HCPs discussed tobacco issues mostly for patients with tobacco-related conditions. Sustainability of the 2003–2008 intervention appeared to be linked to active Community Technology Centers with strong leadership, and community social capital. This information could be used to design better targeted interventions in these communities.

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Kerrigan, Deanna, Luis Moreno, Santo Rosario, Bayardo Gomez, Hector Jerez, Clare Barrington, Ellen Weiss, and Michael Sweat. "Environmental–Structural Interventions to Reduce HIV/STI Risk Among Female Sex Workers in the Dominican Republic." American Journal of Public Health 96, no. 1 (January 2006): 120–25. http://dx.doi.org/10.2105/ajph.2004.042200.

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MAKINO, YOSHIHIRO, AKIHISA SHICHIJO, CASTRO BELLO, YUKI ESHITA, MILDRE DISLA, ANA J. CESIN, BARBARA GALCIA, et al. "SEROEPIDEMIOLOGY OF DENGUE AND ASSESSMENT OF PUBLIC AWARENESS IN THE DOMINICAN REPUBLIC." Tropical Medicine and Health 32, no. 4 (2004): 305–9. http://dx.doi.org/10.2149/tmh.32.305.

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McLennan, John D. "Choosing bottled over tapped: drinking water in the Dominican Republic." Journal of Water, Sanitation and Hygiene for Development 5, no. 1 (November 18, 2014): 9–16. http://dx.doi.org/10.2166/washdev.2014.076.

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While not designated as an improved drinking water source, bottled water is increasingly used by households in low- and middle-income countries as families strive to obtain perceived safer drinking water. The Dominican Republic has high levels of bottled water use despite high levels of piped water access. This study aimed to identify household characteristics that are associated with choosing bottled over tapped drinking water in the Dominican Republic through further examination of data available from a nationally representative Demographic and Healthy Survey from 2007. Among households reporting tapped water as their primary non-drinking water source, 59.6% identified bottled water as their principal drinking water source in comparison with 24.7% identifying tapped water. Greater wealth explained the largest amount of variance in bottled over tapped drinking water. Other hypothesized variables related to choosing bottled over tapped included residence in more urban settings, having a young child in the household, having fewer persons in the household, and a head of household who is female, younger and with higher education. Nationally, representative data which include components investigating perceptions about drinking water and actual quality of drinking water are required to further understand this phenomenon and its impact.

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Aoki, Kazuo, Paul E. Kihaile, Mercedes Castro, Mildre Disla, Thomas B. Nyambo, and Junichi Misumi. "Seroprevalences ofHelicobacter pylori infection and chronic atrophic gastritis in the united Republic of Tanzania and the Dominican Republic." Environmental Health and Preventive Medicine 9, no. 4 (July 2004): 170–75. http://dx.doi.org/10.1007/bf02898097.

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Valdez, Dianelba, Hunter Keys, Keyla Ureña, Domingo Cabral, Francisco Camilo, Eulalia C. Ogando, Luz Mercedes, et al. "Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement." Revista Panamericana de Salud Pública 44 (August 6, 2020): 1. http://dx.doi.org/10.26633/rpsp.2020.92.

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Community engagement is crucial for public health initiatives, yet it remains an under-studied process within national disease elimination programs. This report shares key lessons learned for community engagement practices during a malaria outbreak response in the Los Tres Brazos neighborhood of urban Santo Domingo, Dominican Republic from 2015-2016. In this two-year period, 233 cases of malaria were reported—more than seven times the number of cases (31) reported in the previous two years. The initial outbreak response by the national malaria program emphasized “top-down” interventions such as active surveillance, vector control, and educative talks within the community. Despite a transient reduction in reported cases in mid-2015, transmission resurged at the end of 2015. The program responded by introducing active roles for trained community members that included door-to-door fever screening, testing with rapid diagnostic tests and treatment. Malaria cases declined significantly throughout 2016 and community-based active surveillance infrastructure helped to detect and limit a small episode of transmission in 2017. Results from qualitative research among community members revealed two key factors that facilitated their cooperation with community-based surveillance activities: motivation to help one’s community; and trust among stakeholders (community health workers, their neighbors and other key figures in the community, and malaria program staff and leadership). This experience suggests that community-led interventions and the program’s willingness to learn and adapt under changing circumstances can help control malaria transmission and pave the way for elimination.

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Grant, C. N., G. C. Lalor, and M. K. Vutchkov. "Comparison of bauxites from Jamaica, the Dominican Republic and Suriname." Journal of Radioanalytical and Nuclear Chemistry 266, no. 3 (November 2005): 385–88. http://dx.doi.org/10.1007/s10967-005-0921-4.

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Wiginton, John Mark, Paul J. Fleming, Clare Barrington, Yeycy Donastorg, Leonel Lerebours, and Maximo O. Brito. "Masculine gender norms, male circumcision, and men’s engagement with health care in the Dominican Republic." Global Public Health 15, no. 5 (December 24, 2019): 654–65. http://dx.doi.org/10.1080/17441692.2019.1704817.

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Vittetoe, Kenneth, Marsha F. Lopez, Jorge Delva, Fernando Wagner, and James C. Anthony. "Behavioral problems and tobacco use among adolescents in Central America and the Dominican Republic." Revista Panamericana de Salud Pública 11, no. 2 (February 2002): 76–82. http://dx.doi.org/10.1590/s1020-49892002000200003.

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Dormitzer, Catherine M., Gonzalo B. Gonzalez, Marcel Penna, Julio Bejarano, Patricia Obando, Mauricio Sanchez, Kenneth Vittetoe, et al. "The PACARDO research project: youthful drug involvement in Central America and the Dominican Republic." Revista Panamericana de Salud Pública 15, no. 6 (June 2004): 400–416. http://dx.doi.org/10.1590/s1020-49892004000600006.

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Saito, Isao, Hideki Ozawa, Mercedes Castro Bello, Chinatsu Moriwaki, Morio Ito, Hiroshi Aono, Toshiko Ikebe, Akira Miyata, and Takashi Itoga. "Food intake and food consumption patterns of hospital workers in the dominican republic." Environmental Health and Preventive Medicine 3, no. 1 (April 1998): 31–36. http://dx.doi.org/10.1007/bf02931236.

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Richards, Sheyla D., Samantha Stonbraker, Mina Halpern, and Silvia Amesty. "Cervical cancer screening among transactional female sex workers in the Dominican Republic." International Journal of STD & AIDS 29, no. 12 (July 3, 2018): 1204–14. http://dx.doi.org/10.1177/0956462418779662.

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Cervical cancer is the third leading cause of cancer-related death and the second most diagnosed cancer among women in developing countries. We determined the prevalence of abnormal Papanicolaou (Pap), high-risk HPV (hrHPV), and colposcopy among transactional female sex workers (FSWs) in La Romana, Dominican Republic. The results of 144 FSWs of ages 18–54 years who completed a demographic interview and Pap testing with hrHPV detection between June 2015 and April 2016 were analyzed. Women with abnormal results were referred for colposcopy. Risk factors for abnormal Pap were assessed through bivariate and multivariate analyses. Overall, 36.1% (52/144) of Paps were abnormal and 43.4% (62/143) had hrHPV. Of all women with hrHPV and/or abnormal Pap (68/144; 47.2%), 61 (89.7%) were referred and 16 (26.2) underwent colposcopy. HPV16 and/or 18/45 was detected in 33.3% (15/45) of low-grade Paps. Binge drinking, weekly (AOR 5.1, 95% CI: 1.8–14.5) or daily (AOR 4.9, 95% CI: 1.5–16.6), and age at first sexual relation (AOR 1.2, 95% CI: 1.0–1.5) were significantly associated ( p < 0.05) with abnormal Pap. Although almost half of participants had abnormal Pap or hrHPV, few underwent colposcopy. Improving access to cervical cancer screening and follow-up for FSWs is imperative.

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McCARRAHER, DONNA R., MARIO CHEN-MOK, ANA SOPHIA ORONOZ, SONIA BRITO-ANDERSON, THOMAS GREY, HEIDI TUCKER, and PATRICIA E. BAILEY. "MEETING THE NEEDS OF ADOLESCENT POST-ABORTION CARE PATIENTS IN THE DOMINICAN REPUBLIC." Journal of Biosocial Science 42, no. 4 (March 8, 2010): 493–509. http://dx.doi.org/10.1017/s0021932010000015.

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SummaryCounselling on contraception and contraceptive method provision are key components of post-abortion care (PAC). Some studies have suggested that adolescent PAC patients receive worse care than older women seeking these services. This study aimed to evaluate an intervention whose goal was to improve the counselling and contraceptive uptake of PAC patients, with special attention given to the needs of adolescent patients, in the four public hospitals in the Dominican Republic where PAC services were not being routinely offered. The counselling intervention effort included provider training and the development of adolescent-friendly information, education and communication (IEC) materials. Eighty-eight providers were interviewed at baseline and 6 months after the intervention was implemented. Six months after providers were trained, 140 adolescent PAC patients (≤19 years of age) and 134 older PAC patients (20–35 years) were interviewed about the contraceptive counselling messages and contraceptive methods they received before they were discharged from hospital. The adolescent and older PAC patients were matched on study hospital and time of arrival. Significant improvements were noted in provider knowledge and attitudes. No changes were noted in provider-reported PAC counselling behaviours, with close to 70% of providers reporting they routinely assess patients' fertility intentions, discuss contraception, assess STI/HIV risk and discuss post-abortion complications. Adolescent and older PAC patients reported receiving PAC counselling messages at similar rates. Forty per cent of adolescent PAC patients and 45% of older PAC patients who wanted to delay pregnancy were discharged with a contraceptive method. Adolescents were more likely to receive an injectable contraceptive method whereas older women were discharged with a variety of methods. The PAC counselling intervention increased provider knowledge and improved their attitudes and benefited both adolescent and older patients.

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Barrington, Clare, Luis Moreno, and Deanna Kerrigan. "Perceived influence of an HIV vaccine on sexual‐risk behaviour in the Dominican Republic." Culture, Health & Sexuality 10, no. 4 (May 2008): 391–401. http://dx.doi.org/10.1080/13691050801898877.

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Liebermann, Erica, Nancy Van Devanter, Natalia Frías Gúzman, Danielle Ompad, Taraneh Shirazian, and Cheryl Healton. "Parent-Level Barriers and Facilitators to HPV Vaccine Implementation in Santo Domingo, Dominican Republic." Journal of Community Health 45, no. 5 (May 11, 2020): 1061–66. http://dx.doi.org/10.1007/s10900-020-00830-y.

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Zingman, Michael A., Amarilis Then Paulino, and Matilde Peguero Payano. "Clinical manifestations of chikungunya among university professors and staff in Santo Domingo, the Dominican Republic." Revista Panamericana de Salud Pública 41 (July 7, 2017): 1. http://dx.doi.org/10.26633/rpsp.2017.64.

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Objective. To further characterize chikungunya virus infection and its associated clinical manifestations, using a sample of university professors and staff in Santo Domingo, the Dominican Republic. Methods. A cross-sectional study with quota sampling by department was performed to obtain a convenience sample of professors (n = 736) and staff (n = 499) at the Universidad Autónoma de Santo Domingo. Surveys were used to collect demographic and infection data during the fall term of 2014. Univariate and bivariate analyses were carried out to quantify infection and clinical manifestation prevalence and to assess relationships of these outcomes with age, sex, and acute phase duration. Results. Of 1 236 participants, 49% reported infection (professors = 41%; staff = 61%). Of these, 53% also reported the presence of chronic effects, largely arthralgia (48%). Significant relationships were observed between reported infection and sex (P = 0.023), age (P < 0.001), and occupation (P < 0.001). More headache (P = 0.008) and edema (P < 0.001) in females, more headache (P = 0.005) in younger subjects, and more myalgia (P = 0.006) in those with longer acute symptoms were found. Additionally, more chronic arthralgia (P < 0.001; P = 0.003) and chronic edema (P < 0.001; P = 0.001) in females and older subjects, and more chronic myalgia (P = 0.041) and chronic edema (P = 0.037) in those with longer acute symptoms were observed. Conclusions. To the authors knowledge, this is the first population-based chikungunya prevalence study in the Dominican Republic, and the first to explore clinical manifestations in a university setting. The findings reflect results from studies following the 2005 – 2006 Reunion Island outbreak: prevalence of infection and chronic arthralgia, as well as associations with sex, age, and acute intensity. Longitudinal research can provide further insight into these effects.

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Lee, Ellen H., Miriam Corcino, Arelis Moore, Zacarias Garib, Chabela Peña, Jacqueline Sánchez, Josefina Fernández, Jesús M. Feris-Iglesias, and Brendan Flannery. "Impact of Haemophilus influenzae type b conjugate vaccine on bacterial meningitis in the Dominican Republic." Revista Panamericana de Salud Pública 24, no. 3 (September 2008): 161–68. http://dx.doi.org/10.1590/s1020-49892008000900002.

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Fontes, Gilberto, Eliana Maria Mauricio da Rocha, Ronaldo Guilherme Carvalho Scholte, and Rubén Santiago Nicholls. "Progress towards elimination of lymphatic filariasis in the Americas region." International Health 13, Supplement_1 (December 22, 2020): S33—S38. http://dx.doi.org/10.1093/inthealth/ihaa048.

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Abstract In South and Central America, lymphatic filariasis (LF) is caused by Wuchereria bancrofti, which is transmitted by Culex quinquefasciatus, the only vector species in this region. Of the seven countries considered endemic for LF in the Americas in the last decade, Costa Rica, Suriname and Trinidad and Tobago were removed from the World Health Organization list in 2011. The remaining countries, Brazil, Dominican Republic, Guyana and Haiti, have achieved important progress in recent years. Brazil was the first country in the Americas to stop mass drug administration (MDA) and to establish post-MDA surveillance. Dominican Republic stopped MDA in all LF-endemic foci: La Ciénaga and Southwest passed the third Transmission Assessment Survey (TAS) and the Eastern focus passed TAS-1 in 2018. Haiti passed the TAS and interrupted transmission in >80% of endemic communes, achieving effective drug coverage. Guyana implemented effective coverage in MDAs in 2017 and 2018 and in 2019 scaled up the treatment for 100% of the geographical region, introducing ivermectin in the MDA in order to achieve LF elimination by the year 2026. The Americas region is on its way to eliminating LF transmission. However, efforts should be made to improve morbidity management to prevent disability of the already affected populations.

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Rael, Christine T., and Alissa Davis. "Depression and key associated factors in female sex workers and women living with HIV/AIDS in the Dominican Republic." International Journal of STD & AIDS 28, no. 5 (July 10, 2016): 433–40. http://dx.doi.org/10.1177/0956462416651374.

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Little is known about the mental health of female sex workers and women living with HIV/AIDS in the Dominican Republic, which impedes HIV prevention, testing, and treatment. This project estimates the prevalence of depression and identifies key contributing factors to this outcome in female sex workers, women living with HIV/AIDS, and a comparison group. Participants were female sex workers (N = 349), women living with HIV/AIDS (N = 213), and a comparison group of HIV-negative women who were not sex workers (N = 314) from the Dominican Republic. Participants completed questionnaires assessing demographic characteristics and depression. Female sex workers and women living with HIV/AIDS completed additional questionnaires ascertaining HIV or sex work-related internalized stigma. Depression was prevalent among female sex workers (70.2%), women living with HIV/AIDS (81.1%), and the comparison group (52.2%). Adjusted logistic regressions showed that internalized stigma was associated with depression for female sex workers (OR = 2.73; 95% CI = 1.95–3.84) and women living with HIV/AIDS (OR = 3.06; 95% CI = 1.86–5.05). Permanent income was associated with this outcome for female sex workers (OR = 0.08; 95% CI = 0.01–0.80) and the comparison group (OR = 0.04; 95% CI = 0.00–0.45).

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Gordon, Andrew J., Zoila Rojas, and Mae Tidwell. "Cultural Factors in Aedes Aegypti and Dengue Control in Latin America: A Case Study from the Dominican Republic." International Quarterly of Community Health Education 10, no. 3 (October 1989): 193–211. http://dx.doi.org/10.2190/mjxc-5fcf-6uqd-npcy.

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Dengue and Aedes aegypti infestation in Latin America pose substantial health risks. Total reliance on chemical interventions is no longer feasible and, increasingly, programs of control will need to rely on education, behavior change and community participation. Findings from applied behavioral research in the Dominican Republic conducted from July through September of 1987 are discussed in the light of cultural constraints on intervention efforts. Perception of risk, the choices for curative care as opposed to prevention, and explanatory models of environmental risks are considered. The article concludes with a discussion of the benefits of health education messages that possess simplicity and economy of effort. Additionally, the potential importance of biological controls are suggested in light of cultural constraints.

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De la Rosa, Andelys, José Mordan, Indiana Barinas, Mayra Toribio, Diana Mancebo, Alexandra Rodríguez, and Mar Pacheco-Herrero. "Acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the Dominican Republic." Revista Panamericana de Salud Pública 45 (February 22, 2021): 1. http://dx.doi.org/10.26633/rpsp.2021.8.

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Objectives. Estimate the acceptability and adoption by health care workers of clinical practice guidelines and treatment protocols for women with preeclampsia/eclampsia and identify the facilitating factors and barriers to their implementation. Methods. A qualitative study was conducted, using semi-structured interviews and focus groups in five maternity hospitals. Interviews were compiled for analysis, and barriers and facilitators were characterized. Results. Seventy health professionals (52 female and 18 male) participated, representing different levels of the health system. The majority of workers and managers were aware of the existence and content of clinical practice guidelines (CPGs) for preeclampsia/eclampsia, especially the participants with more time in the health service. With respect to facilitating factors, both medical and nursing staff were positive about continued development and implementation of high-quality CPGs. There was consensus that limitations exist, especially with respect to a lack of the necessary medicines, supplies, and equipment to meet and implement the established recommendations. Discussion. The results of the study show the need to strengthen strategies that help close the gap between research and public policy. Studies suggest that research should focus on users, policymakers, and decisionmakers in the health system. The actors in the Dominican health system recognize the GRADE methodology as an appropriate instrument for the development and implementation of CPGs. Implementation barriers require systemic and comprehensive approaches.

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Curtin, Alicia J., Diane C. Martins, and Donna Schwartz-Barcott. "A Mixed Methods Evaluation of an International Service Learning Program in the Dominican Republic." Public Health Nursing 32, no. 1 (February 26, 2014): 58–67. http://dx.doi.org/10.1111/phn.12117.

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Oranges, C., A. M. Rendon, H. Monsanto, G. P. Yen, and C. Parellada. "PIH26 HEALTHCARE RESOURCE UTILIZATION AND DIRECT MEDICAL COSTS ASSOCIATED WITH GENITAL WARTS IN DOMINICAN REPUBLIC." Value in Health 22 (May 2019): S187. http://dx.doi.org/10.1016/j.jval.2019.04.826.

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SANCHEZ, JORGE, CLAUDIO VOLQUEZ, PATRICIA A. TOTTEN, PABLO E. CAMPOS, CAROLINE RYAN, MARY CATLIN, JULIA HASBUN, et al. "The Etiology and Management of Genital Ulcers in the Dominican Republic and Peru." Sexually Transmitted Diseases 29, no. 10 (October 2002): 559–67. http://dx.doi.org/10.1097/00007435-200210000-00001.

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Westhoff, Wayne W., Martha L. Coulter, Robert J. McDermott, and Derek R. Holcomb. "Assessing the Self-Reported Health Risks of Urban Street Children Working in the Dominican Republic." International Quarterly of Community Health Education 15, no. 2 (July 1994): 137–44. http://dx.doi.org/10.2190/v5te-lhrt-9nwx-xp1d.

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Children throughout the world work on street corners selling newspapers, washing car windows, shining shoes, or hustling anything that will earn cash for the day. Many of them start early in the morning, work all day without attending school, and then return home late in the evening. A 26-item questionnaire was given to a sample of forty children working the streets of Santo Domingo. Examination of the responses revealed that the mean age was 14.5 years. Over 92 percent of the children had contact with a relative in the past thirty days. Fifty percent responded that they were victims of physical abuse at home, while 97 percent said they believe they are healthy. Qualitative data on family, friends, and future goals are discussed.

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