Author: "Kehinde O. Obamiro" - Searchworks@Jio Institute Digital Library Search Results

25 results on '"Kehinde O. Obamiro"'

1. Global fertility in 204 countries and territories, 1950-2021, with forecasts to 2100: a comprehensive demographic analysis for the Global Burden of Disease Study 2021

Author: V Bhattacharjee, N, E Schumacher, A, Aali, A, Habtegiorgis Abate, Y, Abbasgholizadeh, R, Abbasian, M, Abbasi-Kangevari, M, Abbastabar, H, Abd ElHafeez, S, Abd-Elsalam, S, Abdollahi, M, Abdollahifar, M, Abdoun, M, Abdullahi, A, Abebe, M, Shawel Abebe, S, Abiodun, O, Abolhassani, H, Abolmaali, M, Abouzid, M, Beressa Aboye, G, Guimarães Abreu, L, Aberhe Abrha, W, M Abrigo, M, Abtahi, D, Abualruz, H, Abubakar, B, Abu-Gharbieh, E, Me Abu-Rmeileh, N, Girum Girum Adal, T, Molla Adane, M, Atanda Adeagbo Adeagbo, O, Adesoji Adedoyin, R, Adekanmbi, V, Aden, B, Victor Adepoju, A, O Adetokunboh, O, Bunmi Adetunji, J, Adedayo Adeyinka, D, Israel Adeyomoye, O, Estiningtyas Sakilah Adnani, Q, Adra, S, Felix Afolabi, R, Afyouni, S, Sohail Afzal, M, Afzal, S, Aghamiri, S, Agodi, A, Agyemang-Duah, W, Opoku Ahinkorah, B, J Ahlstrom, A, Ahmad, A, Ahmad, D, Ahmad, F, M Ahmad, M, Ahmad, S, Ahmad, T, Ahmed, A, Ahmed, H, A Ahmed, L, Saleh Ahmed, M, Anees Ahmed, S, Ajami, M, Aji, B, Taddesse Akalu, G, Akbarialiabad, H, Olusola Akinyemi, R, Ahmed Akkaif, M, Akkala, S, Al Hamad, H, Mahfuz Al Hasan, S, Al Qadire, M, Mohammed Ali Al-Ahdal, T, O Alalalmeh, S, A Alalwan, T, Al-Aly, Z, Alam, K, Mustafa Al-Amer, R, Mashhour Alanezi, F, M Alanzi, T, Albakri, A, Albashtawy, M, T AlBataineh, M, Alemi, H, Alemi, S, Mulugeta Alemu, Y, Al-Eyadhy, A, Ali Saeed Al-Gheethi, A, F Alhabib, K, Alhajri, N, Alhalaiqa Naji Alhalaiqa, F, Kaba Alhassan, R, Ali, A, Abdulqadir Ali, B, Ali, L, Usman Ali, M, Ali, R, Shujait Shujait Ali, S, Mohammad Alif, S, Aligol, M, Alijanzadeh, M, M Aljasir, M, Mohamed Aljunid, S, Al-Marwani, S, Uy Almazan, J, M Al-Mekhlafi, H, Almidani, O, A Alomari, M, Al-Omari, B, S Alqahtani, J, Yaseen Alqutaibi, A, M Al-Raddadi, R, Khalifah Al-Sabah, S, Altaf, A, A Al-Tawfiq, J, A Altirkawi, K, Oyine Aluh, D, Jawad Alvi, F, Alvis-Guzman, N, Alwafi, H, Mohammed Al-Worafi, Y, Aly, H, Aly, S, H Alzoubi, K, Kwabena Ameyaw, E, Tawfik Amin, T, Amindarolzarbi, A, Amini-Rarani, M, Amiri, S, Gyamfuah Ampomah, I, A Amugsi, D, Adeniyi Amusa, G, Ancuceanu, R, Anderlini, D, Prata Andrade, P, Liliana Andrei, C, Andrei, T, Anil, A, Anil, S, Ansar, A, Ansari-Moghaddam, A, M Antony, C, Antriyandarti, E, Anvari, S, Anwar, S, Anwer, R, Edward Anyasodor, A, Arabloo, J, Arabzadeh Bahri, R, A Arafa, E, Arafat, M, Margarida Araújo, A, Y Aravkin, A, Aremu, A, Aripov, T, Arkew, M, Armocida, B, Ärnlöv, J, Arooj, M, A Artamonov, A, Arulappan, J, Taiwo Aruleba, R, Arumugam, A, Asadi-Lari, M, Asemi, Z, Asgary, S, Asghariahmadabad, M, Asghari-Jafarabadi, M, Yesse Ashemo, M, Ashraf, M, Ashraf, T, O Asika, M, Shamsadin Athari, S, Moh'd Wahbi Atout, M, Atreya, A, Aujayeb, A, Ausloos, M, Avan, A, Mulat Aweke, A, Melaku Ayele, G, Mohammad Ayyoubzadeh, S, Azadnajafabad, S, S Azevedo, R, Y Azzam, A, Badar, M, D Badiye, A, Baghdadi, S, Bagheri, N, Bagherieh, S, Bahmanziari, N, Bai, R, Amin Baig, A, L Baker, J, T Bako, A, Kaur Bakshi, R, Balasubramanian, M, Constantin Baltatu, O, Bam, K, Banach, M, Bandyopadhyay, S, Banik, B, Chandra Banik, P, Bansal, H, Firat Baran, M, Barchitta, M, Bardhan, M, Bardideh, E, Lyn Barker-Collo, S, Winfried Bärnighausen, T, Barone-Adesi, F, Jawdat Barqawi, H, Barrow, A, Barteit, S, Basharat, Z, J Bashir, A, Akande Bashiru, H, Basiru, A, Diogo Basso, J, Basu, S, Mohammad Batiha, A, Batra, K, T Baune, B, Bayati, M, Begum, T, Behboudi, E, Hossein Behnoush, A, Beiranvand, M, Fernanda Bejarano Ramirez, D, Bekele, A, Assefa Belay, S, Iqbal Belgaumi, U, L Bell, M, Omolaja Bello, O, Beloukas, A, M Bensenor, I, Berezvai, Z, Yirga Berhie, A, C Bermudez, A, G Bettencourt, P, Srikanth Bhagavathula, A, Bhardwaj, N, Bhardwaj, P, V Bhardwaj, P, Bhaskar, S, Bhat, V, Kaur Bhatti, G, Singh Bhatti, J, S Bhatti, M, Bhatti, R, Biondi, A, Bisignano, C, Biswas, A, Kishore Biswas, R, R Bitra, V, Bjørge, T, Bliss, E, Kofi Boachie, M, Vasilica Bobirca, A, Bodolica, V, Olalekan Bodunrin, A, Ketema Bogale, E, Angaw Bogale, K, Bonakdar Hashemi, M, Bora Basara, B, Bouaoud, S, Braithwaite, D, Brauer, M, K Breitborde, N, Bryazka, D, B Bulamu, N, Buonsenso, D, Burkart, K, A Burns, R, Bustanji, Y, Shafique Butt, N, A Butt, Z, Luciano Caetano Dos Santos, F, Calina, D, R Campos-Nonato, I, Cao, F, Cao, S, Capodici, A, Carreras, G, Carugno, A, A Castañeda-Orjuela, C, Castelpietra, G, Sofia Cattaruzza, M, Caye, A, Cegolon, L, Cembranel, F, Cerin, E, Chadwick, J, Chahine, Y, Chakraborty, C, Chalek, J, Shi Kai Chan, J, Charalampous, P, Kumar Chattu, V, Chaturvedi, S, Paul Chavula, M, Chen, A, Chen, H, Chen, S, Chi, G, Chichagi, F, Chien, J, R Ching, P, S Cho, W, Choi, S, Chong, B, Chopra, H, Gajanan Choudhari, S, J Christopher, D, Chu, D, Sunday Chukwu, I, Chung, E, Chung, S, Cindi, Z, Cioffi, I, Ciuffreda, R, M Claro, R, Coberly, K, Columbus, A, Comfort, H, Conde, J, H Criqui, M, Cruz-Martins, N, Magali Cuadra-Hernández, S, Dadana, S, Dadras, O, Dahiru, T, Dai, Z, Dalton, B, Damiani, G, Mohammad Darwesh, A, K Das, J, Das, S, Dashti, M, Dastiridou, A, Alberto Dávila-Cervantes, C, Davletov, K, Tamire Debele, A, Debopadhaya, S, Delavari, S, Delgado-Enciso, I, Demeke, D, Hundessa Demessa, B, Deng, X, Denova-Gutiérrez, E, Deribe, K, Dervenis, N, Dineshbhai Desai, H, Desai, R, Gnana Chellaiyan Devanbu, V, Dhali, A, Dhama, K, Dhimal, M, R Dhulipala, V, Dias da Silva, D, Diaz, D, J Diaz, M, Dima, A, D Ding, D, Ashworth Dirac, M, Chi Do, T, Huynh Phuong Do, T, Bruneli do Prado, C, Dohare, S, Dong, W, D'Oria, M, Mombaque Dos Santos, W, Doshmangir, L, Kokou Dowou, R, Chelsea Dsouza, A, Larson Dsouza, H, Dsouza, V, Dube, J, Duprey, J, Rodrigues Duraes, A, Duraisamy, S, Christopher Durojaiye, O, Dutta, S, Dwyer-Lindgren, L, Agnieszka Dzianach, P, Marian Dziedzic, A, Ebrahimi, A, Atan Edinur, H, Edvardsson, K, Efendi, F, Andreas Eikemo, T, Ekholuenetale, M, El Tantawi, M, Mousaad Elemam, N, Metwally Tawfik ElGohary, G, Elhadi, M, Tesfaye Elilo, L, Abdelsadek Abdou Elmeligy, O, A Elmonem, M, Elshaer, M, Elsohaby, I, Emami Zeydi, A, Engelbert Bain, L, Eskandarieh, S, Esposito, F, Estep, K, Etaee, F, Fabin, N, Francis Fagbamigbe, A, Fahimi, S, Fakhri-Demeshghieh, A, Falzone, L, Faramarzi, A, Ezzat Mahmoud Faris, M, Farmer, S, Faro, A, Omolara Fasanmi, A, Fatehizadeh, A, Klau Fauk, N, Fazeli, P, L Feigin, V, Fereshtehnejad, S, Hamid Feroze, A, Ferrara, P, Ferreira, N, Fetensa, G, Filip, I, Fischer, F, Flavel, J, A Foigt, N, Oluwatoyin Folayan, M, Alekseevich Fomenkov, A, Foroutan, B, Foschi, M, Raphael Fowobaje, K, Louise Francis, K, Freitas, A, Fukumoto, T, E Fuller, J, Fux, B, Andras Gaal, P, A Gadanya, M, Motiramji Gaidhane, A, Galali, Y, Gallus, S, P Gandhi, A, Ganesan, B, Arfat Ganiyani, M, A Garcia-Gordillo, M, Garg, N, K Gautam, R, Gazzelloni, F, Olatunde Gbadamosi, S, W Gebregergis, M, Gebrehiwot, M, Brhane Gebremariam, T, B Gebremariam, T, Gebru Gebremeskel, T, Fikadu Geda, Y, Roxana Georgescu, S, Gerema, U, Geremew, H, Erena Getachew, M, W Gething, P, Ghasemi, M, Ghasempour Dabaghi, G, Ghasemzadeh, A, Ghassemi, F, Mohamed Ghazy, R, Ghimire, S, Gholamian, A, Gholamrezanezhad, A, Ghorbani, M, Gopal Ghoshal, A, Digambarrao Ghuge, A, Urievich Gil, A, K Gill, T, Giorgi, M, Girmay, A, C Glasbey, J, Göbölös, L, Goel, A, Golchin, A, Golechha, M, Goleij, P, Vali Gopalani, S, Goudarzi, H, C Goulart, A, Goyal, A, Matthew Graham, S, Grivna, M, Guan, S, Guarducci, G, Ibrahim Mohialdeen Gubari, M, Dechasa Gudeta, M, Guicciardi, S, Gulati, S, Gulisashvili, D, Asanga Gunawardane, D, Guo, C, Kumar Gupta, A, Gupta, B, Kumar Gupta, M, Gupta, M, Gupta, S, Bala Gupta, V, Kumar Gupta, V, Haakenstad, A, Habibzadeh, F, R Hadi, N, Haep, N, Hajibeygi, R, Haller, S, Halwani, R, R Hamadeh, R, M Hamdy, N, Hameed, S, Hamidi, S, Han, Q, J Handal, A, J Hankey, G, Nuruzzaman Haque, M, Maria Haro, J, I Hasaballah, A, Hasan, I, Jahid Hasan, M, M Mahmudul Hasan, S, Hasani, H, Saquib Hasnain, M, Hassan, A, Hassan, I, Hassanipour, S, Hassankhani, H, I Hay, S, J Hebert, J, E Hegazi, O, Heidari, M, Helfer, B, Hemmati, M, Yuliana Herrera-Serna, B, Herteliu, C, Hessami, K, Hezam, K, Hiraike, Y, Quoc Hoan, N, Holla, R, Horita, N, Mahbub Hossain, M, Bellal Hossain Hossain, M, Hosseinzadeh, H, Hosseinzadeh, M, Hostiuc, M, Hostiuc, S, Hsairi, M, Chia-Rong Hsieh, V, Hu, C, Huang, J, Mamun Huda, M, Humayun, A, Hussain, J, R Hussein, N, Huynh, H, Hwang, B, Emmanuel Ibitoye, S, Maria Iftikhar, P, Stephen Ilesanmi, O, M Ilic, I, D Ilic, M, Immurana, M, Raja Inbaraj, L, Iqbal, A, Rabiul Islam, M, Elkudssiah Ismail, N, Iso, H, Isola, G, Iwagami, M, Iyer, M, J, L, Jaafari, J, Jacob, L, Jadidi-Niaragh, F, Jaggi, K, Jahankhani, K, Jahanmehr, N, Jahrami, H, Jain, A, Jain, N, Abdulrahman Jairoun, A, Jakovljevic, M, Jamshidi, E, Javadov, S, Javaheri, T, Kumar Jayapal, S, Jayaram, S, Ha Jee, S, Jeganathan, J, K Jha, A, Prakash Jha, R, Jiang, H, Jokar, M, B Jonas, J, Joo, T, Joseph, N, Ehimwenma Joshua, C, Joukar, F, Jerzy Jozwiak, J, Jürisson, M, K, V, Kaambwa, B, Kabir, A, Kabir, H, Kabir, Z, Kalani, R, R Kalankesh, L, Kaliyadan, F, Kalra, S, Kamath, R, Kamath, S, Kanchan, T, Wedam Kanmiki, E, Kazeem Kanmodi, K, S, S, Kumar Kansal, S, S Kantar, R, Kapoor, N, Karajizadeh, M, Karami, M, M Karaye, I, Zaffar Kashoo, F, Kasraei, H, J Kassebaum, N, B Kassel, M, H Kauppila, J, Kazemi, F, Kazeminia, S, H Kempen, J, Shoshannah Kendal, E, Keshtkar, K, Keykhaei, M, Khajuria, H, Khalaji, A, Khalid, N, Ahmed Khalil, A, Khalilian, A, Khamesipour, F, Khan, A, Khan, I, Nuruzzaman Khan, M, Khan, M, Jobair Khan, M, Ab Khan, M, Khang, Y, Khanmohammadi, S, Khatab, K, Khavandegar, A, Reza Khayat Kashani, H, Fatima Khidri, F, Khormali, M, Ali Khosravi, M, Khosrowjerdi, M, Teklesilasie Kidane, W, Demelash Kifle, Z, Sojin Kim, J, Seo Kim, M, W Kimokoti, R, E Kinzel, K, Tsegay Kiross, G, Kisa, A, Kisa, S, Kolahi, A, Kompani, F, Koren, G, Korzh, O, Kosen, S, Lakshmi Koulmane Laxminarayana, S, Krishan, K, Krishna, V, Krishnamoorthy, V, Kuate Defo, B, M Kubeisy, C, Kucuk Bicer, B, Abdul Kuddus, M, Kuddus, M, Kuitunen, I, Kulimbet, M, Kumar, H, Kundu, S, Rotimi Kunle, K, P Kurmi, O, Kusnali, A, Kusuma, D, F Kyei, E, Kyriopoulos, I, La Vecchia, C, Lacey, B, Awwal Ladan, M, Laflamme, L, Lahariya, C, Teck Ching Lai, D, Kumar Lal, D, Lalloo, R, Lám, J, Lamnisos, D, Landires, I, Lanfranchi, F, Langguth, B, Laplante-Lévesque, A, Jane Larson, H, O Larsson, A, Lasrado, S, Latief, K, Latifinaibin, K, Khanh Dao Le, L, Huu Hanh Le, N, Diep Thanh Le, T, Ledda, C, Lee, M, H Lee, P, Won Lee, S, Han Lee, Y, Kiros Lema, G, Leong, E, L Lerango, T, Li, A, Li, M, Li, S, Li, W, Li, X, S Ligade, V, S Lim, S, Lin, R, A Lindstedt, P, Listl, S, Liu, G, Liu, J, Liu, X, Liu, Y, Llanaj, E, López-Bueno, R, D Lopukhov, P, Lorenzovici, L, A Lotufo, P, Lubinda, J, Lucchetti, G, Lugo, A, Lunevicius, R, Lv, H, Feei Ma, Z, Lynn Maass, K, Machoy, M, M Madureira-Carvalho, Á, Magdy Abd El Razek, M, A Maghazachi, A, Mahjoub, S, Adam Mahmoud, M, Majeed, A, N Malagón-Rojas, J, Malakan Rad, E, Malhotra, K, Azam Malik, A, Malik, I, Carvalho Malta, D, A Mamun, A, Manla, Y, Mansoori, Y, Mansour, A, Mansouri, B, Mansouri, Z, Ali Mansournia, M, C Maravilla, J, Marino, M, Marjani, A, Martinez, G, Martinez-Piedra, R, Rogerlândio Martins-Melo, F, Martorell, M, Maryam, S, Rillera Marzo, R, Masoudi, A, Mattumpuram, J, James Maude, R, Maugeri, A, A May, E, Mayeli, M, Mazaheri, M, J McGrath, J, Mckee, M, Laura Wensel McKowen, A, A McLaughlin, S, M McPhail, S, Mehra, R, Mehrabani-Zeinabad, K, Mehrabi Nasab, E, Mekene Meto, T, Alberto Mendez Mendez-Lopez, M, Mendoza, W, G Menezes, R, A Mensah, G, A Mentis, A, Ayoub Meo, S, Merati, M, Meretoja, A, J Meretoja, T, M Mersha, A, Mestrovic, T, Metanat, P, Chamila Dinushi Mettananda, K, Mettananda, S, Mhlanga, A, Mhlanga, L, Mi, T, Miazgowski, T, Micha, G, Maria Michalek, I, R Miller, T, Huu Nhat Minh, L, Mirghafourvand, M, M Mirrakhimov, E, Kiros Mirutse, M, Mirza, M, Mirzaei, R, Mishra, A, Misra, S, B Mitchell, P, Mittal, C, Moazen, B, Z Mohamed, A, Ismail Mohamed, A, Mohamed, J, H Mohamed, M, Saad Mohamed, N, Mohammad-Alizadeh-Charandabi, S, Mohammadi, S, Mohammadian-Hafshejani, A, Mohammed, M, Mohammed, S, H Mokdad, A, Mokhtarzadehazar, P, Molavi Vardanjani, H, Molinaro, S, Monasta, L, Ali Moni, M, Moradi, M, Moradi, Y, Moraga, P, Silveira Moreira, R, Morovatdar, N, Douglas Morrison, S, Morze, J, Mosapour, A, Mossialos, E, Motappa, R, Mousavi, P, Mousavi Khaneghah, A, Mpundu-Kaambwa, C, Mubarik, S, Muccioli, L, Mulita, F, Munjal, K, Murillo-Zamora, E, Musa, J, Musaigwa, F, Musina, A, Muthu, S, Muthupandian, S, Muzaffar, M, Myung, W, Jayaraman Nagarajan, A, Nagel, G, Naghavi, P, R Naik, G, Naik, G, David Naimzada, M, Nainu, F, Nangia, V, Narasimha Swamy, S, Ramos Nascimento, B, G Nascimento, G, Y Naser, A, Javad Nasiri, M, S Natto, Z, Nauman, J, Naveed, M, Prakash Nayak, B, C Nayak, V, Ndejjo, R, Onyinye Nduaguba, S, Negash, H, Tafere Negesse, C, Negoi, I, Irina Negoi, R, Aria Nejadghaderi, S, Nejjari, C, Nepal, S, Biresaw Netsere, H, Nguefack-Tsague, G, W Ngunjiri, J, H Nguyen, D, Thi Hien Nguyen, H, The Nguyen, P, P Nguyen, Q, Thanh Nguyen, V, Khan Niazi, R, T Nigatu, Y, Konstantinos Nikolouzakis, T, Nikoobar, A, Reza Nikpoor, A, A Nnaji, C, Achilles Nnyanzi, L, Ali Noman, E, Nomura, S, Noreen, M, Noroozi, N, Adaobi Nri-Ezedi, C, H Nunemo, M, Nuñez-Samudio, V, Nurrika, D, John Nutor, J, Oancea, B, O Obamiro, K, A Odetokun, I, Martina Odogwu, N, James O'Donnell, M, Ololade Odukoya, O, Sikiru Oguntade, A, Odhiambo Oguta, J, Oh, I, Reuben Okeke, S, Paul Okekunle, A, Christabel Okonji, O, Godwin Okwute, P, T Olagunju, A, O Olasupo, O, Idowu Olatubi, M, Maria Moraes Oliveira, G, Olubukunola Olusanya, B, Olusegun Olusanya, J, Olamilekan Oluwatunase, G, A Omar, H, Latif Omer, G, E Onwujekwe, O, Ordak, M, Ebere Orisakwe, O, N Orish, V, V Ortega-Altamirano, D, Ortiz, A, Ortiz-Prado, E, S Osman, W, Levi Osuagwu, U, Osuolale, O, Otoiu, A, S Otstavnov, S, Ouyahia, A, Ouyang, G, O Owolabi, M, Ozten, Y, P A, M, Taha Pahlevan Fallahy, M, Pan, F, Pan, H, Pana, A, Panda, P, Panda-Jonas, S, Ullyartha Pangaribuan, H, D Panos, G, D Panos, L, Pantazopoulos, I, Mihaela Pantea Stoian, A, R Parikh, R, Park, S, Parthasarathi, A, Pashaei, A, Passera, R, M Patel, H, Patel, J, Patil, S, Patoulias, D, Suresh Patthipati, V, Paudel, U, Paun, M, Pazoki Toroudi, H, A Pease, S, E Peden, A, Pedersini, P, Peng, M, Pensato, U, Christian Filipino Pepito, V, Peprah, P, Pereira, G, P Peres, M, Perianayagam, A, Perico, N, Perna, S, G Pestell, R, Emily Petermann-Rocha, F, Tran Pham, H, K Philip, A, Pierannunzio, D, Pigeolet, M, M Pigott, D, Plotnikov, E, Poddighe, D, Pollner, P, Poluru, R, J Postma, M, Pourali, G, Pourshams, A, Pourtaheri, N, Prabhu, D, I Prada, S, Man Singh Pradhan, P, Prasad, M, Prashant, A, M Purohit, B, Puvvula, J, Hashim Qasim, N, Qattea, I, R, D, Rabiee Rad, M, Radfar, A, Radhakrishnan, V, Raee, P, Raeisi Shahraki, H, Rafiei, A, Niloufar Rafiei Alavi, S, Raggi, C, Raghav Raghav, P, Rahim, F, Jillur Rahim, M, Mosfequr Rahman, M, Hifz Ur Rahman, M, Rahman, M, Aziz Rahman, M, Rahmanian, V, Rahmati, M, Rahnavard, N, Rai, P, Raimondo, D, Rajabpour-Sanati, A, Rajput, P, Ram, P, Kumaran Ramasamy, S, Rana, J, Rana, K, Singh Rana, S, Lal Ranabhat, C, Rancic, N, Rane, A, Ranjan, S, R Rao, C, Ramachandra Rao, I, Rapaka, D, Rasella, D, Rashedi, S, Rashedi, V, Rashidi, M, Rasul, A, Ahmed Ratan, Z, Rathnaiah Babu, G, Kumar Rauniyar, S, Ravikumar, N, Laith Rawaf, D, Rawaf, S, Rawassizadeh, R, Rawlley, B, Mohan Rama Krishna Reddy, M, Moustafa Mohamed Redwan, E, Remuzzi, G, Reshmi, B, Rezaei, N, Rezaei Nejad, A, Rezaeian, M, Riad, A, A Riaz, M, Rickard, J, Rikhtegar, R, Elizabeth Robinson-Oden, H, Fortuna Rodrigues, C, Antonio Buendia Rodriguez, J, Rohilla, R, Syahru Romadlon, D, Ronfani, L, Sekhar Rout, H, Roy, B, Roy, N, Roy, P, Rubagotti, E, de Andrade Ruela, G, Fred Rumisha, S, Runghien, T, S, M, S N, C, A Saad, A, Saadatian, Z, Mohamed Saber-Ayad, M, Saberikamarposhti, M, Sabour, S, Sada, F, Saddik, B, Abuzed Sadee, B, Sadeghi, E, Reza Saeb, M, Saeed, U, Zaman Safi, S, Sagoe, D, Saha, M, Sahebkar, A, Swaroop Sahoo, S, Sahu, M, Saif, Z, W Sakshaug, J, Salamati, P, Abolarinwa Salami, A, A Saleh, M, Rashad Salem, M, Y Salem, M, Salimi, S, Samadzadeh, S, Leonardo Samodra, Y, Paul Samuel, V, M Samy, A, Sanabria, J, Sanadgol, N, Sanna, F, M Santric-Milicevic, M, Saqib, H, Yegnanarayana Iyer Saraswathy, S, Saravanan, A, Saravi, B, Sarikhani, Y, Sarkar, T, Sarmiento-Suárez, R, Sachin Sarode, G, C Sarode, S, Sarveazad, A, Sathian, B, Sathish, T, Sathyanarayan, A, Sayeed, A, Abu Sayeed, M, Scarmeas, N, Schlee, W, Schuermans, A, C Schwebel, D, Schwendicke, F, Selvaraj, S, Sengupta, P, Senthilkumaran, S, G Sepanlou, S, Serban, D, Serván-Mori, E, Sethi, Y, Seyedalinaghi, S, Arsalan Seyedi, S, Seylani, A, Shafie, M, Shah, J, A Shah, P, Shahbandi, A, Shahid, S, Jamal Shahwan, M, Shaikh, A, Ali Shaikh, M, Aaqib Shamim, M, Shams-Beyranvand, M, Anas Shamsi, M, Shanawaz, M, Shankar, A, Shannawaz, M, Sharath, M, 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Puvvula, Nameer Hashim Qasim, Ibrahim Qattea, Deepthi R, Mehrdad Rabiee Rad, Amir Radfar, Venkatraman Radhakrishnan, Pourya Raee, Hadi Raeisi Shahraki, Alireza Rafiei, Seyedeh Niloufar Rafiei Alavi, Cat Raggi, Pankaja Raghav Raghav, Fakher Rahim, Md Jillur Rahim, Md Mosfequr Rahman, Mohammad Hifz Ur Rahman, Mosiur Rahman, Muhammad Aziz Rahman, Vahid Rahmanian, Masoud Rahmati, Niloufar Rahnavard, Pramila Rai, Diego Raimondo, Ali Rajabpour-Sanati, Prashant Rajput, Prasanna Ram, Shakthi Kumaran Ramasamy, Juwel Rana, Kritika Rana, Shailendra Singh Rana, Chhabi Lal Ranabhat, Nemanja Rancic, Amey Rane, Shubham Ranjan, Chythra R Rao, Indu Ramachandra Rao, Deepthi Rapaka, Davide Rasella, Sina Rashedi, Vahid Rashedi, Mohammad-Mahdi Rashidi, Azad Rasul, Zubair Ahmed Ratan, Giridhara Rathnaiah Babu, Santosh Kumar Rauniyar, Nakul Ravikumar, David Laith Rawaf, Salman Rawaf, Reza Rawassizadeh, Bharat Rawlley, Murali Mohan Rama Krishna Reddy, Elrashdy Moustafa Mohamed Redwan, Giuseppe Remuzzi, Bhageerathy Reshmi, Nazila Rezaei, Aida Rezaei Nejad, Mohsen Rezaeian, Abanoub Riad, Mavra A Riaz, Jennifer Rickard, Reza Rikhtegar, Hannah Elizabeth Robinson-Oden, Célia Fortuna Rodrigues, Jefferson Antonio Buendia Rodriguez, Ravi Rohilla, Debby Syahru Romadlon, Luca Ronfani, Himanshu Sekhar Rout, Bedanta Roy, Nitai Roy, Priyanka Roy, Enrico Rubagotti, Guilherme de Andrade Ruela, Susan Fred Rumisha, Tilleye Runghien, Manjula S, Chandan S N, Aly M A Saad, Zahra Saadatian, Maha Mohamed Saber-Ayad, Morteza SaberiKamarposhti, Siamak Sabour, Fatos Sada, Basema Saddik, Bashdar Abuzed Sadee, Ehsan Sadeghi, Erfan Sadeghi, Mohammad Reza Saeb, Umar Saeed, Sher Zaman Safi, Dominic Sagoe, Manika Saha, Amirhossein Sahebkar, Soumya Swaroop Sahoo, Monalisha Sahu, Zahra Saif, Joseph W Sakshaug, Payman Salamati, Afeez Abolarinwa Salami, Mohamed A Saleh, Marwa Rashad Salem, Mohammed Z Y Salem, Sohrab Salimi, Sara Samadzadeh, Yoseph Leonardo Samodra, Vijaya Paul Samuel, Abdallah M Samy, Juan Sanabria, Nima Sanadgol, Francesca Sanna, Milena M Santric-Milicevic, Haaris Saqib, Sivan Yegnanarayana Iyer Saraswathy, Aswini Saravanan, Babak Saravi, Yaser Sarikhani, Tanmay Sarkar, Rodrigo Sarmiento-Suárez, Gargi Sachin Sarode, Sachin C Sarode, Arash Sarveazad, Brijesh Sathian, Thirunavukkarasu Sathish, Anudeep Sathyanarayan, Abu Sayeed, Md Abu Sayeed, Nikolaos Scarmeas, Winfried Schlee, Art Schuermans, David C Schwebel, Falk Schwendicke, Siddharthan Selvaraj, Pallav Sengupta, Subramanian Senthilkumaran, Sadaf G Sepanlou, Dragos Serban, Edson Serván-Mori, Yashendra Sethi, SeyedAhmad SeyedAlinaghi, Seyed Arsalan Seyedi, Allen Seylani, Mahan Shafie, Jaffer Shah, Pritik A Shah, Ataollah Shahbandi, Samiah Shahid, Moyad Jamal Shahwan, Ahmed Shaikh, Masood Ali Shaikh, Muhammad Aaqib Shamim, Mehran Shams-Beyranvand, Mohammad Anas Shamsi, Mohd Shanawaz, Abhishek Shankar, Mohammed Shannawaz, Medha Sharath, Sadaf Sharfaei, Amin Sharifan, Javad Sharifi-Rad, Manoj Sharma, Rajesh Sharma, Ujjawal Sharma, Vishal Sharma, Rajesh P Shastry, Amin Shavandi, David H Shaw, Amir Mehdi Shayan, Maryam Shayan, Amr Mohamed Elsayed Shehabeldine, Aziz Sheikh, Rahim Ali Sheikhi, Manjunath Mala Shenoy, Pavanchand H Shetty, Peilin Shi, Desalegn Shiferaw, Mika Shigematsu, Rahman Shiri, Reza Shirkoohi, Aminu Shittu, Velizar Shivarov, Farhad Shokraneh, Sina Shool, Seyed Afshin Shorofi, Kanwar Hamza Shuja, Kerem Shuval, Emmanuel Edwar Siddig, João Pedro Silva, Luís Manuel Lopes Rodrigues Silva, Soraia Silva, Biagio Simonetti, Anjali Singal, Abhinav Singh, Balbir Bagicha Singh, Jasvinder A Singh, Md Shahjahan Siraj, Georgia Smith, Bogdan Socea, Anton Sokhan, Ranjan Solanki, Shipra Solanki, Hamidreza Soleimani, Sameh S M Soliman, Yonatan Solomon, Yimeng Song, Reed J D Sorensen, Michael Spartalis, Chandrashekhar T Sreeramareddy, Vijay Kumar Srivastava, Muhammad Haroon Stanikzai, Vladimir I Starodubov, Antonina V Starodubova, Simona Cătălina Stefan, Paschalis Steiropoulos, Mark A Stokes, Vetriselvan Subramaniyan, Muhammad Suleman, Rizwan Suliankatchi Abdulkader, Abida Sultana, Jing Sun, Chandan Kumar Swain, Bryan L Sykes, Lukasz Szarpak, Mindy D Szeto, Miklós Szócska, Payam Tabaee Damavandi, Rafael Tabarés-Seisdedos, Ozra Tabatabaei Malazy, Seyed-Amir Tabatabaeizadeh, Shima Tabatabai, Karen M Tabb, Mohammad Tabish, Moslem Taheri Soodejani, Jabeen Taiba, Ardeshir Tajbakhsh, Iman M Talaat, Ashis Talukder, Mircea Tampa, Jacques Lukenze Tamuzi, Ker-Kan Tan, Haosu Tang, Derbie Alemu DA Tareke, Mengistie Kassahun Tariku, Vivian Y Tat, Seyed Mohammad Tavangar, Mojtaba Teimoori, Mohamad-Hani Temsah, Reem Mohamad Hani Temsah, Masayuki Teramoto, Dufera Rikitu Terefa, Riki Tesler, Enoch Teye-Kwadjo, Ramna Thakur, Pugazhenthan Thangaraju, Kavumpurathu Raman Thankappan, Rekha Thapar, Samar Tharwat, Rasiah Thayakaran, Nihal Thomas, Ales Tichopad, Jansje Henny Vera Ticoalu, Tenaw Yimer Tiruye, Mariya Vladimirovna Titova, Marcello Tonelli, Marcos Roberto Tovani-Palone, Eugenio Traini, Jasmine T Tran, Nghia Minh Tran, Indang Trihandini, Samuel Joseph Tromans, Thien Tan Tri Tai Truyen, Aristidis Tsatsakis, Evangelia Eirini Tsermpini, Munkhtuya Tumurkhuu, Stefanos Tyrovolas, Sayed Mohammad Nazim Uddin, Aniefiok John Udoakang, Arit Udoh, Atta Ullah, Saeed Ullah, Sana Ullah, Srikanth Umakanthan, Chukwuma David Umeokonkwo, Brigid Unim, Bhaskaran Unnikrishnan, Era Upadhyay, Jibrin Sammani Usman, Marco Vacante, Seyed Mohammad Vahabi, Asokan Govindaraj Vaithinathan, Rohollah Valizadeh, Jef Van den Eynde, Elena Varavikova, Orsolya Varga, Priya Vart, Shoban Babu Varthya, Tommi Juhani Vasankari, Balachandar Vellingiri, Deneshkumar Venugopal, Nicholas Alexander Verghese, Madhur Verma, Massimiliano Veroux, Georgios-Ioannis Verras, Dominique Vervoort, Jorge Hugo Villafañe, Manish Vinayak, Francesco S Violante, Mukesh Vishwakarma, Sergey Konstantinovitch Vladimirov, Vasily Vlassov, Bay Vo, Simona Ruxandra Volovat, Theo Vos, Isidora S Vujcic, Hatem A Wafa, Yasir Waheed, Elias Bekele Wakwoya, Cong Wang, Denny Wang, Fang Wang, Shu Wang, Yanzhong Wang, Yuan-Pang Wang, Paul Ward, Emebet Gashaw Wassie, Stefanie Watson, Marcia R Weaver, Kosala Gayan Weerakoon, Daniel J Weiss, Katherine M Wells, Yi Feng Wen, Ronny Westerman, Taweewat Wiangkham, Dakshitha Praneeth Wickramasinghe, Nuwan Darshana Wickramasinghe, Peter Willeit, Yohannes Addisu Wondimagegene, Felicia Wu, Juan Xia, Hong Xiao, Gelin Xu, Suowen Xu, Xiaoyue Xu, Ali Yadollahpour, Shirin Yaghoobpoor, Tina Yaghoobpour, Sajad Yaghoubi, Zwanden Sule Yahaya, Danting Yang, Lin Yang, Yuichiro Yano, Habib Yaribeygi, Pengpeng Ye, Renjulal Yesodharan, Subah Abderehim Yesuf, Saber Yezli, Amanuel Yigezu, Paul Yip, Dong Keon Yon, Naohiro Yonemoto, Yuyi You, Mustafa Z Younis, Zabihollah Yousefi, Chuanhua Yu, Yong Yu, Chun-Wei Yuan, Nima Zafari, Fathiah Zakham, Nazar Zaki, Giulia Zamagni, Milad Zandi, Ghazal G Z Zandieh, Moein Zangiabadian, Mikhail Sergeevich Zastrozhin, Haijun Zhang, Meixin Zhang, Yunquan Zhang, Chenwen Zhong, Juexiao Zhou, Bin Zhu, Lei Zhu, Magdalena Zielińska, Zhiyong Zou, Samer H Zyoud, Christopher J L Murray, Amanda E Smith, and Stein Emil Vollset
Abstract: Background: Accurate assessments of current and future fertility-including overall trends and changing population age structures across countries and regions-are essential to help plan for the profound social, economic, environmental, and geopolitical challenges that these changes will bring. Estimates and projections of fertility are necessary to inform policies involving resource and health-care needs, labour supply, education, gender equality, and family planning and support. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 produced up-to-date and comprehensive demographic assessments of key fertility indicators at global, regional, and national levels from 1950 to 2021 and forecast fertility metrics to 2100 based on a reference scenario and key policy-dependent alternative scenarios. Methods: To estimate fertility indicators from 1950 to 2021, mixed-effects regression models and spatiotemporal Gaussian process regression were used to synthesise data from 8709 country-years of vital and sample registrations, 1455 surveys and censuses, and 150 other sources, and to generate age-specific fertility rates (ASFRs) for 5-year age groups from age 10 years to 54 years. ASFRs were summed across age groups to produce estimates of total fertility rate (TFR). Livebirths were calculated by multiplying ASFR and age-specific female population, then summing across ages 10-54 years. To forecast future fertility up to 2100, our Institute for Health Metrics and Evaluation (IHME) forecasting model was based on projections of completed cohort fertility at age 50 years (CCF50; the average number of children born over time to females from a specified birth cohort), which yields more stable and accurate measures of fertility than directly modelling TFR. CCF50 was modelled using an ensemble approach in which three sub-models (with two, three, and four covariates variously consisting of female educational attainment, contraceptive met need, population density in
Published: 2024

2. The Pharmacy Community Apgar Questionnaire: a modified Delphi technique to develop a rural pharmacist recruitment and retention tool

Author: Daniel R, Terry, Blake, Peck, Danny, Hills, Jaclyn, Bishop, Mark, Kirschbaum, Kehinde O, Obamiro, Hoang, Phan, Ed, Baker, and David, Schmitz
Subjects: Rural Population, Emergency Medical Services, Health (social science), Delphi Technique, Victoria, Surveys and Questionnaires, Public Health, Environmental and Occupational Health, Humans, Reproducibility of Results, Medicine (miscellaneous), Pharmacy, Pharmacists
Abstract: An adequate healthcare workforce remains essential for the health of rural communities. Strategies to address rural health workforce challenges have often centred on the medical and nursing workforce; however, addressing the rural pharmacist workforce also remains critical as they are often the first point of contact for health advice. Initiatives have increased pharmacist supply; however, key issues such as poor attraction, recruitment, and retention to rural areas remain. The aim of this study was to support the recruitment and retention of pharmacists in rural areas of Australia through the development of the Pharmacy Community Apgar Questionnaire (PharmCAQ).A modified Delphi technique was employed to develop the PharmCAQ. A panel of experts were purposively selected. Eight representatives were from organisations with rural experience relevant to the study including the Society of Hospital Pharmacists of Australia, the Pharmaceutical Society of Australia, the Pharmacy Guild of Australia, the Pharmacy Board of Australia, and a representative of a government health agency, who also leads a hospital pharmacy. Three additional participants included local and international academics with health policy and rural health workforce expertise. All participants participated in three separate focus groups of 45-60 minutes duration, where the review and refinement of factors that drive recruitment and retention of pharmacist were discussed. Face and content validity was achieved through the representatives, while internal consistency was achieved when the tool was piloted among 10 rural pharmacists in rural Victoria.Fifty key factors that impact the recruitment and retention of pharmacists were identified, developed and succinctly described. All factors were grouped into five classifications: (1) geographic, (2) economic and resources, (3) practice and scope of practice, (4) practice environment and (5) community practice support. After final consensus, the factors and their definitions formed the final questionnaire. Lastly, the reliability of PharmCAQ was determined, with a Cronbach's alpha coefficient of 0.852.While the development and use of the Apgar questionnaire for the recruitment and retention of health professionals is not a novel idea, seeking to specifically focus on pharmacists is unique. However, 10 factors were similar to factors associated with rural recruitment and retention of both physicians and nurses; they encompassed geographic, community support, and economic and resource factors. Regardless of similarities or differences between health professions in terms of recruitment and retention, as a mechanism for addressing the worsening health professional shortage currently experienced in rural areas, the PharmCAQ was developed to support the recruitment and retention of the pharmacist workforce in rural areas.
Published: 2022

3. Correction: Anticoagulation Knowledge Tool (AKT): Further evidence of validity in the Italian population.

Author: Arianna Magon, Cristina Arrigoni, Tiziana Roveda, Paola Grimoldi, Federica Dellafiore, Marco Moia, Kehinde O Obamiro, and Rosario Caruso
Subjects: Medicine, Science
Abstract: [This corrects the article DOI: 10.1371/journal.pone.0201476.].
Published: 2018
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4. Anticoagulation Knowledge Tool (AKT): Further evidence of validity in the Italian population.

Author: Arianna Magon, Cristina Arrigoni, Tiziana Roveda, Paola Grimoldi, Federica Dellafiore, Marco Moia, Kehinde O Obamiro, and Rosario Caruso
Subjects: Medicine, Science
Abstract: INTRODUCTION:Oral Anticoagulation therapy (OAC) is highly effective in the management of thromboembolic disorders. An adequate level of knowledge is important for self-management and optimizing clinical outcomes. The Anticoagulation Knowledge Tool (AKT) was developed to assess OAC knowledge and caters for both patients prescribed direct oral anticoagulants or vitamin K antagonist (VKA). However, evidence regarding its psychometric proprieties, validity and reliability are unavailable in non-English speaking settings. For this reason, the aim of this study is to provide further evidence of validity for AKT and also developing an Italian AKT version (I-AKT) supported by evidence of validity and reliability. METHODS:A multiphase study was conducted which included the following: cultural and linguistic validity; i.e. content validity; construct validity; reliability assessment. The Construct validity was performed using the contrasted group approach using three groups comprised of health care providers, patients and the general public. Furthermore, Exploratory Structural Equation Modelling (ESEM) was performed to confirm the mono-dimensional structure of the items in the AKT. RESULTS:In construct validity phase 334 participants were enrolled. One-way ANOVA and post hoc analysis test demonstrated significant differences between the means knowledge scores of the three groups: 30.42±3.04 vs 23.45± 4.57 vs14.32±6.07 (Statistic F = 266.83; p < .001). ESEM analysis demonstrates the I-AKT mono-dimensionally structure with an explained variance of 56.42%. The scale also showed both good internal consistency reliability (Cronbach's α = 0.896) and test-retest reliability (r = 0.855). CONCLUSION:This study developed and validated I-AKT with supporting evidence for validity and reliability. The study also confirms the mono-dimensional of the items in the AKT. This suggest that the instrument can be useful in non-English setting for knowledge assessment and in potentially developing patient education materials.
Published: 2018
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5. Rural employment: A get‐go for recent nursing and allied health graduates?

Author: Tony Barnett, S Mallick, Merylin Cross, Kehinde O. Obamiro, and Belinda Jessup
Subjects: Employment, Rural Population, Job applications, Career Choice, ComputingMilieux_THECOMPUTINGPROFESSION, Professional career, Rural health, Public Health, Environmental and Occupational Health, Outcome measures, Metropolitan area, Competition (economics), Work (electrical), Nursing, Humans, Mainland, Prospective Studies, Rural Health Services, Business, Workplace, Family Practice
Abstract: Objective: To explore the pathways recent nursing and allied health graduates have used to gain initial employment in regional and rural Tasmania. Design: A mixed-methods design comprising an online survey and semi-structured interviews. Setting: Tasmania, Australia. Participants: Eighty-four recent nursing and allied health graduates from 18 disciplines. Main outcome measures: Location and pathway to initial employment, job search strategies, number of job applications and length of time taken to gain employment. Results: Participants obtained their qualification from Tasmania or mainland Australia. Rural-origin graduates were more likely to work in rural locations after graduating. Graduates sought initial regional or rural employment to be close to family; to avail themselves of more job opportunities and less competition from other graduates; and for adventure. An inability to secure metropolitan jobs led others to seek opportunities in regional and rural Tasmania. Graduates that used multiple job search strategies and who were more flexible regarding location and field of initial employment experienced fewer challenges gaining employment. Conclusion: For recent nursing and allied health graduates, securing initial employment can be time-consuming and labour-intensive. Being flexible, persistent and willing to adjust expectations about work location will help. Rural employment might provide the right get-go for a professional career. Understanding the pathways recent graduates have used to gain initial rural employment can help better connect graduates and prospective employers.
Published: 2021

6. Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis for the Global Burden of Disease Study 2020

Author: Dana Bryazka, Marissa B Reitsma, Max G Griswold, Kalkidan Hassen Abate, Cristiana Abbafati, Mohsen Abbasi-Kangevari, Zeinab Abbasi-Kangevari, Amir Abdoli, Mohammad Abdollahi, Abu Yousuf Md Abdullah, E S Abhilash, Eman Abu-Gharbieh, Juan Manuel Acuna, Giovanni Addolorato, Oladimeji M Adebayo, Victor Adekanmbi, Kishor Adhikari, Sangeet Adhikari, Qorinah Estiningtyas Sakilah Adnani, Saira Afzal, Wubetu Yimam Agegnehu, Manik Aggarwal, Bright Opoku Ahinkorah, Araz Ramazan Ahmad, Sajjad Ahmad, Tauseef Ahmad, Ali Ahmadi, Sepideh Ahmadi, Haroon Ahmed, Tarik Ahmed Rashid, Chisom Joyqueenet Akunna, Hanadi Al Hamad, Md Zakiul Alam, Dejene Tsegaye Alem, Kefyalew Addis Alene, Yousef Alimohamadi, Atiyeh Alizadeh, Kasim Allel, Jordi Alonso, Saba Alvand, Nelson Alvis-Guzman, Firehiwot Amare, Edward Kwabena Ameyaw, Sohrab Amiri, Robert Ancuceanu, Jason A Anderson, Catalina Liliana Andrei, Tudorel Andrei, Jalal Arabloo, Muhammad Arshad, Anton A Artamonov, Zahra Aryan, Malke Asaad, Mulusew A Asemahagn, Thomas Astell-Burt, Seyyed Shamsadin Athari, Desta Debalkie Atnafu, Prince Atorkey, Alok Atreya, Floriane Ausloos, Marcel Ausloos, Getinet Ayano, Martin Amogre ayanore Ayanore, Olatunde O Ayinde, Jose L Ayuso-Mateos, Sina Azadnajafabad, Melkalem Mamuye Azanaw, Mohammadreza Azangou-Khyavy, Amirhossein Azari Jafari, Ahmed Y Azzam, Ashish D Badiye, Nasser Bagheri, Sara Bagherieh, Mohan Bairwa, Shankar M Bakkannavar, Ravleen Kaur Bakshi, Awraris Hailu Balchut/Bilchut, Till Winfried Bärnighausen, Fabio Barra, Amadou Barrow, Pritish Baskaran, Luis Belo, Derrick A Bennett, Isabela M Benseñor, Akshaya Srikanth Bhagavathula, Neeraj Bhala, Ashish Bhalla, Nikha Bhardwaj, Pankaj Bhardwaj, Sonu Bhaskar, Krittika Bhattacharyya, Vijayalakshmi S Bhojaraja, Bagas Suryo Bintoro, Elena A Elena Blokhina, Belay Boda Abule Bodicha, Archith Boloor, Cristina Bosetti, Dejana Braithwaite, Hermann Brenner, Nikolay Ivanovich Briko, Andre R Brunoni, Zahid A Butt, Chao Cao, Yin Cao, Rosario Cárdenas, Andre F Carvalho, Márcia Carvalho, Joao Mauricio Castaldelli-Maia, Giulio Castelpietra, Luis F S Castro-de-Araujo, Maria Sofia Cattaruzza, Promit Ananyo Chakraborty, Jaykaran Charan, Vijay Kumar Chattu, Akhilanand Chaurasia, Nicolas Cherbuin, Dinh-Toi Chu, Nandita Chudal, Sheng-Chia Chung, Chuchu Churko, Liliana G Ciobanu, Massimo Cirillo, Rafael M Claro, Simona Costanzo, Richard G Cowden, Michael H Criqui, Natália Cruz-Martins, Garland T Culbreth, Berihun Assefa Dachew, Omid Dadras, Xiaochen Dai, Giovanni Damiani, Lalit Dandona, Rakhi Dandona, Beniam Darge Daniel, Anna Danielewicz, Jiregna Darega Gela, Kairat Davletov, Jacyra Azevedo Paiva de Araujo, Antonio Reis de Sá-Junior, Sisay Abebe Debela, Azizallah Dehghan, Andreas K Demetriades, Meseret Derbew Molla, Rupak Desai, Abebaw Alemayehu Desta, Diana Dias da Silva, Daniel Diaz, Lankamo Ena Digesa, Mengistie Diress, Milad Dodangeh, Deepa Dongarwar, Fariba Dorostkar, Haneil Larson Dsouza, Bereket Duko, Bruce B Duncan, Kristina Edvardsson, Michael Ekholuenetale, Frank J Elgar, Muhammed Elhadi, Mohamed A Elmonem, Aman Yesuf Endries, Sharareh Eskandarieh, Azin Etemadimanesh, Adeniyi Francis Fagbamigbe, Ildar Ravisovich Fakhradiyev, Fatemeh Farahmand, Carla Sofia e Sá Farinha, Andre Faro, Farshad Farzadfar, Ali Fatehizadeh, Nelsensius Klau Fauk, Valery L Feigin, Rachel Feldman, Xiaoqi Feng, Zinabu Fentaw, Simone Ferrero, Lorenzo Ferro Desideri, Irina Filip, Florian Fischer, Joel Msafiri Francis, Richard Charles Franklin, Peter Andras Gaal, Mohamed M Gad, Silvano Gallus, Fabio Galvano, Balasankar Ganesan, Tushar Garg, Mesfin Gebrehiwot Damtew Gebrehiwot, Teferi Gebru Gebremeskel, Mathewos Alemu Gebremichael, Tadele Regasa Gemechu, Lemma Getacher, Motuma Erena Getachew, Abera Getachew Obsa, Asmare Getie, Amir Ghaderi, Mansour Ghafourifard, Alireza Ghajar, Seyyed-Hadi Ghamari, Lilian A Ghandour, Mohammad Ghasemi Nour, Ahmad Ghashghaee, Sherief Ghozy, Franklin N Glozah, Ekaterina Vladimirovna Glushkova, Justyna Godos, Amit Goel, Salime Goharinezhad, Mahaveer Golechha, Pouya Goleij, Mohamad Golitaleb, Felix Greaves, Michal Grivna, Giuseppe Grosso, Temesgen Worku Gudayu, Bhawna Gupta, Rajeev Gupta, Sapna Gupta, Veer Bala Gupta, Vivek Kumar Gupta, Nima Hafezi-Nejad, Arvin Haj-Mirzaian, Brian J Hall, Rabih Halwani, Tiilahun Beyene Handiso, Graeme J Hankey, Sanam Hariri, Josep Maria Haro, Ahmed I Hasaballah, Hossein Hassanian-Moghaddam, Simon I Hay, Khezar Hayat, Golnaz Heidari, Mohammad Heidari, Delia Hendrie, Claudiu Herteliu, Demisu Zenbaba Heyi, Kamal Hezam, Mbuzeleni Mbuzeleni Hlongwa, Ramesh Holla, Md Mahbub Hossain, Sahadat Hossain, Seyed Kianoosh Hosseini, Mehdi hosseinzadeh, Mihaela Hostiuc, Sorin Hostiuc, Guoqing Hu, Junjie Huang, Salman Hussain, Segun Emmanuel Ibitoye, Irena M Ilic, Milena D Ilic, Mustapha Immurana, Lalu Muhammad Irham, M Mofizul Islam, Rakibul M Islam, Sheikh Mohammed Shariful Islam, Hiroyasu Iso, Ramaiah Itumalla, Masao Iwagami, Roxana Jabbarinejad, Louis Jacob, Mihajlo Jakovljevic, Zahra Jamalpoor, Elham Jamshidi, Sathish Kumar Jayapal, Umesh Umesh Jayarajah, Ranil Jayawardena, Rime Jebai, Seyed Ali Jeddi, Alelign Tasew Jema, Ravi Prakash Jha, Har Ashish Jindal, Jost B Jonas, Tamas Joo, Nitin Joseph, Farahnaz Joukar, Jacek Jerzy Jozwiak, Mikk Jürisson, Ali Kabir, Robel Hussen Kabthymer, Bhushan Dattatray Kamble, Himal Kandel, Girum Gebremeskel Kanno, Neeti Kapoor, Ibraheem M Karaye, Salah Eddin Karimi, Bekalu Getnet Kassa, Rimple Jeet Kaur, Gbenga A Kayode, Mohammad Keykhaei, Himanshu Khajuria, Rovshan Khalilov, Imteyaz A Khan, Moien AB Khan, Hanna Kim, Jihee Kim, Min Seo Kim, Ruth W Kimokoti, Mika Kivimäki, Vitalii Klymchuk, Ann Kristin Skrindo Knudsen, Ali-Asghar Kolahi, Vladimir Andreevich Korshunov, Ai Koyanagi, Kewal Krishan, Yuvaraj Krishnamoorthy, G Anil Kumar, Narinder Kumar, Nithin Kumar, Ben Lacey, Tea Lallukka, Savita Lasrado, Jerrald Lau, Sang-woong Lee, Wei-Chen Lee, Yo Han Lee, Lee-Ling Lim, Stephen S Lim, Stany W Lobo, Platon D Lopukhov, Stefan Lorkowski, Rafael Lozano, Giancarlo Lucchetti, Farzan Madadizadeh, Áurea M Madureira-Carvalho, Soleiman Mahjoub, Ata Mahmoodpoor, Rashidul Alam Mahumud, Alaa Makki, Mohammad-Reza Malekpour, Narayana Manjunatha, Borhan Mansouri, Mohammad Ali Mansournia, Jose Martinez-Raga, Francisco A Martinez-Villa, Richard Matzopoulos, Pallab K Maulik, Mahsa Mayeli, John J McGrath, Jitendra Kumar Meena, Entezar Mehrabi Nasab, Ritesh G Menezes, Gert B M Mensink, Alexios-Fotios A Mentis, Atte Meretoja, Bedasa Taye Merga, Tomislav Mestrovic, Junmei Miao Jonasson, Bartosz Miazgowski, Ana Carolina Micheletti Gomide Nogueira de Sá, Ted R Miller, GK Mini, Andreea Mirica, Antonio Mirijello, Seyyedmohammadsadeq Mirmoeeni, Erkin M Mirrakhimov, Sanjeev Misra, Babak Moazen, Maryam Mobarakabadi, Marcello Moccia, Yousef Mohammad, Esmaeil Mohammadi, Abdollah Mohammadian-Hafshejani, Teroj Abdulrahman Mohammed, Nagabhishek Moka, Ali H Mokdad, Sara Momtazmanesh, Yousef Moradi, Ebrahim Mostafavi, Sumaira Mubarik, Erin C Mullany, Beemnet Tekabe Mulugeta, Efrén Murillo-Zamora, Christopher J L Murray, Julius C Mwita, Mohsen Naghavi, Mukhammad David Naimzada, Vinay Nangia, Biswa Prakash Nayak, Ionut Negoi, Ruxandra Irina Negoi, Seyed Aria Nejadghaderi, Samata Nepal, Sudan Prasad Prasad Neupane, Sandhya Neupane Kandel, Yeshambel T Nigatu, Ali Nowroozi, Khan M Nuruzzaman, Chimezie Igwegbe Nzoputam, Kehinde O Obamiro, Felix Akpojene Ogbo, Ayodipupo Sikiru Oguntade, Hassan Okati-Aliabad, Babayemi Oluwaseun Olakunde, Gláucia Maria Moraes Oliveira, Ahmed Omar Bali, Emad Omer, Doris V Ortega-Altamirano, Adrian Otoiu, Stanislav S Otstavnov, Bilcha Oumer, Mahesh P A, Alicia Padron-Monedero, Raffaele Palladino, Adrian Pana, Songhomitra Panda-Jonas, Anamika Pandey, Ashok Pandey, Shahina Pardhan, Tarang Parekh, Eun-Kee Park, Charles D H Parry, Fatemeh Pashazadeh Kan, Jay Patel, Siddhartha Pati, George C Patton, Uttam Paudel, Shrikant Pawar, Amy E Peden, Ionela-Roxana Petcu, Michael R Phillips, Marina Pinheiro, Evgenii Plotnikov, Pranil Man Singh Pradhan, Akila Prashant, Jianchao Quan, Amir Radfar, Alireza Rafiei, Pankaja Raghav Raghav, Vafa Rahimi-Movaghar, Azizur Rahman, Md Mosfequr Rahman, Mosiur Rahman, Amir Masoud Rahmani, Shayan Rahmani, Chhabi Lal Ranabhat, Priyanga Ranasinghe, Chythra R Rao, Drona Prakash Rasali, Mohammad-Mahdi Rashidi, Zubair Ahmed Ratan, David Laith Rawaf, Salman Rawaf, Lal Rawal, Andre M N Renzaho, Negar Rezaei, Saeid Rezaei, Mohsen Rezaeian, Seyed Mohammad Riahi, Esperanza Romero-Rodríguez, Gregory A Roth, Godfrey M Rwegerera, Basema Saddik, Erfan Sadeghi, Reihaneh Sadeghian, Umar Saeed, Farhad Saeedi, Rajesh Sagar, Amirhossein Sahebkar, Harihar Sahoo, Mohammad Ali Sahraian, KM Saif-Ur-Rahman, Sarvenaz Salahi, Hamideh Salimzadeh, Abdallah M Samy, Francesco Sanmarchi, Milena M Santric-Milicevic, Yaser Sarikhani, Brijesh Sathian, Ganesh Kumar Saya, Mehdi Sayyah, Maria Inês Schmidt, Aletta Elisabeth Schutte, Michaël Schwarzinger, David C Schwebel, Abdul-Aziz Seidu, Nachimuthu Senthil Kumar, SeyedAhmad SeyedAlinaghi, Allen Seylani, Feng Sha, Sarvenaz Shahin, Fariba Shahraki-Sanavi, Shayan Shahrokhi, Masood Ali Shaikh, Elaheh Shaker, Murad Ziyaudinovich Shakhmardanov, Mehran Shams-Beyranvand, Sara Sheikhbahaei, Rahim Ali Sheikhi, Adithi Shetty, Jeevan K Shetty, Damtew Solomon Shiferaw, Mika Shigematsu, Rahman Shiri, Reza Shirkoohi, K M Shivakumar, Velizar Shivarov, Parnian Shobeiri, Roman Shrestha, Negussie Boti Sidemo, Inga Dora Sigfusdottir, Diego Augusto Santos Silva, Natacha Torres da Silva, Jasvinder A Singh, Surjit Singh, Valentin Yurievich Skryabin, Anna Aleksandrovna Skryabina, David A Sleet, Marco Solmi, YONATAN SOLOMON, Suhang Song, Yimeng Song, Reed J D Sorensen, Sergey Soshnikov, Ireneous N Soyiri, Dan J Stein, Sonu Hangma Subba, Miklós Szócska, Rafael Tabarés-Seisdedos, Takahiro Tabuchi, Majid Taheri, Ker-Kan Tan, Minale Tareke, Elvis Enowbeyang Tarkang, Gebremaryam Temesgen, Worku Animaw Temesgen, Mohamad-Hani Temsah, Kavumpurathu Raman Thankappan, Rekha Thapar, Nikhil Kenny Thomas, Chalachew Tiruneh, Jovana Todorovic, Marco Torrado, Mathilde Touvier, Marcos Roberto Tovani-Palone, Mai Thi Ngoc Tran, Sergi Trias-Llimós, Jaya Prasad Tripathy, Alireza Vakilian, Rohollah Valizadeh, Mehdi Varmaghani, Shoban Babu Varthya, Tommi Juhani Vasankari, Theo Vos, Birhanu Wagaye, Yasir Waheed, Mandaras Tariku Walde, Cong Wang, Yanzhong Wang, Yuan-Pang Wang, Ronny Westerman, Nuwan Darshana Wickramasinghe, Abate Dargie Wubetu, Suowen Xu, Kazumasa Yamagishi, Lin Yang, Gesila Endashaw E Yesera, Arzu Yigit, Vahit Yiğit, Ayenew Engida Ayenew Engida Yimaw, Dong Keon Yon, Naohiro Yonemoto, Chuanhua Yu, Siddhesh Zadey, Mazyar Zahir, Iman Zare, Mikhail Sergeevich Zastrozhin, Anasthasia Zastrozhina, Zhi-Jiang Zhang, Chenwen Zhong, Mohammad Zmaili, Yves Miel H Zuniga, Emmanuela Gakidou, University of St Andrews. School of Medicine, University of St Andrews. Population and Behavioural Science Division, Department of Public Health, University of Helsinki, Hjelt Institute (-2014), Helsinki Inequality Initiative (INEQ), Clinicum, Helsinki University Hospital Area, Bill & Melinda Gates Foundation, King Edward Medical University (Pakistán), Alexander von Humboldt Foundation, University of Oxford (Reino Unido), Medical Research Council (Reino Unido), NIH - National Institute of Mental Health (NIMH) (Estados Unidos), Canada Research Chairs, National Health and Medical Research Council (Australia), National Heart Foundation of Australia, Ministry of Education, Science and Technological Development (Serbia), Wellcome Trust, NIH - National Institute on Aging (NIA) (Estados Unidos), Finlands Akademi (Finlandia), Panjab University (India), Federal Ministry of Education & Research (Alemania), National Council for Scientific and Technological Development (Brasil), Danish National Research Foundation, Queensland Centre for Mental Health Research (Australia), South African Medical Research Council, National Natural Science Foundation of China, Charles Sturt University (Australia), Ain Shams University (Egipto), Mizoram University (India), Kasturba Medical College (India), Manipal Academy of Higher Education (India), Coordenação de Aperfeicoamento de Pessoal de Nível Superior (Brasil), Ministerio de Ciencia e Innovación (España), Collaborators, GBD 2020 Alcohol, Bryazka, Dana, Reitsma, Marissa B, Griswold, Max G, Abate, Kalkidan Hassen, Abbafati, Cristiana, Abbasi-Kangevari, Mohsen, Abbasi-Kangevari, Zeinab, Abdoli, Amir, Abdollahi, Mohammad, Abdullah, Abu Yousuf Md, Abhilash, E S, Abu-Gharbieh, Eman, Acuna, Juan Manuel, Addolorato, Giovanni, Adebayo, Oladimeji M, Adekanmbi, Victor, Adhikari, Kishor, Adhikari, Sangeet, Adnani, Qorinah Estiningtyas Sakilah, Afzal, Saira, Agegnehu, Wubetu Yimam, Aggarwal, Manik, Ahinkorah, Bright Opoku, Ahmad, Araz Ramazan, Ahmad, Sajjad, Ahmad, Tauseef, Ahmadi, Ali, Ahmadi, Sepideh, Ahmed, Haroon, Ahmed Rashid, Tarik, Akunna, Chisom Joyqueenet, Al Hamad, Hanadi, Alam, Md Zakiul, Alem, Dejene Tsegaye, Alene, Kefyalew Addi, Alimohamadi, Yousef, Alizadeh, Atiyeh, Allel, Kasim, Alonso, Jordi, Alvand, Saba, Alvis-Guzman, Nelson, Amare, Firehiwot, Ameyaw, Edward Kwabena, Amiri, Sohrab, Ancuceanu, Robert, Anderson, Jason A, Andrei, Catalina Liliana, Andrei, Tudorel, Arabloo, Jalal, Arshad, Muhammad, Artamonov, Anton A, Aryan, Zahra, Asaad, Malke, Asemahagn, Mulusew A, Astell-Burt, Thoma, Athari, Seyyed Shamsadin, Atnafu, Desta Debalkie, Atorkey, Prince, Atreya, Alok, Ausloos, Floriane, Ausloos, Marcel, Ayano, Getinet, Ayanore, Martin Amogre ayanore, Ayinde, Olatunde O, Ayuso-Mateos, Jose L, Azadnajafabad, Sina, Azanaw, Melkalem Mamuye, Azangou-Khyavy, Mohammadreza, Azari Jafari, Amirhossein, Azzam, Ahmed Y, Badiye, Ashish D, Bagheri, Nasser, Bagherieh, Sara, Bairwa, Mohan, Bakkannavar, Shankar M, Bakshi, Ravleen Kaur, Balchut/bilchut, Awraris Hailu, Bärnighausen, Till Winfried, Barra, Fabio, Barrow, Amadou, Baskaran, Pritish, Belo, Lui, Bennett, Derrick A, Benseñor, Isabela M, Bhagavathula, Akshaya Srikanth, Bhala, Neeraj, Bhalla, Ashish, Bhardwaj, Nikha, Bhardwaj, Pankaj, Bhaskar, Sonu, Bhattacharyya, Krittika, Bhojaraja, Vijayalakshmi S, Bintoro, Bagas Suryo, Blokhina, Elena A Elena, Bodicha, Belay Boda Abule, Boloor, Archith, Bosetti, Cristina, Braithwaite, Dejana, Brenner, Hermann, Briko, Nikolay Ivanovich, Brunoni, Andre R, Butt, Zahid A, Cao, Chao, Cao, Yin, Cárdenas, Rosario, Carvalho, Andre F, Carvalho, Márcia, Castaldelli-Maia, Joao Mauricio, Castelpietra, Giulio, Castro-de-Araujo, Luis F S, Cattaruzza, Maria Sofia, Chakraborty, Promit Ananyo, Charan, Jaykaran, Chattu, Vijay Kumar, Chaurasia, Akhilanand, Cherbuin, Nicola, Chu, Dinh-Toi, Chudal, Nandita, Chung, Sheng-Chia, Churko, Chuchu, Ciobanu, Liliana G, Cirillo, Massimo, Claro, Rafael M, Costanzo, Simona, Cowden, Richard G, Criqui, Michael H, Cruz-Martins, Natália, Culbreth, Garland T, Dachew, Berihun Assefa, Dadras, Omid, Dai, Xiaochen, Damiani, Giovanni, Dandona, Lalit, Dandona, Rakhi, Daniel, Beniam Darge, Danielewicz, Anna, Darega Gela, Jiregna, Davletov, Kairat, de Araujo, Jacyra Azevedo Paiva, de Sá-Junior, Antonio Rei, Debela, Sisay Abebe, Dehghan, Azizallah, Demetriades, Andreas K, Derbew Molla, Meseret, Desai, Rupak, Desta, Abebaw Alemayehu, Dias da Silva, Diana, Diaz, Daniel, Digesa, Lankamo Ena, Diress, Mengistie, Dodangeh, Milad, Dongarwar, Deepa, Dorostkar, Fariba, Dsouza, Haneil Larson, Duko, Bereket, Duncan, Bruce B, Edvardsson, Kristina, Ekholuenetale, Michael, Elgar, Frank J, Elhadi, Muhammed, Elmonem, Mohamed A, Endries, Aman Yesuf, Eskandarieh, Sharareh, Etemadimanesh, Azin, Fagbamigbe, Adeniyi Franci, Fakhradiyev, Ildar Ravisovich, Farahmand, Fatemeh, Farinha, Carla Sofia e Sá, Faro, Andre, Farzadfar, Farshad, Fatehizadeh, Ali, Fauk, Nelsensius Klau, Feigin, Valery L, Feldman, Rachel, Feng, Xiaoqi, Fentaw, Zinabu, Ferrero, Simone, Ferro Desideri, Lorenzo, Filip, Irina, Fischer, Florian, Francis, Joel Msafiri, Franklin, Richard Charle, Gaal, Peter Andra, Gad, Mohamed M, Gallus, Silvano, Galvano, Fabio, Ganesan, Balasankar, Garg, Tushar, Gebrehiwot, Mesfin Gebrehiwot Damtew, Gebremeskel, Teferi Gebru, Gebremichael, Mathewos Alemu, Gemechu, Tadele Regasa, Getacher, Lemma, Getachew, Motuma Erena, Getachew Obsa, Abera, Getie, Asmare, Ghaderi, Amir, Ghafourifard, Mansour, Ghajar, Alireza, Ghamari, Seyyed-Hadi, Ghandour, Lilian A, Ghasemi Nour, Mohammad, Ghashghaee, Ahmad, Ghozy, Sherief, Glozah, Franklin N, Glushkova, Ekaterina Vladimirovna, Godos, Justyna, Goel, Amit, Goharinezhad, Salime, Golechha, Mahaveer, Goleij, Pouya, Golitaleb, Mohamad, Greaves, Felix, Grivna, Michal, Grosso, Giuseppe, Gudayu, Temesgen Worku, Gupta, Bhawna, Gupta, Rajeev, Gupta, Sapna, Gupta, Veer Bala, Gupta, Vivek Kumar, Hafezi-Nejad, Nima, Haj-Mirzaian, Arvin, Hall, Brian J, Halwani, Rabih, Handiso, Tiilahun Beyene, Hankey, Graeme J, Hariri, Sanam, Haro, Josep Maria, Hasaballah, Ahmed I, Hassanian-Moghaddam, Hossein, Hay, Simon I, Hayat, Khezar, Heidari, Golnaz, Heidari, Mohammad, Hendrie, Delia, Herteliu, Claudiu, Heyi, Demisu Zenbaba, Hezam, Kamal, Hlongwa, Mbuzeleni Mbuzeleni, Holla, Ramesh, Hossain, Md Mahbub, Hossain, Sahadat, Hosseini, Seyed Kianoosh, Hosseinzadeh, Mehdi, Hostiuc, Mihaela, Hostiuc, Sorin, Hu, Guoqing, Huang, Junjie, Hussain, Salman, Ibitoye, Segun Emmanuel, Ilic, Irena M, Ilic, Milena D, Immurana, Mustapha, Irham, Lalu Muhammad, Islam, M Mofizul, Islam, Rakibul M, Islam, Sheikh Mohammed Shariful, Iso, Hiroyasu, Itumalla, Ramaiah, Iwagami, Masao, Jabbarinejad, Roxana, Jacob, Loui, Jakovljevic, Mihajlo, Jamalpoor, Zahra, Jamshidi, Elham, Jayapal, Sathish Kumar, Jayarajah, Umesh Umesh, Jayawardena, Ranil, Jebai, Rime, Jeddi, Seyed Ali, Jema, Alelign Tasew, Jha, Ravi Prakash, Jindal, Har Ashish, Jonas, Jost B, Joo, Tama, Joseph, Nitin, Joukar, Farahnaz, Jozwiak, Jacek Jerzy, Jürisson, Mikk, Kabir, Ali, Kabthymer, Robel Hussen, Kamble, Bhushan Dattatray, Kandel, Himal, Kanno, Girum Gebremeskel, Kapoor, Neeti, Karaye, Ibraheem M, Karimi, Salah Eddin, Kassa, Bekalu Getnet, Kaur, Rimple Jeet, Kayode, Gbenga A, Keykhaei, Mohammad, Khajuria, Himanshu, Khalilov, Rovshan, Khan, Imteyaz A, Khan, Moien AB, Kim, Hanna, Kim, Jihee, Kim, Min Seo, Kimokoti, Ruth W, Kivimäki, Mika, Klymchuk, Vitalii, Knudsen, Ann Kristin Skrindo, Kolahi, Ali-Asghar, Korshunov, Vladimir Andreevich, Koyanagi, Ai, Krishan, Kewal, Krishnamoorthy, Yuvaraj, Kumar, G Anil, Kumar, Narinder, Kumar, Nithin, Lacey, Ben, Lallukka, Tea, Lasrado, Savita, Lau, Jerrald, Lee, Sang-woong, Lee, Wei-Chen, Lee, Yo Han, Lim, Lee-Ling, Lim, Stephen S, Lobo, Stany W, Lopukhov, Platon D, Lorkowski, Stefan, Lozano, Rafael, Lucchetti, Giancarlo, Madadizadeh, Farzan, Madureira-Carvalho, Áurea M, Mahjoub, Soleiman, Mahmoodpoor, Ata, Mahumud, Rashidul Alam, Makki, Alaa, Malekpour, Mohammad-Reza, Manjunatha, Narayana, Mansouri, Borhan, Mansournia, Mohammad Ali, Martinez-Raga, Jose, Martinez-Villa, Francisco A, Matzopoulos, Richard, Maulik, Pallab K, Mayeli, Mahsa, Mcgrath, John J, Meena, Jitendra Kumar, Mehrabi Nasab, Entezar, Menezes, Ritesh G, Mensink, Gert B M, Mentis, Alexios-Fotios A, Meretoja, Atte, Merga, Bedasa Taye, Mestrovic, Tomislav, Miao Jonasson, Junmei, Miazgowski, Bartosz, Micheletti Gomide Nogueira de Sá, Ana Carolina, Miller, Ted R, Mini, Gk, Mirica, Andreea, Mirijello, Antonio, Mirmoeeni, Seyyedmohammadsadeq, Mirrakhimov, Erkin M, Misra, Sanjeev, Moazen, Babak, Mobarakabadi, Maryam, Moccia, Marcello, Mohammad, Yousef, Mohammadi, Esmaeil, Mohammadian-Hafshejani, Abdollah, Mohammed, Teroj Abdulrahman, Moka, Nagabhishek, Mokdad, Ali H, Momtazmanesh, Sara, Moradi, Yousef, Mostafavi, Ebrahim, Mubarik, Sumaira, Mullany, Erin C, Mulugeta, Beemnet Tekabe, Murillo-Zamora, Efrén, Murray, Christopher J L, Mwita, Julius C, Naghavi, Mohsen, Naimzada, Mukhammad David, Nangia, Vinay, Nayak, Biswa Prakash, Negoi, Ionut, Negoi, Ruxandra Irina, Nejadghaderi, Seyed Aria, Nepal, Samata, Neupane, Sudan Prasad Prasad, Neupane Kandel, Sandhya, Nigatu, Yeshambel T, Nowroozi, Ali, Nuruzzaman, Khan M, Nzoputam, Chimezie Igwegbe, Obamiro, Kehinde O, Ogbo, Felix Akpojene, Oguntade, Ayodipupo Sikiru, Okati-Aliabad, Hassan, Olakunde, Babayemi Oluwaseun, Oliveira, Gláucia Maria Morae, Omar Bali, Ahmed, Omer, Emad, Ortega-Altamirano, Doris V, Otoiu, Adrian, Otstavnov, Stanislav S, Oumer, Bilcha, P A, Mahesh, Padron-Monedero, Alicia, Palladino, Raffaele, Pana, Adrian, Panda-Jonas, Songhomitra, Pandey, Anamika, Pandey, Ashok, Pardhan, Shahina, Parekh, Tarang, Park, Eun-Kee, Parry, Charles D H, Pashazadeh Kan, Fatemeh, Patel, Jay, Pati, Siddhartha, Patton, George C, Paudel, Uttam, Pawar, Shrikant, Peden, Amy E, Petcu, Ionela-Roxana, Phillips, Michael R, Pinheiro, Marina, Plotnikov, Evgenii, Pradhan, Pranil Man Singh, Prashant, Akila, Quan, Jianchao, Radfar, Amir, Rafiei, Alireza, Raghav, Pankaja Raghav, Rahimi-Movaghar, Vafa, Rahman, Azizur, Rahman, Md Mosfequr, Rahman, Mosiur, Rahmani, Amir Masoud, Rahmani, Shayan, Ranabhat, Chhabi Lal, Ranasinghe, Priyanga, Rao, Chythra R, Rasali, Drona Prakash, Rashidi, Mohammad-Mahdi, Ratan, Zubair Ahmed, Rawaf, David Laith, Rawaf, Salman, Rawal, Lal, Renzaho, Andre M N, Rezaei, Negar, Rezaei, Saeid, Rezaeian, Mohsen, Riahi, Seyed Mohammad, Romero-Rodríguez, Esperanza, Roth, Gregory A, Rwegerera, Godfrey M, Saddik, Basema, Sadeghi, Erfan, Sadeghian, Reihaneh, Saeed, Umar, Saeedi, Farhad, Sagar, Rajesh, Sahebkar, Amirhossein, Sahoo, Harihar, Sahraian, Mohammad Ali, Saif-Ur-Rahman, Km, Salahi, Sarvenaz, Salimzadeh, Hamideh, Samy, Abdallah M, Sanmarchi, Francesco, Santric-Milicevic, Milena M, Sarikhani, Yaser, Sathian, Brijesh, Saya, Ganesh Kumar, Sayyah, Mehdi, Schmidt, Maria Inê, Schutte, Aletta Elisabeth, Schwarzinger, Michaël, Schwebel, David C, Seidu, Abdul-Aziz, Senthil Kumar, Nachimuthu, Seyedalinaghi, Seyedahmad, Seylani, Allen, Sha, Feng, Shahin, Sarvenaz, Shahraki-Sanavi, Fariba, Shahrokhi, Shayan, Shaikh, Masood Ali, Shaker, Elaheh, Shakhmardanov, Murad Ziyaudinovich, Shams-Beyranvand, Mehran, Sheikhbahaei, Sara, Sheikhi, Rahim Ali, Shetty, Adithi, Shetty, Jeevan K, Shiferaw, Damtew Solomon, Shigematsu, Mika, Shiri, Rahman, Shirkoohi, Reza, Shivakumar, K M, Shivarov, Velizar, Shobeiri, Parnian, Shrestha, Roman, Sidemo, Negussie Boti, Sigfusdottir, Inga Dora, Silva, Diego Augusto Santo, Silva, Natacha Torres da, Singh, Jasvinder A, Singh, Surjit, Skryabin, Valentin Yurievich, Skryabina, Anna Aleksandrovna, Sleet, David A, Solmi, Marco, Solomon, Yonatan, Song, Suhang, Song, Yimeng, Sorensen, Reed J D, Soshnikov, Sergey, Soyiri, Ireneous N, Stein, Dan J, Subba, Sonu Hangma, Szócska, Mikló, Tabarés-Seisdedos, Rafael, Tabuchi, Takahiro, Taheri, Majid, Tan, Ker-Kan, Tareke, Minale, Tarkang, Elvis Enowbeyang, Temesgen, Gebremaryam, Temesgen, Worku Animaw, Temsah, Mohamad-Hani, Thankappan, Kavumpurathu Raman, Thapar, Rekha, Thomas, Nikhil Kenny, Tiruneh, Chalachew, Todorovic, Jovana, Torrado, Marco, Touvier, Mathilde, Tovani-Palone, Marcos Roberto, Tran, Mai Thi Ngoc, Trias-Llimós, Sergi, Tripathy, Jaya Prasad, Vakilian, Alireza, Valizadeh, Rohollah, Varmaghani, Mehdi, Varthya, Shoban Babu, Vasankari, Tommi Juhani, Vos, Theo, Wagaye, Birhanu, Waheed, Yasir, Walde, Mandaras Tariku, Wang, Cong, Wang, Yanzhong, Wang, Yuan-Pang, Westerman, Ronny, Wickramasinghe, Nuwan Darshana, Wubetu, Abate Dargie, Xu, Suowen, Yamagishi, Kazumasa, Yang, Lin, Yesera, Gesila Endashaw E, Yigit, Arzu, Yiğit, Vahit, Yimaw, Ayenew Engida Ayenew Engida, Yon, Dong Keon, Yonemoto, Naohiro, Yu, Chuanhua, Zadey, Siddhesh, Zahir, Mazyar, Zare, Iman, Zastrozhin, Mikhail Sergeevich, Zastrozhina, Anasthasia, Zhang, Zhi-Jiang, Zhong, Chenwen, Zmaili, Mohammad, Zuniga, Yves Miel H, Gakidou, Emmanuela, Bryazka, D, Reitsma, Mb, Griswold, Mg, Abate, Kh, Abbafati, C, Kangevari, Ma, Kangevari, Za, Abdoli, A, Abdollahi, M, Abdullah, Am, Abhilash, E, Abu Gharbieh, E, Acuna, Jm, Addolorato, G, Adebayo, Om, Adekanmbi, V, Adhikari, K, Adhikari, S, Adnani, Qe, Afzal, S, Agegnehu, Wy, Aggarwal, M, Ahinkorah, Bo, Ahmad, Ar, Ahmad, S, Ahmad, T, Ahmadi, A, Ahmadi, S, Ahmed, H, Rashid, Ta, Akunna, Cj, Al Hamad, H, Alam, Mz, Alem, Dt, Alene, Ka, Alimohamadi, Y, Alizadeh, A, Allel, K, Alonso, J, Alvand, S, Guzman, Na, Amare, F, Ameyaw, Ek, Amiri, S, Ancuceanu, R, Anderson, Ja, Andrei, Cl, Andrei, T, Arabloo, J, Arshad, M, Artamonov, Aa, Aryan, Z, Asaad, M, Asemahagn, Ma, Burt, Ta, Athari, S, Atnafu, Dd, Atorkey, P, Atreya, A, Ausloos, F, Ausloos, M, Ayano, G, Ayanore, Ma, Ayinde, Oo, Mateos, Jla, Azadnajafabad, S, Azanaw, Mm, Khyavy, Ma, Jafari, Aa, Azzam, Ay, Badiye, Ad, Bagheri, N, Bagherieh, S, Bairwa, M, Bakkannavar, Sm, Bakshi, Rk, Balchut, Ah, Null, T, Barra, F, Barrow, A, Baskaran, P, Belo, L, Bennett, Da, Bensenor, Im, Bhagavathula, A, Bhala, N, Bhalla, A, Bhardwaj, N, Bhardwaj, P, Bhaskar, S, Bhattacharyya, K, Bhojaraja, V, Bintoro, B, Blokhina, Eae, Bodicha, Bba, Boloor, A, Bosetti, C, Braithwaite, D, Brenner, H, Briko, Ni, Brunoni, Ar, Butt, Za, Cao, C, Cao, Y, Cardenas, R, Carvalho, Af, Carvalho, M, Maia, Jmc, Castelpietra, G, de Araujo, Lfsc, Cattaruzza, M, Chakraborty, Pa, Charan, J, Chattu, Vk, Chaurasia, A, Cherbuin, N, Chu, Dt, Chudal, N, Chung, Sc, Churko, C, Ciobanu, Lg, Cirillo, M, Claro, Rm, Costanzo, S, Cowden, Rg, Criqui, Mh, Martins, Nc, Culbreth, Gt, Dachew, Ba, Dadras, O, Dai, Xc, Damiani, G, Dandona, L, Dandona, R, Daniel, Bd, Danielewicz, A, Gela, Jd, Davletov, K, de Araujo, Jap, de Sa, Ar, Debela, Sa, Dehghan, A, Demetriades, Ak, Molla, Md, Desai, R, Desta, Aa, da Silva, Dd, Diaz, D, Digesa, Le, Diress, M, Dodangeh, M, Dongarwar, D, Dorostkar, F, Dsouza, Hl, Duko, B, Duncan, Bb, Edvardsson, K, Ekholuenetale, M, Elgar, Fj, Elhadi, M, Elmonem, Ma, Endries, Ay, Eskandarieh, S, Etemadimanesh, A, Fagbamigbe, Af, Fakhradiyev, Ir, Farahmand, F, Farinha, Cse, Faro, A, Farzadfar, F, Fatehizadeh, A, Fauk, Nk, Feigin, Vl, Feldman, R, Feng, Xq, Fentaw, Z, Ferrero, S, Desideri, Lf, Filip, I, Fischer, F, Francis, Jm, Franklin, Rc, Gaal, Pa, Gad, Mm, Gallus, S, Galvano, F, Ganesan, B, Garg, T, Gebrehiwot, Mgd, Gebremeskel, Tg, Gebremichael, Ma, Gemechu, Tr, Getacher, L, Getachew, Me, Obsa, Ag, Getie, A, Ghaderi, A, Ghafourifard, M, Ghajar, A, Ghamari, Sh, Ghandour, La, Nour, Mg, Ghashghaee, A, Ghozy, S, Glozah, Fn, Glushkova, Ev, Godos, J, Goel, A, Goharinezhad, S, Golechha, M, Goleij, P, Golitaleb, M, Greaves, F, Grivna, M, Grosso, G, Gudayu, Tw, Gupta, B, Gupta, R, Gupta, S, Gupta, Vb, Gupta, Vk, Nejad, Nh, Mirzaian, Ah, Hall, Bj, Halwani, R, Handiso, Tb, Hankey, Gj, Hariri, S, Haro, Jm, Hasaballah, Ai, Moghaddam, Hh, Hay, Si, Hayat, K, Heidari, G, Heidari, M, Hendrie, D, Herteliu, C, Heyi, Dz, Hezam, K, Hlongwa, Mm, Holla, R, Hossain, Mm, Hossain, S, Hosseini, Sk, Hosseinzadeh, M, Hostiuc, M, Hostiuc, S, Hu, Gq, Huang, Jj, Hussain, S, Ibitoye, Se, Ilic, Im, Ilic, Md, Immurana, M, Irham, Lm, Islam, Mm, Islam, Rm, Islam, Sm, Iso, H, Itumalla, R, Iwagami, M, Jabbarinejad, R, Jacob, L, Jakovljevic, M, Jamalpoor, Z, Jamshidi, E, Jayapal, Sk, Jayarajah, Uu, Jayawardena, R, Jebai, R, Jeddi, Sa, Jema, At, Jha, Rp, Jindal, Ha, Jonas, Jb, Joo, T, Joseph, N, Joukar, F, Jozwiak, Jj, Jurisson, M, Kabir, A, Kabthymer, Rh, Kamble, Bd, Kandel, H, Kanno, Gg, Kapoor, N, Karaye, Im, Karimi, Se, Kassa, Bg, Kaur, Rj, Kayode, Ga, Keykhaei, M, Khajuria, H, Khalilov, R, Khan, Ia, Ab Khan, M, Kim, H, Kim, J, Kim, M, Kimokoti, Rw, Kivimaki, M, Klymchuk, V, Knudsen, Ak, Kolahi, Aa, Korshunov, Va, Koyanagi, A, Krishan, K, Krishnamoorthy, Y, Kumar, Ga, Kumar, N, Ben, Lacey, Lallukka, T, Lasrado, S, Lau, J, Lee, Sw, Lee, Wc, Lee, Yh, Lim, Ll, Lim, S, Lobo, Sw, Lopukhov, Pd, Lorkowski, S, Lozano, R, Lucchetti, G, Madadizadeh, F, Mahjoub, S, Mahmoodpoor, A, Mahumud, Ra, Makki, A, Malekpour, Mr, Manjunatha, N, Mansouri, B, Mansournia, Ma, Raga, Jm, Villa, Fam, Matzopoulos, R, Maulik, Pk, Mayeli, M, Mcgrath, Jj, Meena, Jk, Nasab, Em, Menezes, Rg, Mensink, Gbm, Mentis, Afa, Meretoja, A, Merga, Bt, Mestrovic, T, Jonasson, Jm, Miazgowski, B, de Sa, Acmgn, Miller, Tr, Mini, G, Mirica, A, Mirijello, A, Mirmoeeni, S, Mirrakhimov, Em, Misra, S, Moazen, B, Mobarakabadi, M, Moccia, M, Mohammad, Y, Mohammadi, E, Hafshejani, Am, Mohammed, Ta, Moka, N, Mokdad, Ah, Momtazmanesh, S, Moradi, Y, Mostafavi, E, Mubarik, S, Mullany, Ec, Mulugeta, Bt, Zamora, Em, Murray, Cjl, Mwita, Jc, Naghavi, M, Naimzada, Md, Nangia, V, Nayak, Bp, Negoi, I, Negoi, Ri, Nejadghaderi, Sa, Nepal, S, Neupane, Spp, Kandel, Sn, Nigatu, Yt, Nowroozi, A, Nuruzzaman, Km, Nzoputam, Ci, Obamiro, Ko, Ogbo, Fa, Oguntade, A, Aliabad, Ho, Olakunde, Bo, Oliveira, Gmm, Bali, Ao, Omer, E, Altamirano, Dvo, Otoiu, A, Otstavnov, S, Oumer, B, Mahesh, Pa, Monedero, Ap, Palladino, R, Pana, A, Jonas, Sp, Pandey, A, Pardhan, S, Parekh, T, Park, Ek, Parry, Cdh, Kan, Fp, Patel, J, Pati, S, Patton, Gc, Paudel, U, Pawar, S, Peden, Ae, Petcu, Ir, Phillips, Mr, Pinheiro, M, Plotnikov, E, Pradhan, Pm, Prashant, A, Quan, Jc, Radfar, A, Rafiei, A, Raghav, Pr, Movaghar, Vr, Rahman, A, Rahman, Mm, Rahman, M, Rahmani, Am, Rahmani, S, Ranabhat, Cl, Ranasinghe, P, Rao, Cr, Rasali, Dp, Rashidi, Mm, Ratan, Za, Rawaf, Dl, Rawaf, S, Rawal, L, Renzaho, Amn, Rezaei, N, Rezaei, S, Rezaeian, M, Riahi, Sm, Rodriguez, Er, Roth, Ga, Rwegerera, Gm, Saddik, B, Sadeghi, E, Sadeghian, R, Saeed, U, Saeedi, F, Sagar, R, Sahebkar, A, Sahoo, H, Sahraian, Ma, Rahman, Ksu, Salahi, S, Salimzadeh, H, Samy, Am, Sanmarchi, F, Milicevic, Mm, Sarikhani, Y, Sathian, B, Saya, Gk, Sayyah, M, Schmidt, Mi, Schutte, Ae, Schwarzinger, M, Schwebel, Dc, Seidu, Aa, Seyedalinaghi, S, Seylani, A, Sha, F, Shahin, S, Sanavi, F, Shahrokhi, S, Shaikh, Ma, Shaker, E, Shakhmardanov, Mz, Beyranvand, M, Sheikhbahaei, S, Sheikhi, Ra, Shetty, A, Shetty, Jk, Shiferaw, D, Shigematsu, M, Shiri, R, Shirkoohi, R, Shivakumar, Km, Shivarov, V, Shobeiri, P, Shrestha, R, Sidemo, Nb, Sigfusdottir, Id, Silva, Da, da Silva, Nt, Singh, Ja, Singh, S, Skryabin, Vy, Skryabina, Aa, Sleet, Da, Solmi, M, Solomon, Y, Song, S, Song, Ym, Sorensen, Rjd, Soshnikov, S, Soyiri, In, Stein, Dj, Subba, Sh, Szocska, M, Seisdedos, Rt, Tabuchi, T, Taheri, M, Tan, Kk, Tareke, M, Tarkang, Ee, Temesgen, G, Temesgen, Wa, Temsah, Mh, Thankappan, Kr, Thapar, R, Thomas, Nk, Tiruneh, C, Todorovic, J, Torrado, M, Touvier, M, Palone, Mrt, Tran, Mtn, Llimos, St, Tripathy, Jp, Vakilian, A, Valizadeh, R, Varmaghani, M, Varthya, Sb, Vasankari, Tj, Vos, T, Wagaye, B, Waheed, Y, Walde, Mt, Wang, C, Wang, Yz, Wang, Yp, Westerman, R, Wickramasinghe, Nd, Wubetu, Ad, Xu, S, Yamagishi, K, Yang, L, Yesera, Gee, Yigit, A, Yimaw, Ae, Yon, Dk, Yonemoto, N, Yu, Ch, Zadey, S, Zahir, M, Zare, I, Zastrozhin, M, Zastrozhina, A, Zhang, Zj, Zhong, Cw, Zmaili, M, Zuniga, Ymh, Gakidou, E, Madureira-Carvalho, Am, Ciobanu, LG, Gakidou, Emma, and GBD 2020 Alcohol Collaborators
Subjects: Adult, Male, Alcohol Drinking, CONTROL POLICIES, adult, Child, Preschool, Female, Geography, Global Burden of Disease, Global Health, Humans, Middle Aged, Quality-Adjusted Life Years, Risk Factors, NDAS, ALL-CAUSE, GUIDELINES, GBD 2020 Alcohol Collaborators, COST-EFFECTIVENESS, Medicine, General & Internal, DRINKING, SDG 3 - Good Health and Well-being, RA0421, General & Internal Medicine, Quality-Adjusted Life Year, RA0421 Public health. Hygiene. Preventive Medicine, DRINKERS, Child, Preschool, 11 Medical and Health Sciences, METAANALYSIS, MCC, Science & Technology, global burden of disease, Risk Factor, General Medicine, CANCER, alcohol drinking, AC, 3121 General medicine, internal medicine and other clinical medicine, REDUCED MORTALITY, Life Sciences & Biomedicine, Human
Abstract: Background: The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year. Methods: For this analysis, we constructed burden-weighted dose-response relative risk curves across 22 health outcomes to estimate the theoretical minimum risk exposure level (TMREL) and non-drinker equivalence (NDE), the consumption level at which the health risk is equivalent to that of a non-drinker, using disease rates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2020 for 21 regions, including 204 countries and territories, by 5-year age group, sex, and year for individuals aged 15-95 years and older from 1990 to 2020. Based on the NDE, we quantified the population consuming harmful amounts of alcohol. Findings: The burden-weighted relative risk curves for alcohol use varied by region and age. Among individuals aged 15-39 years in 2020, the TMREL varied between 0 (95% uncertainty interval 0-0) and 0·603 (0·400-1·00) standard drinks per day, and the NDE varied between 0·002 (0-0) and 1·75 (0·698-4·30) standard drinks per day. Among individuals aged 40 years and older, the burden-weighted relative risk curve was J-shaped for all regions, with a 2020 TMREL that ranged from 0·114 (0-0·403) to 1·87 (0·500-3·30) standard drinks per day and an NDE that ranged between 0·193 (0-0·900) and 6·94 (3·40-8·30) standard drinks per day. Among individuals consuming harmful amounts of alcohol in 2020, 59·1% (54·3-65·4) were aged 15-39 years and 76·9% (73·0-81·3) were male. Interpretation: There is strong evidence to support recommendations on alcohol consumption varying by age and location. Stronger interventions, particularly those tailored towards younger individuals, are needed to reduce the substantial global health loss attributable to alcohol. Research reported in this publication was supported by the Bill & Melinda Gates Foundation. S Afzal acknowledges the support for intellectual contributions to this manuscript by the Department of Community Medicine and Epidemiology at King Edward Medical University, Lahore, Pakistan. T Bärnighausen was supported by the Alexander von Humboldt Foundation through the Alexander von Humboldt Professor award, funded by the German Federal Ministry of Education and Research. L Belo acknowledges support from FCT in the scope of the project UIDP/04378/2020 and UIDB/04378/2020 of UCIBIO and the project LA/P/0140/2020 of i4HB. D Bennett is supported by the UK Medical Research Council Population Health Research Unit at the University of Oxford (Oxford, UK). M Carvalho acknowledges support from FCT in the scope of the project UIDP/04378/2020 and UIDB/04378/2020 of UCIBIO and the project LA/P/0140/2020 of i4HB. L Castro-de-Araujo was funded by the Medical Research Council (UK), Grant no. MR/T03355X/1 and by the National Institute of Mental Health Grant no. R01MH128911. FJ Elgar is supported by the Canada Research Chairs program. F Greaves acknowledges support from the NIHR Applied Research Collaboration for NW London. V K Gupta acknowledges funding support from the National Health and Medical Research Council (NHMRC), Australia. VB Gupta acknowledges funding support from the National Health and Medical Research Council (NHMRC), Australia. C Herteliu is partially supported by a grant from the Romanian National Authority for Scientific Research and Innovation, CNDS-UEFISCDI, project number PN-III-P4-ID-PCCF-2016-0084. C Herteliu is partially supported by a grant from the Romanian Ministry of Research Innovation and Digitalization, MCID, project number ID-585-CTR-42-PFE-2021. S Hussain was supported by the Operational Programme Research, Development and Education –Project, Postdoc2MUNI “(No. CZ.02.2.69/0.0/0.0/18_053/0016952). S M S Islam is funded by the National Health and Medical Research Council and received funding from the National Heart Foundation of Australia. The Serbian part of this GBD-related contribution has been co-financed through Grant OI 175 014 of the Ministry of Education Science and Technological Development of the Republic of Serbia. M Kivimaki was supported by the Wellcome Trust (221854/Z/20/Z), the UK Medical Research Council (MR/S011676/1), the US National Institute on Aging (R01AG056477), and the Academy of Finland (350426). K Krishan is supported by the UGC Centre of Advanced Study (Phase II), awarded to the Department of Anthropology, Panjab University, Chandigarh, India. B Lacey acknowledges support from the UK Biobank, funded largely by the UK Medical Research Council and Wellcome. S Lorkowski acknowledges institutional support from the Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD) Halle-Jena-Leipzig (Germany; German Federal Ministry of Education and Research; grant agreement number 01EA1808A). G Lucchetti received a productivity scholarship from the Brazilian National Council for Scientific and Technological Development — CNPq (Level 1D). J McGrath was supported by the Danish National Research Foundation (Niels Bohr Professor). J McGrath is employed by the Queensland Centre for Mental Health Research (Australia), which receives support from the Queensland Health Department. C Parry acknowleges the South African Medical Research Council. A Peden is supported by a National Health and Medical Research Council Emerging Leadership Fellowship (Grant ID: APP2009306). M R Phillips was supported in part by the Global Alliance for Chronic Diseases - National Natural Science Foundation of China (NSFC. No. 81761128031). M Pinheiro acknowledges FCT for funding through program DL 57/2016 – Norma transitória. A Rahman acknowledges the support from the Data Science Research Unit in Charles Sturt University (Bathurst, NSW, Australia). U Saeed would like to acknowledge the International Center of Medical Sciences Research (ICMSR), Islamabad, Pakistan. A M Samy acknowledges support from Ain Shams University (Cairo, Egypt) and the Egyptian Fulbright Mission Program. N Senthil Kumar acknowledges the DBT, New Delhi sponsored Advanced State Level Biotech Hub (BT/NER/143/SP44475/2021), Mizoram University (Aizawl, Mizoram, India) for facilitating this work. F Sha is supported by the Shenzhen Science and Technology Program (Grant No. KQTD20190929172835662). A Shetty acknowledges Kasturba Medical College (Mangalore, India) and Manipal Academy of Higher Education (Manipal, India) for all the academic support. R Shrestha acknowledges a career development award from the National Institutes of Health (K01DA051346). D Silva was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior-Brazil (CAPES)-Finance Code 001 and is supported in part by CNPq - Brazil (309589/2021-5). D Sleet acknowledges partial support from Veritas Management Group, Inc and The Bizzell Group, LLC. S Trias-Llimós acknowledges research funding from the Juan de la Cierva-Formación program of the Spanish Ministry of Science and Innovation (FJC-2019-039314-I). Sí
Published: 2022

7. Medication non-adherence in chronic kidney disease: a mixed-methods review and synthesis using the theoretical domains framework and the behavioural change wheel

Author: Jackson Thomas, Yonas Getaye Tefera, Kehinde O. Obamiro, Ronald L. Castelino, Daniel Asfaw Erku, Alemayehu B. Mekonnen, Kamal Sud, and Wubshet Tesfaye
Subjects: Nephrology, Polypharmacy, medicine.medical_specialty, business.industry, Clinical study design, 030232 urology & nephrology, Psychological intervention, Medication adherence, 030204 cardiovascular system & hematology, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, Blood pressure, Internal medicine, medicine, Intensive care medicine, business, Adverse effect, Kidney disease
Abstract: Medication non-adherence is a well-recognised issue in chronic diseases but data in patients with chronic kidney disease (CKD) not receiving kidney replacement therapy (KRT) remains limited. This review summarised the prevalence of medication non-adherence and assessed determinants and outcomes associated with it in adults with CKD, not on KRT. We searched PubMed, Embase, PsychInfo, Web of Science, and Cochrane (CENTRAL) for studies published until January 2020. Pooled prevalence of medication non-adherence was reported. Determinants of adherence—identified from quantitative and qualitative studies—were mapped into the theoretical domains framework and interventions proposed using the behavioural change wheel. Twenty-seven studies (22 quantitative and 5 qualitative) were included. The pooled prevalence of medication non-adherence was 39% (95% CI 30–48%). Nine studies reported association between non-adherence and outcomes, including blood pressure, disease progression, adverse events, and mortality. Modifiable determinants of non-adherence were mapped into 11 of the 14 Theoretical Domains Framework—of which, six appeared most relevant. Non-adherence decisions were usually due to lack of knowledge on CKD, comorbidities, and medications; polypharmacy and occurrence of medication side effects; changes in established routines such as frequent medication changes; higher medication cost, poor accessibility to medications, services and facilities; inadequate patient-healthcare professional communication; and forgetfulness. Using the behavioural change wheel, we identified several areas where interventions can be directed to improve medication adherence. Medication non-adherence is common in adults with CKD, not on KRT and may lead to poor outcomes. Evidence synthesis using mixed study designs was crucial in identifying determinants of non-adherence, drawing on a parsimonious approach from behaviour science. CRD42020149983.
Published: 2021

8. Development and Validation of an Oral Anticoagulation Knowledge Tool (AKT).

Author: Kehinde O Obamiro, Leanne Chalmers, and Luke R E Bereznicki
Subjects: Medicine, Science
Abstract: Assessing and improving patients' anticoagulation knowledge can lead to better treatment outcomes. While validated knowledge instruments exist for use in people taking warfarin, these tools are not necessarily applicable to patients taking direct-acting oral anticoagulants.To develop and validate an oral anticoagulation knowledge instrument that is applicable to all oral anticoagulant medications.Ten anticoagulation experts participated in the development of the Anticoagulation Knowledge Tool to ensure content validity. The knowledge instrument was administered to three groups of participants comprising of 44 pharmacists, 50 patients and 50 members of the general public. A subgroup of participants in the patient and pharmacist group were retested approximately 2-3 months after the initial testing. Statistical tests were conducted to determine the validity and reliability of the scale, and item analysis was used to determine the performance of individual questions.The 28-item instrument developed had a scale content validity index of 0.92, supporting content validity. The pharmacist group's mean score was significantly higher than that of the patient group, and the patient group scored significantly higher than the general public group (94% vs 62% vs 20%, respectively; p 0.7 across the three groups, and the test-retest reliability was confirmed with a Pearson's correlation coefficient of 0.72 and 0.78 for the pharmacist and patient groups, respectively.The Anticoagulation Knowledge Tool is a valid and reliable instrument that can be used in routine clinical practice to assess patients' anticoagulation knowledge.
Published: 2016
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9. Correction to: Factors contributing to the recruitment and retention of rural pharmacist workforce: a systematic review

Author: M Kirschbaum, Jaclyn Bishop, Ha Hoang, Kehinde O. Obamiro, Hoang T Phan, Daniel Terry, Ed Baker, Blake Peck, Danny Hills, Hoang Nguyen, and David Schmitz
Subjects: Rural Population, Motivation, medicine.medical_specialty, business.industry, Health Policy, Nursing research, Public health, Correction, Pharmacists, Health informatics, Health administration, Pharmacist workforce, Nursing, Workforce, medicine, Humans, Rural Health Services, Public aspects of medicine, RA1-1270, business
Abstract: Recruiting and retaining medical, nursing, and allied health professionals in rural and remote areas is a worldwide challenge, compromising continuity of care and population health outcomes in these locations. Specifically, pharmacists play an essential and accessible frontline healthcare role, and are often the first point of contact for health concerns. Despite several incentives, there remains a maldistribution and undersupply of pharmacists in rural and remote areas across many parts of the world. Although current systematic reviews have focussed on factors affecting pharmacists' retention generally, literature specifically focused on rural pharmacist workforce in a global context remains limited. The aim of this systematic review is to identify factors associated with recruitment and retention of the pharmacist workforce in rural and remote settings. Better understanding of these contributors will inform more effective interventional strategies to resolve pharmacist workforce shortages.A systematic search of primary studies was conducted in online databases, including Medline, Embase, CINAHL, Scopus, Web of Science and PsycINFO, and by hand-searching of reference lists. Eligible studies were identified based on predefined inclusion/exclusion criteria and methodological quality criteria, utilising the Critical Appraisal Skills Programme (CASP) and Good Reporting of A Mixed Methods Study (GRAMMS) checklists.The final review included 13 studies, with quantitative, qualitative, or mixed methods research design. Study-specific factors associated with recruitment and retention of pharmacists in rural practice were identified and grouped into five main themes: geographic and family-related, economic and resources, scope of practice or skills development, the practice environment, and community and practice support factors.The results provide critical insights into the complexities of rural recruitment and retention of pharmacists and confirms the need for flexible yet multifaceted responses to overcoming rural pharmacist workforce challenges. Overall, the results provide an opportunity for rural communities and health services to better identify key strengths and challenges unique to the rural and remote pharmacist workforce that may be augmented to guide more focussed recruitment and retention endeavours.
Published: 2021

10. Factors contributing to the recruitment and retention of rural pharmacist workforce: a systematic review

Author: Kehinde O. Obamiro, Daniel Terry, Blake Peck, Danny Hills, Hoang Nguyen, Ed Baker, Jaclyn Bishop, Ha Hoang, David Schmitz, Hoang T Phan, and M Kirschbaum
Subjects: retention, Scope of practice, business.industry, Research, pharmacist, Health Policy, Nursing research, education, Pharmacist, Population health, CINAHL, Critical appraisal, Systematic review, recruitment, systematic review, Nursing, Health care, Medicine, Public aspects of medicine, RA1-1270, business
Abstract: Background Recruiting and retaining medical, nursing, and allied health professionals in rural and remote areas is a worldwide challenge, compromising continuity of care and population health outcomes in these locations. Specifically, pharmacists play an essential and accessible frontline healthcare role, and are often the first point of contact for health concerns. Despite several incentives, there remains a maldistribution and undersupply of pharmacists in rural and remote areas across many parts of the world. Although current systematic reviews have focussed on factors affecting pharmacists’ retention generally, literature specifically focused on rural pharmacist workforce in a global context remains limited. The aim of this systematic review is to identify factors associated with recruitment and retention of the pharmacist workforce in rural and remote settings. Better understanding of these contributors will inform more effective interventional strategies to resolve pharmacist workforce shortages. Methods A systematic search of primary studies was conducted in online databases, including Medline, Embase, CINAHL, Scopus, Web of Science and PsycINFO, and by hand-searching of reference lists. Eligible studies were identified based on predefined inclusion/exclusion criteria and methodological quality criteria, utilising the Critical Appraisal Skills Programme (CASP) and Good Reporting of A Mixed Methods Study (GRAMMS) checklists. Results The final review included 13 studies, with quantitative, qualitative, or mixed methods research design. Study-specific factors associated with recruitment and retention of pharmacists in rural practice were identified and grouped into five main themes: geographic and family-related, economic and resources, scope of practice or skills development, the practice environment, and community and practice support factors. Conclusions The results provide critical insights into the complexities of rural recruitment and retention of pharmacists and confirms the need for flexible yet multifaceted responses to overcoming rural pharmacist workforce challenges. Overall, the results provide an opportunity for rural communities and health services to better identify key strengths and challenges unique to the rural and remote pharmacist workforce that may be augmented to guide more focussed recruitment and retention endeavours.
Published: 2021

11. Review of the Health, Welfare and Care Workforce in Tasmania, Australia: 2011–2016

Author: Kehinde O. Obamiro, Tony Barnett, Merylin Cross, Edwin Mseke, and Belinda Jessup
Subjects: Health, Toxicology and Mutagenesis, media_common.quotation_subject, carers, Article, Tasmania, health workforce, 03 medical and health sciences, 0302 clinical medicine, Health care, Per capita, Humans, 030212 general & internal medicine, rural health, Socioeconomics, media_common, Hours of service, business.industry, 030503 health policy & services, Rural health, Public Health, Environmental and Occupational Health, Australia, welfare, Workforce, Workforce planning, Medicine, Rural Health Services, Full-time equivalent, 0305 other medical science, business, Welfare
Abstract: Background: On a per capita basis, rural communities are underserviced by health professionals when compared to metropolitan areas of Australia. However, most studies evaluating health workforce focus on discrete professional groups rather than the collective contribution of the range of health, care and welfare workers within communities. The objective of this study was therefore to illustrate a novel approach for evaluating the broader composition of the health, welfare and care (HWC) workforce in Tasmania, Australia, and its potential to inform the delivery of healthcare services within rural communities. Methods: Census data (2011 and 2016) were obtained for all workers involved in health, welfare and care service provision in Tasmania and in each statistical level 4 area (SA4) of the state. Workers were grouped into seven categories: medicine, nursing, allied health, dentistry and oral health, health-other, welfare and carers. Data were aggregated for each category to obtain total headcount, total full time equivalent (FTE) positions and total annual hours of service per capita, with changes observed over the five-year period. Results: All categories of the Tasmanian HWC workforce except welfare grew between 2011 and 2016. While this growth occurred in all SA4 regions across the state, the HWC workforce remained maldistributed, with more annual hours of service per capita provided in the Hobart area. Although the HWC workforce remained highly feminised, a move toward gender balance was observed in some categories, including medicine, dentistry and oral health, and carers. The HWC workforce also saw an increase in part-time workers across all categories. Conclusions: Adopting a broad approach to health workforce planning can better reflect the reality of healthcare service delivery. For underserviced rural communities, recognising the diverse range of workers who can contribute to the provision of health, welfare and care services offers the opportunity to realise existing workforce capacity and explore how ‘total care’ may be delivered by different combinations of health, welfare and care workers.
Published: 2021
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12. General practitioner perspectives on barriers and enablers to bowel cancer screening in rural Tasmania: A thematic analysis of face-to-face interviews

Author: Kehinde O. Obamiro, Tony Barnett, SM Lee, and Amanda Cooper
Subjects: Medical education, education, Perspective (graphical), Australia, Tasmania, Qualitative analysis, Face to face interview, General Practitioners, Local government, General practice, Humans, Thematic analysis, Family Practice, Psychology, Colorectal Neoplasms, Early Detection of Cancer
Abstract: Background and objectives When detected early, nine in 10 Australians with bowel cancer can be successfully treated, yet participation in the National Bowel Cancer Screening Program (NBCSP) remains low. The aim of this study was to identify enablers and barriers to bowel cancer screening in rural Tasmanian communities from the perspective of general practitioners (GPs). Methods Qualitative analysis of face-to-face interviews with eight GPs was used to determine factors that influence NBCSP uptake in four rural Tasmanian Local Government Areas. Results High workloads, competing priorities and not knowing when a patient received an NBCSP kit were identified as barriers to supporting the program, while practice reminder systems were seen to improve the likelihood of GPs recommending the program to patients. Discussion GPs are important for improving participation in the NBCSP. Incorporating GPs’ views of barriers and enablers for screening is key to improving NBCSP participation in rural Tasmania and Australia more broadly.
Published: 2021

13. Strategies to increase the pharmacist workforce in rural and remote Australia: a scoping review

Author: Tony Barnett, Wubshet Tesfaye, and Kehinde O. Obamiro
Subjects: Emergency Medical Services, medicine.medical_specialty, Health (social science), business.industry, education, Public Health, Environmental and Occupational Health, MEDLINE, Scopus, Pharmacist, Australia, Medicine (miscellaneous), Pharmacy, CINAHL, Pharmacists, Geography, Family medicine, Pharmaceutical Services, Workforce, medicine, Humans, Rural Health Services, Rural area, business, Inclusion (education)
Abstract: Introduction Despite reports suggesting an oversupply of pharmacists, there is currently an inadequate supply in rural and remote Australia. This can lead to a reduction in pharmaceutical services for an already vulnerable population. The objective of this study was to identify strategies for increasing the pharmacist workforce and factors associated with retention in rural and remote Australia Methods: Database searches of Ovid Medline (Medline and Embase), CINAHL and Scopus were conducted. Full text of relevant studies conducted in Australia, reported in English and published between 2000 and 2019 were retrieved. The record titles were independently screened by two investigators, after which abstracts of disputed articles were collected for further evaluation. Where agreement could not be reached, a third independent investigator screened the residual articles for inclusion or exclusion. Results: Overall, 13 articles focusing on the pharmacy profession were retrieved. Strategies that have been employed to increase the rural and remote pharmacist workforce include the establishment of pharmacy schools in rural areas, inclusion of rural content in undergraduate pharmacy curriculum, enrolment of students from rural backgrounds, rural placement and employment of sessional pharmacists. Factors associated with retention were personal, workplace or community factors. Conclusion: There is limited research focusing on the recruitment and retention of pharmacists in rural and remote Australia. Given that pharmacies in rural and remote areas are very accessible and often function as one-stop health hubs, additional personal, workplace and community support should be provided for rural pharmacists and pharmacy students undergoing placements in rural and remote communities.
Published: 2020

14. Assessment of quality and readability of internet-based health information related to commonly prescribed angiotensin receptor blockers

Author: Anuoluwapo Oloidi, Kehinde O. Obamiro, and Sabina O. Nduaguba
Subjects: medicine.medical_specialty, losartan, media_common.quotation_subject, education, 030231 tropical medicine, Health literacy, valsartan, Angiotensin Receptor Antagonists, 03 medical and health sciences, 0302 clinical medicine, irbesartan, medicine, Humans, Quality (business), 030212 general & internal medicine, Reliability (statistics), media_common, Internet, Consumer Health Information, business.industry, Research, Public health, Reproducibility of Results, General Medicine, Readability, Health Literacy, Health information, Valsartan, quality, Family medicine, Hypertension, readability, The Internet, Comprehension, business, medicine.drug
Abstract: Introduction: hypertension is a global public health burden. Angiotensin receptor blockers (ARBs) have proven efficacy in the management of hypertension and related complications. The Internet has become a major source of health information for patients and healthcare professionals. The study aimed to assess the quality and readability of internet-based information related to selected Angiotensin Receptor Blockers (ARBs). Methods: the three most widely used ARBs were identified from published literature, after which internet-based patient information was identified from the first five pages of three search engines (Google, Yahoo and Bing). Quality of identified websites were assessed using the DISCERN instrument, while readability was evaluated using the SMOG instrument and the Flesch-Kincaid readability algorithm. Final ratings were then calculated as described by the instruments developers. Further, inter-class correlation coefficients (ICC) were calculated using the Statistical Package for Social Sciences. Results: the average overall DISCERN score in this study was 2.99 (SD±1.05). No website received an excellent rating, 15% were rated good, 66% as moderate and 19% as poor. The inter-class reliability was 0.804 for losartan and 0.695 for valsartan. The mean Flesch Reading Ease score for the websites was 48.87 (SD±16.12), mean Flesch-Kincaid Reading Grade Level was 9.29 (SD±1.98) while mean SMOG value was 11.29 (SD±1.70). Conclusion: overall, patient information on the reviewed ARBs websites was found to be of moderate quality and suboptimal readability. Content providers on websites should ensure that health information is of favorable quality and easy to read by patients with varying degree of health literacy.
Published: 2020

15. Like, comment, tag, share: Facebook interactions in health research

Author: Kehinde O. Obamiro, SM Lee, and Sancia West
Subjects: Risk awareness, Adult, Male, Biomedical Research, 020205 medical informatics, Adolescent, media_common.quotation_subject, Internet privacy, Health Informatics, 02 engineering and technology, Health informatics, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Promotion (rank), 0202 electrical engineering, electronic engineering, information engineering, Humans, Social media, 030212 general & internal medicine, media_common, Aged, Data collection, Internet research, business.industry, Rural health, Middle Aged, Health Communication, Research Design, The Internet, Female, Psychology, business, Social Media
Abstract: Background and objectives A key aspect of the Internet that facilitates research is social media, especially the meteoric rise in the use of Facebook as one of the primary applications for social connectivity. Facebook can be considered a rich source of data due to the high amounts of demographic information shared by users and stored in the system, as well as the way in which users share their thoughts and behaviour in their natural environment. This report focuses on one functionality that as yet remained under-discussed and perhaps under-utilised as a tool in health research – the ability for participants or interested parties to leave comments directly on Facebook posts relating to research projects. Further, this report provides some considerations for researchers intending to use Facebook in recruiting participants for research. Methods The study was a Bowel Cancer Awareness Study conducted by the Centre for Rural Health, University of Tasmania to assess bowel cancer risk awareness in Tasmania. Participants were recruited to complete a survey on LimeSurveyTM via a Facebook page used to advertise the study. Several comments were made on the Facebook page over a three-month period, which were then further categorised and thematically analysed. Specifically, these comments were reviewed to determine how valuable Facebook comments can be for research. Results The Facebook advertisement for the survey reached 136,640 people at a cost of $0.04 (4 cents) per person. From the range of comments received, four separate functions of these comments became apparent upon analysis – the capacity to ask questions, the ability to interact with others, promotion of the survey, and suggestions for future research. Discussion From the bowel cancer awareness study, we found that Facebook comments on our study page allowed for an opportunity for ongoing contact with respondents, opportunity to receive feedback, address concerns and harness future research ideas. The ability to further utilize the potential for Facebook comments to enrich data collection and health research warrants a continuous and sustained interest, as research methodology progressively utilises the Internet and social media platforms as an effective and affordable option.
Published: 2019

16. Adherence to Oral Anticoagulants in Atrial Fibrillation: An Australian Survey

Author: Kenneth Lee, Bonnie J Bereznicki, Kehinde O. Obamiro, Luke Bereznicki, and Leanne Chalmers
Subjects: Male, medicine.medical_specialty, Heart disease, Administration, Oral, 030204 cardiovascular system & hematology, Drug Costs, Medication Adherence, 03 medical and health sciences, Sex Factors, 0302 clinical medicine, Patient Education as Topic, Risk Factors, Internal medicine, Atrial Fibrillation, Humans, Medicine, Pharmacology (medical), 030212 general & internal medicine, Aged, Pharmacology, business.industry, Age Factors, Australia, Anticoagulants, Atrial fibrillation, Middle Aged, medicine.disease, Stroke, Treatment Outcome, Patient Satisfaction, Health Care Surveys, Oral anticoagulant, Female, Cardiology and Cardiovascular Medicine, business
Abstract: Background: The aim of this study was to investigate the proportion of patients who have suboptimal adherence to oral anticoagulant (OAC), identify the predictors of adherence, and determine whether patient-related factors vary across adherence levels in Australia. Methods: Respondents were recruited for an online survey using Facebook. Survey instruments included the Morisky Medication Adherence Scale, the Anticoagulation Knowledge Tool, the Perception of Anticoagulant Treatment Questionnaires, and a modified Cancer Information Overload scale. Predictors of medication adherence were identified using ordinal regression analysis. Results: Of the 386 responses eligible for analysis, only 54.9% reported a high level of adherence. Participants aged 65 years or younger were less likely to have high adherence compared to older participants (odds ratio [OR], 0.54; 95% confidence interval [CI], 0.33-0.88; P = .013), while females were more likely to be highly adherent compared to males (OR, 1.69; 95% CI, 1.08-2.64; P = .023). The analyses showed that age, gender, treatment satisfaction, information overload, concerns about making mistake when taking OACs, and cost of medication were significant predictors of adherence. Conclusion: Self-reported suboptimal adherence to OAC is common among patients with atrial fibrillation. A focus on supporting people who are at higher risk of suboptimal adherence is needed to maximize the benefit of OAC therapy in this population.
Published: 2018

17. Distribution and Location Stability of the Australian Ophthalmology Workforce: 2014–2019

Author: Belinda Jessup, Tony Barnett, Kehinde O. Obamiro, Penny Allen, Santosh Khanal, and Victoria Baker-Smith
Subjects: Male, medicine.medical_specialty, genetic structures, Health, Toxicology and Mutagenesis, Distribution (economics), Policy initiatives, Article, Ophthalmology, Agency (sociology), medicine, Humans, Retrospective Studies, business.industry, ophthalmology, workforce distribution, rural, Professional Practice Location, Australia, Public Health, Environmental and Occupational Health, Retrospective cohort study, Investment (macroeconomics), Metropolitan area, eye diseases, Geography, Work (electrical), Workforce, Medicine, Female, Rural Health Services, business
Abstract: Objective: To investigate the ophthalmology workforce distribution and location stability using Modified Monash Model category of remoteness. Methods: Whole of ophthalmologist workforce analysis using Australian Health Practitioner Registration Agency (AHPRA) data. Modified Monash Model (MMM) category was mapped to postcode of primary work location over a six-year period (2014 to 2019). MMM stability was investigated using survival analysis and competing risks regression. Design: Retrospective cohort study. Setting: Australia. Participants: Ophthalmologists registered with AHPRA. Main outcome measures: Retention within MMM category of primary work location. Results: A total of 948 ophthalmologists were identified (767 males, 181 females). Survival estimates indicate 84% of ophthalmologists remained working in MMM1, while 79% of ophthalmologists working in MMM2–MMM7remained in these regions during the six-year period. Conclusion: The Australian ophthalmology workforce shows a high level of location stability and is concentrated in metropolitan areas of Australia. Investment in policy initiatives designed to train, recruit and retain ophthalmologists in regional, rural and remote areas is needed to improve workforce distribution outside of metropolitan areas.
Published: 2021

18. Information overload in patients with atrial fibrillation: Can the cancer information overload (CIO) scale be used?

Author: Kenneth Lee and Kehinde O. Obamiro
Subjects: Adult, Male, Health Knowledge, Attitudes, Practice, Psychometrics, Health Behavior, Context (language use), 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, Neoplasms, Surveys and Questionnaires, Cancer screening, Atrial Fibrillation, medicine, Humans, 030212 general & internal medicine, business.industry, 030503 health policy & services, Cancer, Anticoagulants, Reproducibility of Results, Atrial fibrillation, General Medicine, medicine.disease, Exploratory factor analysis, Information overload, Scale (social sciences), Female, 0305 other medical science, business, Construct (philosophy), Delivery of Health Care, Clinical psychology
Abstract: Objective Information overload can negatively impact positive health behaviors such as cancer screening. The 8-item Cancer Information Overload (CIO) scale appears to be the only validated measure of health-related information overload. The present study assesses the validity of the CIO scale when modified for use in patients with atrial fibrillation (AF) residing in Australia. Methods We conducted a secondary analysis of data from a study of adult Australian patients with AF (N = 386) in which a modified version of the CIO scale was used. In the present study, we examined the construct (convergent and divergent) validity and performed an exploratory factor analysis for the modified scale. Results All items on the modified-CIO scale appear to load onto a single factor. As predicted, higher education levels (rs=-.24, p Conclusion When adapted to the AF context, the modified-CIO scale appears to be a valid measure of information overload. Practice Implications A valid scale is required to measure information overload accurately. Knowledge of the interplay between information overload and various health behaviors help focus future efforts to support patient empowerment.
Published: 2018

19. Anticoagulation Knowledge Tool (AKT): evidenze di validità ed affidabilità nella popolazione italiana

Author: Magon, Arianna, Arrigoni, Cristina, Roveda, Tiziana, Grimoldi, Paola, Moia, Marco, Kehinde O. Obamiro, and Caruso, Rosario
Published: 2018
Full Text: View/download PDF

20. Anticoagulation knowledge in patients with atrial fibrillation: An Australian survey

Author: Kenneth Lee, Bonnie J Bereznicki, Leanne Chalmers, Luke Bereznicki, and Kehinde O. Obamiro
Subjects: Male, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, Treatment outcome, MEDLINE, Administration, Oral, Health literacy, 030204 cardiovascular system & hematology, Medication Adherence, Treatment and control groups, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Atrial Fibrillation, medicine, Humans, In patient, Thrombolytic Therapy, 030212 general & internal medicine, Stroke, Aged, business.industry, Warfarin, Australia, Anticoagulants, Atrial fibrillation, General Medicine, Middle Aged, medicine.disease, Health Literacy, Treatment Outcome, Emergency medicine, Female, business, medicine.drug
Abstract: Atrial fibrillation (AF) is the most commonly diagnosed arrhythmia in clinical practice, and is associated with a significant medical and economic burden. Anticoagulants reduce the risk of stroke and systemic embolism by approximately two-thirds compared with no therapy. Knowledge regarding anticoagulant therapy can influence treatment outcomes in patients with AF.To measure the level of anticoagulation knowledge in patients with AF taking oral anticoagulants (OACs), investigate the association between patient-related factors and anticoagulation knowledge, and compare these results in patients taking warfarin and direct-acting oral anticoagulant (DOACs).Participants were recruited for an online survey via Facebook. Survey components included the Anticoagulation Knowledge Tool, the Perception of Anticoagulant Treatment Questionnaires (assessing treatment expectations, convenience and satisfaction), a modified Cancer Information Overload scale and the Morisky Medication Adherence Scale. Treatment groups were compared and predictors of OAC knowledge were identified.Participants taking warfarin had a higher knowledge score compared with those taking DOACs (n = 386, 73% ± 13% vs 66% ± 14%, P.001). Advancing age, type of OAC, health information overload and ease of OAC use (treatment expectation) were significant predictors of knowledge. Treatment expectation, including the belief that OAC treatment would cause bleeding side effects, varied significantly between participants taking warfarin and DOACs (P = .011).The study identified knowledge gaps in patients taking OACs, and these deficiencies appeared to be greater in participants taking DOACs. Knowledge assessment should be integrated into patient counselling sessions to help identify and resolve knowledge deficits.
Published: 2017

21. The relationship between knowledge, health literacy, and adherence among patients taking oral anticoagulants for stroke thromboprophylaxis in atrial fibrillation

Author: Kehinde O. Obamiro, Luke Bereznicki, Chanelle A Rolls, and Leanne Chalmers
Subjects: Male, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, medicine.drug_class, media_common.quotation_subject, General Practice, Psychological intervention, Administration, Oral, Health literacy, 030204 cardiovascular system & hematology, Literacy, Medication Adherence, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Atrial Fibrillation, medicine, Humans, Pharmacology (medical), 030212 general & internal medicine, Stroke, media_common, Aged, Pharmacology, Aged, 80 and over, business.industry, Anticoagulant, Warfarin, Anticoagulants, Atrial fibrillation, Thrombosis, General Medicine, Middle Aged, medicine.disease, Health Literacy, Cross-Sectional Studies, Physical therapy, Quality of Life, Female, Cardiology and Cardiovascular Medicine, business, medicine.drug
Abstract: Background Patients’ knowledge regarding their oral anticoagulant (OAC) treatment for stroke prevention in atrial fibrillation (AF), their level of medication adherence and health literacy are known to affect treatment outcomes. However, contemporary data regarding the relationships between these variables are lacking. Objective To investigate the relationships between anticoagulant knowledge, health literacy and self-reported adherence in patients taking warfarin and the directly acting oral anticoagulants. Methods A cross-sectional survey was conducted in 48 patients with AF identified from general practices. The Anticoagulation Knowledge Tool (AKT) was used to assess anticoagulation knowledge; the Short Test of Functional Health Literacy in Adults (s-TOHFLA) for health literacy; and the 8-item Morisky Medication Adherence Scale (MMAS) for medication adherence. Results Participants had mean scores of 61.6 ± 15.8, 7.2 ± 1.1 and 24.7 ± 9.5 for the AKT, MMAS-8 and s-TOHFLA, respectively. Significant correlations were observed between anticoagulation knowledge and health literacy with medication adherence (0.37, p
Published: 2017

22. Correction: Anticoagulation Knowledge Tool (AKT): Further evidence of validity in the Italian population

Author: Marco Moia, Arianna Magon, Federica Dellafiore, Kehinde O. Obamiro, Rosario Caruso, Tiziana Roveda, Cristina Arrigoni, and Paola Grimoldi
Subjects: Oncology, medicine.medical_specialty, Multidisciplinary, business.industry, 030503 health policy & services, Published Erratum, lcsh:R, MEDLINE, lcsh:Medicine, Italian population, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Medicine, lcsh:Q, 030212 general & internal medicine, lcsh:Science, 0305 other medical science, business, Protein kinase B
Abstract: [This corrects the article DOI: 10.1371/journal.pone.0201476.].
Published: 2018

23. A Summary of the Literature Evaluating Adherence and Persistence with Oral Anticoagulants in Atrial Fibrillation

Author: Kehinde O. Obamiro, Luke Bereznicki, and Leanne Chalmers
Subjects: medicine.medical_specialty, medicine.drug_class, Administration, Oral, 030204 cardiovascular system & hematology, Dabigatran, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Clinical Protocols, Edoxaban, Atrial Fibrillation, medicine, Humans, Pharmacology (medical), 030212 general & internal medicine, Intensive care medicine, Rivaroxaban, business.industry, Anticoagulant, Warfarin, Anticoagulants, Atrial fibrillation, General Medicine, medicine.disease, Discontinuation, Stroke, chemistry, Apixaban, Cardiology and Cardiovascular Medicine, business, medicine.drug
Abstract: Atrial fibrillation (AF) is a growing public health concern and remains an independent risk factor for ischemic stroke. Warfarin, a commonly used oral anticoagulant, is associated with a 60–70 % relative reduction in stroke risk and a reduction in mortality of 26 %. However, warfarin has several limitations, including a narrow therapeutic window, variable dose response, multiple interactions with other drugs and concurrent illnesses, and the need for frequent laboratory monitoring. In recent years, the direct acting oral anticoagulants (DOACs), including dabigatran, rivaroxaban, apixaban and edoxaban, have been developed to overcome the limitations of warfarin therapy. These treatment strategies are either comparable or superior to warfarin in stroke prevention in AF. Despite the documented effectiveness of oral anticoagulants in AF, patients may not derive optimal benefit if they fail to adhere or fail to continue with their medication. This may lead to treatment failure, increased hospitalization and mortality. This review summarizes the literature regarding adherence and persistence (or discontinuation) rates with oral anticoagulants in the management of AF; the impact of non-adherence and non-persistence on treatment outcomes; and the effectiveness of strategies to improve adherence and persistence with oral anticoagulant therapy.
Published: 2016

24. Anticoagulation Knowledge Tool (AKT): Further evidence of validity in the Italian population

Author: Kehinde O. Obamiro, Marco Moia, Arianna Magon, Rosario Caruso, Cristina Arrigoni, Paola Grimoldi, Federica Dellafiore, and Tiziana Roveda
Subjects: Male, European People, Research Validity, Health Knowledge, Attitudes, Practice, Vitamin K, Psychometrics, Anticoagulant Therapy, Health Care Providers, lcsh:Medicine, Social Sciences, Administration, Oral, Validity, 030204 cardiovascular system & hematology, Vascular Medicine, 0302 clinical medicine, Surveys and Questionnaires, Atrial Fibrillation, Medicine and Health Sciences, Content validity, Psychology, Ethnicities, Medicine, Electron Microscopy, 030212 general & internal medicine, lcsh:Science, Reliability (statistics), Aged, 80 and over, Microscopy, Multidisciplinary, Pharmaceutics, Research Assessment, Middle Aged, Italian People, Cardiovascular Therapy, Italy, Scale (social sciences), Female, Scanning Electron Microscopy, Arrhythmia, Research Article, Clinical psychology, Adult, Cross-Cultural Comparison, Cardiology, Research and Analysis Methods, 03 medical and health sciences, Drug Therapy, Cronbach's alpha, Thromboembolism, Post-hoc analysis, Humans, Aged, business.industry, Self-Management, lcsh:R, Biology and Life Sciences, Anticoagulants, Reproducibility of Results, Correction, Construct validity, Health Care, People and Places, lcsh:Q, Population Groupings, Factor Analysis, Statistical, business
Abstract: INTRODUCTION:Oral Anticoagulation therapy (OAC) is highly effective in the management of thromboembolic disorders. An adequate level of knowledge is important for self-management and optimizing clinical outcomes. The Anticoagulation Knowledge Tool (AKT) was developed to assess OAC knowledge and caters for both patients prescribed direct oral anticoagulants or vitamin K antagonist (VKA). However, evidence regarding its psychometric proprieties, validity and reliability are unavailable in non-English speaking settings. For this reason, the aim of this study is to provide further evidence of validity for AKT and also developing an Italian AKT version (I-AKT) supported by evidence of validity and reliability. METHODS:A multiphase study was conducted which included the following: cultural and linguistic validity; i.e. content validity; construct validity; reliability assessment. The Construct validity was performed using the contrasted group approach using three groups comprised of health care providers, patients and the general public. Furthermore, Exploratory Structural Equation Modelling (ESEM) was performed to confirm the mono-dimensional structure of the items in the AKT. RESULTS:In construct validity phase 334 participants were enrolled. One-way ANOVA and post hoc analysis test demonstrated significant differences between the means knowledge scores of the three groups: 30.42±3.04 vs 23.45± 4.57 vs14.32±6.07 (Statistic F = 266.83; p < .001). ESEM analysis demonstrates the I-AKT mono-dimensionally structure with an explained variance of 56.42%. The scale also showed both good internal consistency reliability (Cronbach's α = 0.896) and test-retest reliability (r = 0.855). CONCLUSION:This study developed and validated I-AKT with supporting evidence for validity and reliability. The study also confirms the mono-dimensional of the items in the AKT. This suggest that the instrument can be useful in non-English setting for knowledge assessment and in potentially developing patient education materials.
Published: 2018

25. The relationship between anticoagulation knowledge, health literacy, and medication adherence in patients with atrial fibrillation

Author: Kehinde O. Obamiro, Lre Bereznicki, Chanelle A Rolls, and Leanne Chalmers
Subjects: education.field_of_study, medicine.medical_specialty, business.industry, media_common.quotation_subject, Population, Pharmaceutical Science, Medication adherence, Atrial fibrillation, Health literacy, Regression analysis, Pharmacy, medicine.disease, Affect (psychology), Literacy, Internal medicine, Physical therapy, medicine, In patient, education, business, media_common
Abstract: Introduction: Atrial fibrillation (AF) is associated with significant morbidity, mortality and economic implications. Patients with AF are often prescribed anticoagulants for the prevention of cardioembolic stroke and other embolic events. Patients’ anticoagulation knowledge, level of medication adherence and health literacy are known to affect treatment outcomes. However, contemporary data regarding the relationships between these variables are lacking. Aims: The aim of this study was to determine the relationships between anticoagulation knowledge, health literacy and medication adherence, and to investigate if knowledge is affected by health literacy levels. Methods: A cross-sectional survey was conducted in 48 patients with AF identified from general practices. The Anticoagulation Knowledge Tool (AKT) was used to assess anticoagulation knowledge, the Short Test of Functional Health Literacy in Adults (s-TOHFLA) for health literacy and the 8-item Morisky Medication Adherence Scale (MMAS) for medication adherence. The relationships between study variables were assessed using Pearson’s correlation coefficient, t-tests and regression analysis. Result: Participants in the study had mean scores of 61.6±15.8 for the AKT, 7.2±1.1 for the MMAS-8, and 24.7±9.5 for the sTOHFLA. A significant correlation was observed between both anticoagulation knowledge and health literacy with medication adherence (0.45, p
Published: 2017

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25 results on '"Kehinde O. Obamiro"'

1. Global fertility in 204 countries and territories, 1950-2021, with forecasts to 2100: a comprehensive demographic analysis for the Global Burden of Disease Study 2021

2. The Pharmacy Community Apgar Questionnaire: a modified Delphi technique to develop a rural pharmacist recruitment and retention tool

3. Correction: Anticoagulation Knowledge Tool (AKT): Further evidence of validity in the Italian population.

4. Anticoagulation Knowledge Tool (AKT): Further evidence of validity in the Italian population.

5. Rural employment: A get‐go for recent nursing and allied health graduates?

6. Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis for the Global Burden of Disease Study 2020

7. Medication non-adherence in chronic kidney disease: a mixed-methods review and synthesis using the theoretical domains framework and the behavioural change wheel

8. Development and Validation of an Oral Anticoagulation Knowledge Tool (AKT).

9. Correction to: Factors contributing to the recruitment and retention of rural pharmacist workforce: a systematic review

10. Factors contributing to the recruitment and retention of rural pharmacist workforce: a systematic review

11. Review of the Health, Welfare and Care Workforce in Tasmania, Australia: 2011–2016

12. General practitioner perspectives on barriers and enablers to bowel cancer screening in rural Tasmania: A thematic analysis of face-to-face interviews

13. Strategies to increase the pharmacist workforce in rural and remote Australia: a scoping review

14. Assessment of quality and readability of internet-based health information related to commonly prescribed angiotensin receptor blockers

15. Like, comment, tag, share: Facebook interactions in health research

16. Adherence to Oral Anticoagulants in Atrial Fibrillation: An Australian Survey

17. Distribution and Location Stability of the Australian Ophthalmology Workforce: 2014–2019

18. Information overload in patients with atrial fibrillation: Can the cancer information overload (CIO) scale be used?

19. Anticoagulation Knowledge Tool (AKT): evidenze di validità ed affidabilità nella popolazione italiana

20. Anticoagulation knowledge in patients with atrial fibrillation: An Australian survey

21. The relationship between knowledge, health literacy, and adherence among patients taking oral anticoagulants for stroke thromboprophylaxis in atrial fibrillation

22. Correction: Anticoagulation Knowledge Tool (AKT): Further evidence of validity in the Italian population

23. A Summary of the Literature Evaluating Adherence and Persistence with Oral Anticoagulants in Atrial Fibrillation

24. Anticoagulation Knowledge Tool (AKT): Further evidence of validity in the Italian population

25. The relationship between anticoagulation knowledge, health literacy, and medication adherence in patients with atrial fibrillation

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