Brooke A Caruso
Datos Biográficos
| ID | 824442 |
|---|---|
| NOMBRE | Brooke A Caruso |
| NOMBRES | Brooke A |
| APELLIDO | Caruso |
| FIRMA | CARUSO B A |
| AFILIACIONES | Emory University |
| ORCID | 0000-0001-9738-9857 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAS | 49 |
| TOTAL COMO AUTOR | 43 |
| TOTAL COMO EDITOR | 2 |
| PRIMER AÑO DE PUBLICACIÓN | 1993 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Navigating menstruation in adolescents with Down Syndrome
Adolescents with Down syndrome face unique menstrual health challenges, yet their experiences remain under-researched. This study aimed to investigate the menstrual health and wellbeing of adolescents with Down syndrome in the UK, examined primarily through the reflective lens of primary caregivers alongside direct accounts from adolescents, to inform the development of tailored, evidence-based interventions for this population. Guided by an advi…
‘Everything depends on us’
A pre-post pilot study with and without subsidy to promote improved backyard poultry-raising practices to reduce exposure to poultry and poultry feces in rural Bangladesh
Backyard poultry raising is common in rural Bangladesh and many households keep their poultry inside their houses at night. Compared to keeping poultry outside in sheds at night, this practice likely elevates children’s exposure to poultry and poultry feces and associated enteric pathogens. We conducted a two-arm (subsidy and non-subsidy) pre-post pilot study. Households in both arms received the behavior change communication and counseling inter…
Sanitation-related empowerment resources are associated with women's well-being, anxiety, and depression
Recent research has identified linkages between women's sanitation experiences, like safety and privacy, and their mental health. Our study examined associations between sanitation-related empowerment resources (Bodily Integrity, Safety and Security, Privacy, and Time) and mental health outcomes (well-being, depression, and anxiety). We conducted a secondary analysis of cross-sectional data collected in 2021–2022 from household surveys of women i…
Behavioural factors influencing hand hygiene practices across domestic, institutional and public community settings
INTRODUCTION: This systematic review sought to understand barriers and enablers to hand hygiene in community settings. METHODS: Eligible studies addressed hand hygiene in a community setting, included a qualitative component, and were published in English between 1 January 1980 and 29 March 2023. Studies were excluded if in healthcare settings or were animal research. We searched PubMed, Web of Science, EMBASE, CINAHL, Global Health, Cochrane Lib…
We have the evidence but governments must now build the systems to deliver on hand hygiene
Featured VideoDisclaimer: this video summarises a scientific article published by BMJ Publishing Group Limited (BMJ)
Minimum material requirements for hand hygiene in community settings
BACKGROUND: This systematic review assessed the minimum requirements necessary to create an enabling environment for sustained hand hygiene practices: quantity of water and soap, and number, spacing, location, and design of hand hygiene facilities. METHODS: We searched PubMed, Web of Science, EMBASE, CINAHL, Global Health, Cochrane Library, Global Index Medicus, Scopus, PAIS Index, WHO IRIS, UN Digital Library and World Bank eLibrary, and consult…
Efficacy and effectiveness of hand hygiene-related practices used in community settings for removal of organisms from hands
Background This systematic review collected and synthesised evidence on the efficacy and effectiveness of commonly used hand hygiene materials and methods for removing or inactivating pathogens on hands in community settings. The evidence was generated to support the development of the WHO Guidelines for Hand Hygiene in Community Settings. Methods We searched PubMed, Web of Science, EMBASE, CINAHL, Global Health, Cochrane Library, Global Index Me…
Effectiveness of measures taken by governments to support hand hygiene in community settings
INTRODUCTION: This systematic review aimed to identify and evaluate the implementation of government measures that support equitable and sustained hand hygiene practices in community settings. METHODS: We systematically searched 12 databases, including PubMed, Web of Science, EMBASE, CINAHL, Global Health, Cochrane Library, Global Index Medicus, Scopus, PAIS Index, WHO IRIS, UN Digital Library and World Bank eLibrary for peer-reviewed and grey li…
Interventions to improve hand hygiene in community settings
INTRODUCTION: This systematic review identified and examined the theories, barriers and enablers, behaviour change techniques (BCTs), and design features of interventions that have been leveraged to improve and sustain hand hygiene in community settings. It was conducted to support the development of the WHO Guidelines for Hand Hygiene in Community Settings. METHODS: We searched PubMed, Web of Science, EMBASE, CINAHL, Global Health, Cochrane Libr…
Gender equality and quality of life must be central to the design and delivery of sanitation
box Sanitation is critical to improving quality of life and gender equality
Women’s experiences collecting and accessing water in Guatemala, Honduras, Kenya, and Zimbabwe
1.8 billion people live in households that collect water from sources off household premises, creating burdens that disproportionately affect women. A current and comprehensive investigation of women’s water collection experiences is needed to understand their burden of this labor. This study used mixed methods, including (a) go-along, in-depth interviews (IDIs), (b) semi-structured observation, (c) activity-tracking smart watches, and (d) scales…
Women's Health and Empowerment for Sustainable Development
This paper aims to explore a research gap at the intersection of public health and empowerment literatures concerned with women's health‐related sanitation experiences and their sanitation‐specific agency. We shift focus from prevalent scholarly engagement with women's wellbeing as an outcome of their agency by asking an unexplored question in the opposite direction: what is the association between women's physical and mental health‐related sanit…
The association between women's decision-making roles in sanitation and mental well-being in urban Bangladesh
Heavy menstrual bleeding and association with menstruation-specific resources
Heavy menstrual bleeding (HMB), clinically defined as excessive menstrual blood loss which interferes with a woman's physical, emotional, social, and/or material quality of life, is a highly prevalent yet understudied global health problem. This cross-sectional study examines associations between HMB and menstruation-related resources, to understand factors that may contribute to HMB. We conducted secondary analyses of household survey data colle…
Knowledge, attitudes, and support of women's menstrual experiences
Multilevel factors drive child exposure to enteric pathogens in animal feces
Exposure to animal feces and associated enteric pathogens poses significant risks to child health. However, public health strategies to mitigate enteric infections among children largely aim to reduce exposure to human feces, overlooking transmission pathways related to animal feces. In this study we examine if and how children are exposed to enteric pathogens in animal feces in northwestern coastal Ecuador. We conducted qualitative interviews wi…
The development and validation of a survey to measure fecal-oral child exposure to zoonotic enteropathogens
Child exposure to animal feces and associated enteropathogens contribute to a significant burden of disease in low- and middle-income countries. However, there are no standardized, validated survey-based approaches to enable accurate assessment of child exposure to zoonotic enteropathogens. We developed and validated a survey-based measure of exposure, the fecal-oral child exposure to zoonotic enteropathogens Index (the FECEZ Enteropathogens Inde…
Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania
Globally, increasing rates of facility-based childbirth enable early intervention for small vulnerable newborns. We describe health system-level inputs, current feeding, and discharge practices for moderately low birthweight (MLBW) infants (1500- 10% less than their birthweight; 18.8% of infants were discharged with weights below facility-specific policy [1800g in India, 1500g in Malawi, and 2000g in Tanzania]. Based on descriptive analysis, we f…
Safe infant feeding in healthcare facilities
Infants need to receive care in environments that limit their exposure to pathogens. Inadequate water, sanitation, and hygiene (WASH) environments and suboptimal infection prevention and control practices in healthcare settings contribute to the burden of healthcare-associated infections, which are particularly high in low-income settings. Specific research is needed to understand infant feeding preparation in healthcare settings, a task involvin…
Research priorities for improving menstrual health across the life-course in low- and middle-income countries
BACKGROUND: Research on menstrual health is required to understand menstrual needs and generate solutions to improve health, wellbeing, and productivity. The identification of research priorities will help inform where to invest efforts and resources. OBJECTIVES: To identify research priorities for menstrual health across the life-course, in consultation with a range of stakeholder groups from a variety of geographic regions, and to identify if m…
The Agency, Resources, and Institutional Structures for Sanitation-related Empowerment (Arise) Scales
Sustainable Development Goal 6 aims to ensure access to water and sanitation for all, and target 6.2 emphasizes "paying special attention to the needs of women and girls". Research documenting how water, sanitation and hygiene (WASH) conditions impact women's and girls' lives is growing. However, no rigorously validated survey instruments exist for measuring empowerment within the WASH sector. The objective of our study was to develop and validat…
The impact of a demand-side sanitation and hygiene promotion intervention on sustained behavior change and health in Amhara, Ethiopia
Behaviors related to water, sanitation, and hygiene (WASH) are key drivers of infectious disease transmission, and experiences of WASH are potential influencers of mental well-being. Important knowledge gaps exist related to the content and delivery of effective WASH programs and their associated health impacts, particularly within the contexts of government programs implemented at scale. We developed and tested a demand-side intervention called …
Determinants of food preparation and hygiene practices among caregivers of children under two in Western Kenya
Food hygiene is an underexplored, but potentially critical, behavior to mitigate fecal pathogen exposure for young children. Our study revealed several knowledge and opportunity barriers that could be integrated into interventions to enhance food hygiene
How addressing menstrual health and hygiene may enable progress across the Sustainable Development Goals
There is increasing global attention to the importance of menstrual health and hygiene (MHH) for the lives of those who menstruate and gender equality. Yet, the global development community, which focuses on issues ranging from gender to climate change to health, is overdue to draw attention to how addressing MHH may enable progress in attaining the Sustainable Development Goals (SDGs). To address this gap, we undertook a collective exercise to h…
Sanitation-related psychosocial stress
While sanitation interventions have focused primarily on child health, women's unique health risks from inadequate sanitation are gaining recognition as a priority issue. This study examines the range of sanitation-related psychosocial stressors during routine sanitation practices in Odisha, India. Between August 2013 and March 2014, we conducted in-depth interviews with 56 women in four life stages: adolescent, newly married, pregnant and establ…
Physical, Social, and Political Inequities Constraining Girls’ Menstrual Management at Schools in Informal Settlements of Nairobi, Kenya
Access to adequate water and sanitation is limited in informal settlements, contributing to girls' challenges managing menstruation at school, especially when they cannot access materials to absorb menstrual blood and appropriate facilities for hygiene. This study documents differences between girls' experience of menstruation at public schools (where the Kenyan government provides menstrual pads) and private schools (where pads are not provided)…
Partner Incarceration and African-American Women’s Sexual Relationships and Risk
The Agency, Resources, and Institutional Structures for Sanitation-related Empowerment (Arise) Scales
Sustainable Development Goal 6 aims to ensure access to water and sanitation for all, and target 6.2 emphasizes "paying special attention to the needs of women and girls". Research documenting how water, sanitation and hygiene (WASH) conditions impact women's and girls' lives is growing. However, no rigorously validated survey instruments exist for measuring empowerment within the WASH sector. The objective of our study was to develop and validat…
The Mexican Spy Company
Maternal behavior and experience, care access, and agency as determinants of child diarrhea in Bolivia
High levels of agency have a significant protective effect even when controlling for other factors. Increasing maternal agency could have a positive impact on child health in Bolivia, and future work should aim to understand what accounts for different levels of agency and how it may be strengthened
'The girl with her period is the one to hang her head' Reflections on menstrual management among schoolgirls in rural Kenya
BACKGROUND: The onset of menstruation is a landmark event in the life of a young woman. Yet the complications and challenges that can accompany such an event have been understudied, specifically in resource-poor settings. As interventions aim to improve female attendance in schools, it is important to explore how menstruation is perceived and navigated by girls in the school setting. This research conveys rural Kenyan schoolgirls' perceptions and…
Factors Associated With Pupil Toilet Use in Kenyan Primary Schools
The purpose of this study was to quantify how school sanitation conditions are associated with pupils' use of sanitation facilities. We conducted a longitudinal assessment in 60 primary schools in Nyanza Province, Kenya, using structured observations to measure facility conditions and pupils' use at specific facilities. We used multivariable mixed regression models to characterize how pupil to toilet ratio was associated with toilet use at the sc…
Partner Incarceration and African-American Women’s Sexual Relationships and Risk
Sanitation-related psychosocial stress
While sanitation interventions have focused primarily on child health, women's unique health risks from inadequate sanitation are gaining recognition as a priority issue. This study examines the range of sanitation-related psychosocial stressors during routine sanitation practices in Odisha, India. Between August 2013 and March 2014, we conducted in-depth interviews with 56 women in four life stages: adolescent, newly married, pregnant and establ…
A Time for Global Action
There is an absence of guidance, facilities, and materials for schoolgirls to manage their menstruation in low-and middle-income countries (LMICs).
Menstrual hygiene management among adolescent schoolgirls in low- and middle-income countries
BACKGROUND: A lack of adequate guidance on menstrual management; water, disposal, and private changing facilities; and sanitary hygiene materials in low- and middle-income countries leaves schoolgirls with limited options for healthy personal hygiene during monthly menses. While a plethora of observational studies have described how menstrual hygiene management (MHM) barriers in school impact girls' dignity, well-being, and engagement in school a…
Assessing Women’s Negative Sanitation Experiences and Concerns
Lack of access to acceptable sanitation facilities can expose individuals, particularly women, to physical, social, and mental health risks. While some of the challenges have been documented, standard metrics are needed to determine the extent to which women have urination- and defecation-related concerns and negative experiences. Such metrics also are needed to assess the effectiveness of interventions to mitigate them. We developed a sanitation…
Physical, Social, and Political Inequities Constraining Girls’ Menstrual Management at Schools in Informal Settlements of Nairobi, Kenya
Access to adequate water and sanitation is limited in informal settlements, contributing to girls' challenges managing menstruation at school, especially when they cannot access materials to absorb menstrual blood and appropriate facilities for hygiene. This study documents differences between girls' experience of menstruation at public schools (where the Kenyan government provides menstrual pads) and private schools (where pads are not provided)…
The association between women's sanitation experiences and mental health
Emerging qualitative research suggests women's sanitation experiences may impact mental health. However, specific associations remain unclear. We aimed to determine if sanitation access and sanitation experiences were associated with mental health among women in rural Odisha, India. Using a cross-sectional design, we evaluated the association between sanitation access and sanitation experiences and selected mental health outcomes. Data were colle…
Collective Efficacy
Impact evaluations of water, sanitation, and hygiene interventions have demonstrated lower than expected health gains, in some cases due to low uptake and sustained adoption of interventions at a community level. These findings represent common challenges for public health and development programmes relying on collective action. One possible explanation may be low collective efficacy (CE)-perceptions regarding a group's ability to execute actions…
Development and Application of Novel Caregiver Hygiene Behavior Measures Relating to Food Preparation, Handwashing, and Play Environments in Rural Kenya
Exposure to fecal pathogens results in both acute and chronic sequalae in young children. Diarrhea causes nearly 20% of all under-five mortality, while even sub-clinical enteric infections may lead to growth shortfalls. Stunting affects nearly 165 million children globally and results in lifelong and intergenerational effects for the world's poorest populations. Caregiver hygiene behaviors, such as those surrounding handwashing and food preparati…
Exploring the relationship between sanitation and mental and social well-being
New Directions for Assessing Menstrual Hygiene Management (MHM) in Schools
Design of a parallel cluster-randomized trial assessing the impact of a demand-side sanitation and hygiene intervention on sustained behavior change and mental well-being in rural and peri-urban Amhar…
This trial was registered with clinicaltrials.gov ( NCT03075436 ) on March 9, 2017
A cluster-randomized multi-level intervention to increase latrine use and safe disposal of child feces in rural Odisha, India
This trial is registered at clinicaltrials.gov: NCT03274245
Impact of a demand-side integrated Wash and nutrition community-based care group intervention on behavioural change
INTRODUCTION: Growth shortfalls and diarrhoeal diseases remain a major cause of morbidity and mortality in low-income settings. Due to the multifaceted causes of undernutrition and the identified limitations of siloed nutrition programmes, improving the delivery of integrated water, sanitation, hygiene (WASH) and nutrition programming could improve child health. METHODS: We conducted a cluster randomised trial in western Kenya to assess the impac…
Community Perceptions of a Multilevel Sanitation Behavior Change Intervention in Rural Odisha, India
While latrine coverage is increasing in India, not all household members use their latrines. Cost-effective, culturally appropriate, and theory-informed behavior change interventions are necessary to encourage sustained latrine use by all household members. We qualitatively examined community perceptions of sanitation interventions broadly, along with specific impressions and spillover of community-level activities of the Sundara Grama latrine us…
Assessing Women’s Menstruation Concerns and Experiences in Rural India
Qualitative research has documented menstruator's challenges, particularly in water and sanitation poor environments, but quantitative assessment is limited. We created and validated a culturally-grounded measure of Menstrual Insecurity to assess women's menstruation-related concerns and negative experiences. With cross-sectional data from 878 menstruating women in rural Odisha, India, we carried out Exploratory (EFA) and Confirmatory (CFA) Facto…
How addressing menstrual health and hygiene may enable progress across the Sustainable Development Goals
There is increasing global attention to the importance of menstrual health and hygiene (MHH) for the lives of those who menstruate and gender equality. Yet, the global development community, which focuses on issues ranging from gender to climate change to health, is overdue to draw attention to how addressing MHH may enable progress in attaining the Sustainable Development Goals (SDGs). To address this gap, we undertook a collective exercise to h…
The impact of a demand-side sanitation and hygiene promotion intervention on sustained behavior change and health in Amhara, Ethiopia
Behaviors related to water, sanitation, and hygiene (WASH) are key drivers of infectious disease transmission, and experiences of WASH are potential influencers of mental well-being. Important knowledge gaps exist related to the content and delivery of effective WASH programs and their associated health impacts, particularly within the contexts of government programs implemented at scale. We developed and tested a demand-side intervention called …
Determinants of food preparation and hygiene practices among caregivers of children under two in Western Kenya
Food hygiene is an underexplored, but potentially critical, behavior to mitigate fecal pathogen exposure for young children. Our study revealed several knowledge and opportunity barriers that could be integrated into interventions to enhance food hygiene
Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania
Globally, increasing rates of facility-based childbirth enable early intervention for small vulnerable newborns. We describe health system-level inputs, current feeding, and discharge practices for moderately low birthweight (MLBW) infants (1500- 10% less than their birthweight; 18.8% of infants were discharged with weights below facility-specific policy [1800g in India, 1500g in Malawi, and 2000g in Tanzania]. Based on descriptive analysis, we f…
Safe infant feeding in healthcare facilities
Infants need to receive care in environments that limit their exposure to pathogens. Inadequate water, sanitation, and hygiene (WASH) environments and suboptimal infection prevention and control practices in healthcare settings contribute to the burden of healthcare-associated infections, which are particularly high in low-income settings. Specific research is needed to understand infant feeding preparation in healthcare settings, a task involvin…
Medicine (30 obras) · Child Nutrition and Water Access (27 obras) · Environmental health (24 obras) · Sanitation (19 obras) · Hygiene (16 obras) · Psychology (16 obras) · Poverty, Education, and Child Welfare (15 obras) · Public health (13 obras) · Sociology (12 obras) · Geography (11 obras)