Factors influencing young men's decision to undergo health screening in Malaysia: a qualitative study

Objectives: Uptake of health screening is low in men, particularly among those aged <40 years. This study aimed to explore factors that influence health screening behaviour in younger men. Design: This qualitative study employed an interpretive descriptive approach. Two trained researchers conducted in-depth interviews (IDIs) and focus group discussions (FGDs) using a semi-structured topic guide, which was developed based on literature review and behavioural theories. All IDIs and FGDs were audio-recorded and transcribed verbatim. Two researchers analysed the data independently using a thematic approach. Participants and setting: Men working in a banking institution in Kuala Lumpur were recruited to the study. They were purposively sampled according to their ethnicity, job position, age and screening status in order to achieve maximal variation. Results: Eight IDIs and five FGDs were conducted (n=31) and six themes emerged from the analysis. (1) Young men did not consider screening as part of prevention and had low risk perception. (2) The younger generation was more receptive to health screening due to their exposure to health information through the internet. (3) Health screening was not a priority in young men except for those who were married. (4) Young men had limited income and would rather invest in health insurance than screening. (5) Young men tended to follow doctors' advice when it comes to screening and preferred doctors of the same gender and ethnicity. (6) Medical overuse was also raised where young men wanted more screening tests while doctors tended to promote unnecessary screening tests to them. Conclusions: This study identified important factors that influenced young men's screening behaviour. Health authorities should address young men's misperceptions, promote the importance of early detection and develop a reasonable health screening strategy for them. Appropriate measures must be put in place to reduce low value screening practices

Barriers and facilitators to health screening in men: A systematic review.

RATIONALE: Men have poorer health status and are less likely to attend health screening compared to women. OBJECTIVE: This systematic review presents current evidence on the barriers and facilitators to engaging men in health screening. METHODS: We included qualitative, quantitative and mixed-method studies identified through five electronic databases, contact with experts and reference mining. Two researchers selected and appraised the studies independently. Data extraction and synthesis were conducted using the 'best fit' framework synthesis method. RESULTS: 53 qualitative, 44 quantitative and 6 mixed-method studies were included. Factors influencing health screening uptake in men can be categorized into five domains: individual, social, health system, healthcare professional and screening procedure. The most commonly reported barriers are fear of getting the disease and low risk perception; for facilitators, they are perceived risk and benefits of screening. Male-dominant barriers include heterosexual -self-presentation, avoidance of femininity and lack of time. The partner's role is the most common male-dominant facilitator to screening. CONCLUSIONS: This systematic review provides a comprehensive overview of barriers and facilitators to health screening in men including the male-dominant factors. The findings are particularly useful for clinicians, researchers and policy makers who are developing interventions and policies to increase screening uptake in men

The prevalence and resistivity pattern of Staphylococcus Aureus isolates from apparently healthy University students in Ekpoma, Edo, Nigeria

Based on reported cases of increased multi-antibiotic resistance of Staphylococcus aureus, this study investigates the prevalence and resistivity pattern of Staphylococcus aureus isolates from ear and nasal swabs of apparently healthy students. A total of 100 samples comprising 50 nasal and 50 ear swabs, were collected randomly from students of Ambrose Alli University, Ekpoma, Edo State, Nigeria. The samples were inoculated on Mannitol salt agar and then incubated for a period of 18-24 hours following standard laboratory procedures. The results showed that the isolates obtained from cultures of nose and ear swabs included Staphylococcus aureus (66.70%; 44.40%), Staphylococcus epidermidis (55.6%; 33.3%), and Staphylococcus saprophyticus (60%; 40%) respectively. However, the level of resistivity to Methicillin by Staphylococcus aureus amongst the sampled population was observed to be 44.4% for ear swabs and 66.7% for nose swabs. Interestingly, microbial resistance was higher for Ampicillin than Methicillin, while Tetracycline, among other antibiotics, was the most effective to both ear and nose isolates. Thus, the treatment for Staphylococcus aureus with Methicillin and other related antibiotics should be limited or controlled by susceptibility test results. It is also recommended that complete doses of appropriate antibiotics should always be taken to avoid the emergence of resistant strains.Keywords: Methicillin, Staphylococcus aureus, Antibiotics, Antibiotic resistance

Spatial Variability of the ‘Airbnb Effect’: A Spatially Explicit Analysis of Airbnb’s Impact on Housing Prices in Sydney

Over the last decade, the emergence and significant growth of home-sharing platforms, such as Airbnb, has coincided with rising housing unaffordability in many global cities. It is in this context that we look to empirically assess the impact of Airbnb on housing prices in Sydney—one of the least affordable cities in the world. Employing a hedonic property valuation model, our results indicate that Airbnb’s overall effect is positive. A 1% increase in Airbnb density is associated with approximately a 2% increase in property sales price. However, recognizing that Airbnb’s effect is geographically uneven and given the fragmented nature of Sydney’s housing market, we also employ a GWR to account for the spatial variation in Airbnb activity. The findings confirm that Airbnb’s influence on housing prices is varied across the city. Sydney’s northern beaches and parts of western Sydney experience a statistically significant value uplift attributable to Airbnb activity. However, traditional tourist locations focused around Sydney’s CBD and the eastern suburbs experience insignificant or negative property price impacts. The results highlight the need for policymakers to consider local Airbnb and housing market contexts when deciding the appropriate level and design of Airbnb regulation

Big Data: The Engine to Future Cities—A Reflective Case Study in Urban Transport

In an era of smart cities, artificial intelligence and machine learning, data is purported to be the ‘new oil’, fuelling increasingly complex analytics and assisting us to craft and invent future cities. This paper outlines the role of what we know today as big data in understanding the city and includes a summary of its evolution. Through a critical reflective case study approach, the research examines the application of urban transport big data for informing planning of the city of Sydney. Specifically, transport smart card data, with its diverse constraints, was used to understand mobility patterns through the lens of the 30 min city concept. The paper concludes by offering reflections on the opportunities and challenges of big data and the promise it holds in supporting data-driven approaches to planning future cities

Development of a web-based insulin decision aid for the elderly: usability barriers and guidelines

In recent years, researchers have attempted to shift patient decision aids (PDAs) from paper-based to web-based to increase its accessibility. Insulin decision aids help diabetes patients, most of whom are elderly to make an informed decision to start insulin. However, the lack of usability guidelines applicable for such target group causes developers to struggle to answer the challenging question ‘How can such web service be made usable, and, ultimately, acceptable and accessible for elderly patients?’. Hence, the purpose of this study is to identify the common usability requirements that may facilitate good practices to empower elderly diabetes patients in utilizing a web-based insulin decision aid for their benefit. We set out an approach to use prototyping and retrospective think-aloud techniques to explore web usability barriers that elderly patients may encounter when using an insulin decision aid web site and use the feedback for improving the prototype. Usability requirements were captured iteratively through scoping, brainstorming, prototype, testing and evaluating. The study suggests that the insights from experts and users are equally important to assure the validity of the identified usability guidelines; they reflect the accessibility needs of the aging community while complementing the key requirements of an insulin decision aid. The study contributes to recommend web usability guidelines backed by a series of expert and user evaluations which could be a proactive resource to improve usability, acceptability and accessibility of online insulin decision aids for elderly with diabetes