Celia L Gregson
Datos Biográficos
| ID | 6887917 |
|---|---|
| NOMBRE | Celia L Gregson |
| NOMBRES | Celia L |
| APELLIDO | Gregson |
| FIRMA | GREGSON C L |
| AFILIACIONES | University of Bristol |
| ORCID | 0000-0001-6414-0529 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2020 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Multimorbidity and health-related quality of life after tuberculosis treatment in Zimbabwe
Chronic conditions both drive development of and are consequences of tuberculosis (TB). While there is growing awareness of chronic lung disease, data on other health conditions post-TB are limited. In this cross-sectional study in Zimbabwe, we offered adults with pulmonary TB an integrated health check at or after treatment completion, assessing uptake and yield. Members of the same households were also offered the intervention. Selecting househ…
Understanding factors that impact patient access and engagement with biomedical and traditional care for hip fractures in The Gambia
Across Africa, the average age of the population is increasing, leading to a rise in health challenges such as hip fractures. Surgical fixation is the standard of care for hip fracture in older adults. In The Gambia, traditional bone setters (TBS) remain an important source of fracture care, though concerns exist regarding complications. In resource-constrained settings, system constraints may also result in post-operative complications. Currentl…
Traditional bone setter practices and the interaction with biomedical care in the treatment of hip fractures in The Gambia
A growing ageing population in Africa underscores the need to reorient health systems to provide care for non-communicable conditions impacting older populations such as hip fractures. In The Gambia, the number of hip fractures are expected to quadruple for both men and women in the next 30 years. This is comparable to hip fracture incidence rates in other South and West African countries. Moreover, mortality rates post-hip fracture are 2–3 fold …
Hip fracture care in Africa
[No abstract]
Measuring wealth for health research in rural and urban settings in three African countries
Wealth indices enable socioeconomic status measurement: however, their reliability, validity and data collection and computation efficiency can be improved. This analysis aimed to generate four wealth indices in five geographical settings (rural and urban Gambia, rural and urban South Africa and urban Zimbabwe), to compare and validate these indices and formulate recommendations for wealth measurement in Africa. Population-based cross-sectional d…
Age- and sex-specific incidence rates and future projections for hip fractures in Zimbabwe
INTRODUCTION: Population ageing in Africa is increasing healthcare demands. Hip fractures require multidisciplinary care and are considered an indicator condition for age-related health services. We aimed to estimate current hip fracture incidence in Zimbabwe, compare rates against other regional estimates and estimate future fracture numbers. METHODS: All hip fracture cases in adults aged ≥40 years, presenting to any hospital in Harare over 2 ye…
Infectious diseases burden and antibiotic prescribing patterns among primary care patients in Harare, Zimbabwe – a cross-sectional analysis
Low- and middle-income countries (LMIC) continue to experience a high burden of infectious diseases and disparities in access to and use of antimicrobials, yet data on antibiotic prescribing in outpatient settings, where the majority of global prescriptions occur, remain scarce. The objective of this study is to provide data on diagnoses and antibiotic prescriptions among primary care patients in Harare, Zimbabwe. We conducted a retrospective stu…
Challenges to fracture service availability and readiness provided by allopathic and traditional health providers
Background: Populations in Africa are ageing, hence the number of age-related fragility fractures, including hip fractures, is rising. Hip fractures are an indicator condition for older adult health provision, as they require a multifaceted pathway of care. To enable health service planning, detailed national-level understanding of current fracture service provision is needed. Methods: The WHO Service Availability & Readiness Assessment survey wa…
Hospital referral patterns amongst older adults in Zimbabwe
Over the coming decades Africa is projected to undergo a significant demographic shift towards an older population. Healthcare provision for older adults is made more complex by age-related multimorbidity and frailty, which contribute to older adults more frequently requiring intensive, hospital-based treatment than those in younger age groups. We investigate age and sex-stratified, diagnosis-specific hospital referral patterns in Harare, Zimbabw…
Interdisciplinary perspectives on multimorbidity in Africa
Multimorbidity is an emerging challenge for health systems globally. It is commonly defined as the co-occurrence of two or more chronic conditions in one person, but its meaning remains a lively area of academic debate, and the utility of the concept beyond high-income settings is uncertain. This article presents the findings from an interdisciplinary research initiative that drew together 60 academic and applied partners working in 10 African co…
Methods for measuring body composition in Zambian adolescents living with HIV
Assessment of body composition can be useful in managing many clinical or public health conditions, including HIV. Most people living with HIV infection are in Africa where clinics may lack equipment, utilities or staff time for optimal body composition assessment. Thus, it is important to determine whether less expensive and more available and scalable methods can provide adequate information. We estimated body composition of 420 perinatally HIV…
Evaluation of a comprehensive health check offered to frontline health workers in Zimbabwe
Health workers are essential for a functioning healthcare system, and their own health is often not addressed. During the COVID-19 pandemic health workers were at high risk of SARS-CoV-2 infection whilst coping with increased healthcare demand. Here we report the development, implementation, and uptake of an integrated health check combining SARS-CoV-2 testing with screening for other communicable and non-communicable diseases for health workers …
Prevalence of chronic conditions and multimorbidity among healthcare workers in Zimbabwe
The burden of non-communicable diseases (NCDs) in southern Africa is expanding and is superimposed on high HIV prevalence. Healthcare workers are a scarce resource; yet are vital to health systems. There are very limited studies on the burden of chronic conditions among healthcare workers in Africa, and none exploring multimorbidity (≥2 chronic conditions). We describe the epidemiology of infectious (HIV) and non-communicable chronic conditions, …
Improving Experiences of the Menopause for Women in Zimbabwe and South Africa
Women in sub-Saharan Africa report multiple impacts of menopause on daily life and have requested further information to support themselves. This study co-produced contextually relevant resources—booklets and poster—about menopause with women in Zimbabwe and South Africa. The study was conducted in four stages: interviews with women about the menopause; the development of prototype information resources; workshops with women to discuss country-sp…
Age at puberty and accelerometer-measured physical activity
We found a positive association between puberty timing and PA in females which weakened at older ages and limited evidence of an association at any age in males
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Age at puberty and accelerometer-measured physical activity
We found a positive association between puberty timing and PA in females which weakened at older ages and limited evidence of an association at any age in males
Improving Experiences of the Menopause for Women in Zimbabwe and South Africa
Women in sub-Saharan Africa report multiple impacts of menopause on daily life and have requested further information to support themselves. This study co-produced contextually relevant resources—booklets and poster—about menopause with women in Zimbabwe and South Africa. The study was conducted in four stages: interviews with women about the menopause; the development of prototype information resources; workshops with women to discuss country-sp…
Interdisciplinary perspectives on multimorbidity in Africa
Multimorbidity is an emerging challenge for health systems globally. It is commonly defined as the co-occurrence of two or more chronic conditions in one person, but its meaning remains a lively area of academic debate, and the utility of the concept beyond high-income settings is uncertain. This article presents the findings from an interdisciplinary research initiative that drew together 60 academic and applied partners working in 10 African co…
Methods for measuring body composition in Zambian adolescents living with HIV
Assessment of body composition can be useful in managing many clinical or public health conditions, including HIV. Most people living with HIV infection are in Africa where clinics may lack equipment, utilities or staff time for optimal body composition assessment. Thus, it is important to determine whether less expensive and more available and scalable methods can provide adequate information. We estimated body composition of 420 perinatally HIV…
Evaluation of a comprehensive health check offered to frontline health workers in Zimbabwe
Health workers are essential for a functioning healthcare system, and their own health is often not addressed. During the COVID-19 pandemic health workers were at high risk of SARS-CoV-2 infection whilst coping with increased healthcare demand. Here we report the development, implementation, and uptake of an integrated health check combining SARS-CoV-2 testing with screening for other communicable and non-communicable diseases for health workers …
Prevalence of chronic conditions and multimorbidity among healthcare workers in Zimbabwe
The burden of non-communicable diseases (NCDs) in southern Africa is expanding and is superimposed on high HIV prevalence. Healthcare workers are a scarce resource; yet are vital to health systems. There are very limited studies on the burden of chronic conditions among healthcare workers in Africa, and none exploring multimorbidity (≥2 chronic conditions). We describe the epidemiology of infectious (HIV) and non-communicable chronic conditions, …
Age- and sex-specific incidence rates and future projections for hip fractures in Zimbabwe
INTRODUCTION: Population ageing in Africa is increasing healthcare demands. Hip fractures require multidisciplinary care and are considered an indicator condition for age-related health services. We aimed to estimate current hip fracture incidence in Zimbabwe, compare rates against other regional estimates and estimate future fracture numbers. METHODS: All hip fracture cases in adults aged ≥40 years, presenting to any hospital in Harare over 2 ye…
Infectious diseases burden and antibiotic prescribing patterns among primary care patients in Harare, Zimbabwe – a cross-sectional analysis
Low- and middle-income countries (LMIC) continue to experience a high burden of infectious diseases and disparities in access to and use of antimicrobials, yet data on antibiotic prescribing in outpatient settings, where the majority of global prescriptions occur, remain scarce. The objective of this study is to provide data on diagnoses and antibiotic prescriptions among primary care patients in Harare, Zimbabwe. We conducted a retrospective stu…
Challenges to fracture service availability and readiness provided by allopathic and traditional health providers
Background: Populations in Africa are ageing, hence the number of age-related fragility fractures, including hip fractures, is rising. Hip fractures are an indicator condition for older adult health provision, as they require a multifaceted pathway of care. To enable health service planning, detailed national-level understanding of current fracture service provision is needed. Methods: The WHO Service Availability & Readiness Assessment survey wa…
Hospital referral patterns amongst older adults in Zimbabwe
Over the coming decades Africa is projected to undergo a significant demographic shift towards an older population. Healthcare provision for older adults is made more complex by age-related multimorbidity and frailty, which contribute to older adults more frequently requiring intensive, hospital-based treatment than those in younger age groups. We investigate age and sex-stratified, diagnosis-specific hospital referral patterns in Harare, Zimbabw…
Multimorbidity and health-related quality of life after tuberculosis treatment in Zimbabwe
Chronic conditions both drive development of and are consequences of tuberculosis (TB). While there is growing awareness of chronic lung disease, data on other health conditions post-TB are limited. In this cross-sectional study in Zimbabwe, we offered adults with pulmonary TB an integrated health check at or after treatment completion, assessing uptake and yield. Members of the same households were also offered the intervention. Selecting househ…
Understanding factors that impact patient access and engagement with biomedical and traditional care for hip fractures in The Gambia
Across Africa, the average age of the population is increasing, leading to a rise in health challenges such as hip fractures. Surgical fixation is the standard of care for hip fracture in older adults. In The Gambia, traditional bone setters (TBS) remain an important source of fracture care, though concerns exist regarding complications. In resource-constrained settings, system constraints may also result in post-operative complications. Currentl…
Traditional bone setter practices and the interaction with biomedical care in the treatment of hip fractures in The Gambia
A growing ageing population in Africa underscores the need to reorient health systems to provide care for non-communicable conditions impacting older populations such as hip fractures. In The Gambia, the number of hip fractures are expected to quadruple for both men and women in the next 30 years. This is comparable to hip fracture incidence rates in other South and West African countries. Moreover, mortality rates post-hip fracture are 2–3 fold …
Hip fracture care in Africa
[No abstract]
Measuring wealth for health research in rural and urban settings in three African countries
Wealth indices enable socioeconomic status measurement: however, their reliability, validity and data collection and computation efficiency can be improved. This analysis aimed to generate four wealth indices in five geographical settings (rural and urban Gambia, rural and urban South Africa and urban Zimbabwe), to compare and validate these indices and formulate recommendations for wealth measurement in Africa. Population-based cross-sectional d…
Medicine (9 obras) · Environmental health (7 obras) · Population (7 obras) · Hip and Femur Fractures (5 obras) · Internal Medicine (5 obras) · Bone health and osteoporosis research (4 obras) · Gerontology (4 obras) · Health care (4 obras) · Public health (4 obras) · Chronic Disease Management Strategies (3 obras)