Publications by authors named "Liliana Abreu"

Background: The mistreatment and abuse of women during childbirth have been recognized as a major global health challenge, impeding facility-based delivery and contributing to the high maternal mortalities globally. The World Health Organization has specifically called for interventions to deal with obstetric violence. This scoping review consolidates the existing literature on interventions aimed at reducing obstetric violence and synthesizes existing knowledge on their impact in promoting respectful maternity care.

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Providing country-level estimates for prevalence rates of Generalized Anxiety Disorder (GAD), COVID-19 exposure and food insecurity (FI) and assessing the role of persistent threats to survival-exemplified by exposure to COVID-19 and FI-for the mental health crisis in Africa. Original phone-based survey data from Mozambique, Sierra Leone, Tanzania and Uganda (12 consecutive cross-sections in 2021; = 23,943) were analyzed to estimate prevalence rates of GAD. Logistic regression models and mediation analysis using structural equation models identify risk and protective factors.

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Article Synopsis
  • War and crises negatively impact mental health and social norms, contributing to long-term insecurity, with the Democratic Republic of Congo serving as a prime example of normalized violence in civilian life.
  • The study evaluated the NETfacts health system, combining Narrative Exposure Therapy (NET) with community interventions, demonstrating that it effectively reduced harmful attitudes like rape myth acceptance and stigma against survivors of sexual violence compared to individual NET treatment alone.
  • Results showed that the NETfacts approach not only improved individual mental health outcomes but also fostered a more supportive community environment, indicating its potential as a scalable solution for healing in postconflict settings.
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The COVID-19 pandemic is a global crisis affecting everyone. Yet, its challenges and countermeasures vary significantly over time and space. Individual experiences of the pandemic are highly heterogeneous and its impacts span and interlink multiple dimensions, such as health, economic, social and political impacts.

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Gender differences (GD) in mental health have come under renewed scrutiny during the COVID-19 pandemic. While rapidly emerging evidence indicates a deterioration of mental health in general, it remains unknown whether the pandemic will have an impact on GD in mental health. To this end, we investigate the association of the pandemic and its countermeasures affecting everyday life, labor, and households with changes in GD in aggression, anxiety, depression, and the somatic symptom burden.

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In this paper we determine the burden on society of fatalities resulting from road traffic injuries (RTIs) in South Africa. We express the burden in terms of reduced life expectancy and years of potential life lost (YPLL). Our main data source is the Injury Mortality Survey (IMS), a retrospective descriptive study carried out in South Africa.

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Objective: To explore the perceptions of the constraining and facilitating factors to patient-centered communication in clinical encounters of patients with type 2 diabetes and the providers involved in their care.

Data Sources/study Setting: Patients (n = 12) and providers (n = 33) involved in diabetes care in northern Portugal.

Study Design: Seven focus groups.

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Background: Improvements in asthma integrated care might be achieved through in-depth knowledge about how health literacy is dispersed through a group. This study intends to map out health literacy mediators (those who and how they enable self-management skills in patients with asthma.

Methods: Twenty interviews were conducted in a Primary Care Center of Porto using the McGill Illness Narrative Interview.

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This study embraces a patient-centred and narrative-oriented notion of health literacy, exploring how social networks and personal experiences constitute distributed health literacy (DHL) by mapping out health literacy mediators of each individual and how they enable self-management skills and knowledge of health conditions. Semi-structured interviews with 26 patients with type 2 diabetes were conducted in a Primary Care Center of Porto (Portugal) from October 2014 to December 2015. Data were collected based on McGill Illness Narrative Interview (MINI).

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This paper explores the health information-seeking practices of healthy young adults and how they assess and rank sources of information through a qualitative study. The findings show that participants (a) are strongly committed to searching for information about health and lifestyle, especially via the Internet; (b) healthcare professionals were perceived as the most reliable source of health information and advice; (c) online health information, although frequently accessed and experienced as empowering, is seen as a potentially unreliable source. Findings evidence how becoming better informed about health-related topics plays a pivotal role in individuals' lives, most notably by using the Internet.

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