European journal of public health
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Eur J Public Health · Apr 2010
Nursing home policies regarding advance care planning in Flanders, Belgium.
The aim of this study is to discover how many nursing homes (NHs) in Flanders (Belgium) have policies on advance care planning (ACP) and their content regarding different medical end-of-life decisions. ⋯ By the end of 2006, almost all NHs in Flanders (Belgium) had an ACP policy. The implementation of ACP policies in Flemish NHs lagged behind other countries, but has developed rapidly since 2000. However, some NHs appear to ban some end-of-life options which are actually legal in Belgium. Further research is needed to investigate whether ACP policies have much impact on the quality of end-of-life care in NHs.
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Eur J Public Health · Apr 2010
Correlates of intensive alcohol and drug use in men who have sex with men in Catalonia, Spain.
The objectives of the study were to determine the prevalence of alcohol and drug use before or during sex among men who have sex with men (MSM) in Catalonia during 2006, and to identify factors associated with variables of intensive alcohol and drug use. ⋯ The high percentage of MSM who use alcohol and drugs before and during sex and association between these substances and sexual risk behaviours reveals the need to intensify interventions to reduce their levels of use and/or to reduce the associated damage and risks. These programs must try to cover MSM-specific psychosocial aspects and include prevention for HIV-positive men.
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Eur J Public Health · Oct 2009
Fear of racism, employment and expected organizational racism: their association with health.
Racism has been argued to be a focal element of larger societal inequalities which generate ethnic health disparities. Despite suggestions that socio-demographic characteristics of the victim may influence the impact of racism on health, little is known in the United Kingdom about how self-reported experiences of racism vary by socio-demographic characteristics, whether racism contributes to ethnic differences in health and whether there is a differential association between racism and health for certain socio-demographic groups. ⋯ This study highlights variations in the types of racial discrimination most commonly reported across different socio-demographic characteristics. Despite substantial differences in the experience of racial discrimination, the detrimental impact of racism on health was the same across socio-demographic groups.