J Jaime Miranda
Dados Biográficos
| ID | 102660 |
|---|---|
| NOME | J Jaime Miranda |
| PRENOMES | J Jaime |
| SOBRENOME | Miranda |
| ASSINATURA | MIRANDA J J |
| AFILIAÇÕES | Universidad Peruana Cayetano Heredia |
| ORCID | 0000-0002-4738-5468 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 150 |
| TOTAL DE CITAÇÕES | 71 |
| TOTAL COMO AUTOR | 150 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Association between neighborhood social cohesion and depressive symptoms
Rethinking and transforming health systems for dementia care in low- and middle-income country settings
Understanding how digital mental health interventions can be optimised to improve longer term sustainability
Two CONEMO trials in Lima, Peru and São Paulo, Brazil evaluated a digital mental health intervention (DMHI) based on behavioural activation (BA), that demonstrated improved symptoms of depression at three, but not six-months. To understand how we can optimize features of the DMHI to improve outcomes for longer-term effectiveness and eventually scale-up, we investigated mediators through which the intervention improved symptoms of depression, sepa…
Associations between social and built environments and cardiovascular disease mortality across 342 Latin American cities
Background: Latin American cities have heterogeneous mortality and urban environment profiles. We aim to describe the variability in cardiovascular disease (CVD) mortality across and within cities, and within and between Latin American countries, and investigate the associations between urban environmental features and CVD mortality in these areas. Methods: Using harmonised data from the Salud Urbana en América Latina (i.e. Urban Health in Latin …
Association Between Relative Leg Length and Insulin Resistance in Rural, Urban and Rural–Urban Migrant Populations of Peru
OBJECTIVE: To determine the association between relative leg length and insulin resistance according to rural, urban, and rural-urban migrant groups. METHODS: Cross-sectional study using data from the PERU MIGRANT study (2007-2008). The exposure was relative leg length categorized as short, normal, or long, and the outcome was insulin resistance (logarithm of homeostatic model assessment log-HOMA2-IR). Linear regression models with log transforma…
Urban and socioeconomic disparities in PM 2.5 exposure across 340 Latin American cities
Background. Fine particulate matter (PM 2.5 ) is a leading global health risk. Latin American cities exhibit some of the world's highest urban PM 2.5 levels, yet studies of neighborhood-level PM 2.5 exposure and associated disparities in the region are limited. Methods. We conducted a cross-sectional ecological analysis of 53 041 neighborhoods across 340 cities in eight Latin American countries, leveraging the Salud Urbana en America Latina study…
Impacto Da Tuberculose Na População Carcerária
A saúde é um direito social do ser humano previsto na constituição Federal de 1988, no entanto, essa premissa é rompida, uma vez que, a falta de estrutura e as condições precárias dos presídios expõem os presos a diversos riscos, como a alta incidência de doenças respiratórias com destaque a Tuberculose sendo caracterizada por uma doença infecciosa e transmissível provocada pelo bacilo de Koch acometendo o pulmão e outros órgãos como rins, ossos …
Worldwide trends in underweight and obesity from 1990 to 2022
BACKGROUND: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. METHODS: ). For school-aged children and adolescents, we report thinness (BMI 2 SD above the median). FINDINGS: From 1990 to 20…
Core outcome sets for trials of interventions to prevent and to treat multimorbidity in adults in low and middle-income countries
INTRODUCTION: The burden of multimorbidity is recognised increasingly in low- and middle-income countries (LMICs), creating a strong emphasis on the need for effective evidence-based interventions. Core outcome sets (COS) appropriate for the study of multimorbidity in LMICs do not presently exist. These are required to standardise reporting and contribute to a consistent and cohesive evidence-base to inform policy and practice. We describe the de…
Minimal computing in refugee education in Uganda
Using the Foundations for All (FFA) project as a frame for broader discussions of minimal computing, this paper expores education for displaced populations in Uganda and the role technology has in that education. FFA (2018–2022) was a collaboration designed to develop and implement a blended bridging programme for refugee students to participate in universities in Uganda. This paper explores the role that digital technologies had to play in this …
Indigenous knowledge and leadership for climate change adaptation in nutrition
Recall, understanding, use, and impact of front-of-package warning labels on ultra-processed foods
In its efforts to reduce increasing rates of obesity and nutrition-related noncommunicable diseases, Peru implemented front-of-package (FOP) warning labels (also called warnings) on processed and ultra-processed foods in June 2019. The goal was to inform consumers about high levels of sugars, saturated fats, sodium, and trans fats in packaged products. We designed a qualitative study to reveal the recall, understanding, and use of the warnings an…
Improving accessibility to radiotherapy services in Cali, Colombia
Traffic congestion significantly diminished accessibility to radiotherapy services, particularly affecting vulnerable populations. For instance, urban 20-min ACO by car dropped from 91% of Cali's urban population within a 20-min journey to the service during free-flow traffic to 31% during peak traffic for the week of 6-12 July 2020. Percentages represent the population within a 20-min journey by car from their residence to a radiotherapy service…
Strengthening policy engagement when scaling up interventions targeting non-communicable diseases
Policy engagement is an essential component of implementation research for scaling up interventions targeting non-communicable diseases (NCDs). It refers to the many ways that research team members, implementers and policymakers, who represent government decision-making, connect and interact to explore common interests. Well-conducted engagement activities foster co-production, local contextualization and assist in the successful translation of r…
Urban Environments, Health, and Environmental Sustainability
Despite the relevance of cities and city policies for health, there has been limited examination of large numbers of cities aimed at characterizing urban health determinants and identifying effective policies. The relatively few comparative studies that exist include few cities in lower and middle income countries. The Salud Urbana en America Latina study (SALURBAL) was launched in 2017 to address this gap. The study has four aims: (1) to investi…
Research Translation to Promote Urban Health in Latin America
In highly urbanized and unequal Latin America, urban health and health equity research are essential to effective policymaking. To ensure the application of relevant and context-specific evidence to efforts to reduce urban health inequities, urban health research in Latin America must incorporate strategic research translation efforts. Beginning in 2017, the Urban Health in Latin America (SALURBAL) project implemented policy-relevant research and…
Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050
BACKGROUND: Diabetes is one of the leading causes of death and disability worldwide, and affects people regardless of country, age group, or sex. Using the most recent evidentiary and analytical framework from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), we produced location-specific, age-specific, and sex-specific estimates of diabetes prevalence and burden from 1990 to 2021, the proportion of type 1 and type 2 diabetes…
Assessing pandemic preparedness, response, and lessons learned from the Covid-19 pandemic in four south American countries
Introduction: The COVID-19 pandemic emerged in a context that lacked adequate prevention, preparedness, and response (PPR) activities, and global, regional, and national leadership. South American countries were among world's hardest hit by the pandemic, accounting for 10.1% of total cases and 20.1% of global deaths. Methods: This study explores how pandemic PPR were affected by political, socioeconomic, and health system contexts as well as how …
Implementation of a salt substitute intervention using social marketing in resourced-limited communities in Peru
Objective This study aimed to conduct a process evaluation of a salt substitute trial conducted in Peru. Methods Through semi-structured interviews of intervention participants, we documented and analyzed process evaluation variables as defined by the Medical Research Council Framework. This study was a stepped wedge trial conducted in Tumbes, Peru in 2014. The intervention was a community-wide replacement of regular salt (100% sodium) with “Salt…
Estimating mortality and disability in Peru before the Covid-19 pandemic
Background: Estimating and analyzing trends and patterns of health loss are essential to promote efficient resource allocation and improve Peru's healthcare system performance. Methods: Using estimates from the Global Burden of Disease (GBD), Injuries, and Risk Factors Study (2019), we assessed mortality and disability in Peru from 1990 to 2019. We report demographic and epidemiologic trends in terms of population, life expectancy at birth (LE), …
Strengthening evidence to inform health systems
Prioritising and planning scale-up research projects targeting non-communicable diseases
Fundamental to NCD scale-up research are (1) funding opportunities that reflect the complexity and time necessary to enable contextualisation; (2) investment in building multidisciplinary research capacity and leadership and (3) better networking to encourage cohesive action and align NCD-related scale-up research activities globally
Design and approval of the nutritional warnings’ policy in Peru
Nutritional warnings are used as a public health strategy to address obesity. Peru approved in 2013 and implemented in 2019 a law requiring nutritional warnings on the marketing and packaging of processed foods high in sugar, sodium, saturated fat, and containing trans-fat. The complexity behind the design and approval of these policies over six years provides unique learnings, that inform the obesity prevention context, especially when proposed …
Burden of non-communicable diseases and behavioural risk factors in Mexico
Background: There is scarce gender-disaggregated evidence on the burden of disease (BD) worldwide and this is particularly prominent in low- and middle-income countries. The objective of this study is to compare the BD caused by non-communicable diseases (NCDs) and related risk factors by gender in Mexican adults. Methods: We retrieved disability-adjusted life years (DALYs) estimates for diabetes, cancers and neoplasms, chronic cardiovascular dis…
Justice implications of health and food security policies for Indigenous peoples facing Covid-19
The spread of COVID-19 in Peru resulted in the declaration of a national health emergency, in which Indigenous peoples were identified as being particularly vulnerable due to their pre-existing poor health indicators and disadvantaged social conditions. The aim of this paper is to examine how the Peruvian government responded to the health and food needs of the Shawi and Ashaninka Indigenous peoples of Peru during the first 18 months of the pande…
Building a Data Platform for Cross-Country Urban Health Studies
Studies examining urban health and the environment must ensure comparability of measures across cities and countries. We describe a data platform and process that integrates health outcomes together with physical and social environment data to examine multilevel aspects of health across cities in 11 Latin American countries. We used two complementary sources to identify cities with ≥ 100,000 inhabitants as of 2010 in Argentina, Brazil, Chile, Col…
Overlooking undernutrition? Using a composite index of anthropometric failure to assess how underweight misses and misleads the assessment of undernutrition in young children
In light of current international interest in the Millennium Development Goals, this short report examines the suitability of one of the primary indicators being used to assess progress. Using anthropometric data on 46,784 children aged 0-35 months in seven developing countries, we show how the weight for age (underweight) indicator is problematic but not for the reasons conventionally cited. We show that the information it provides about the deg…
Urban environment interventions linked to the promotion of physical activity
Birth month associations with height, head circumference, and limb lengths among peruvian children
Associations between season of birth and body size, morbidity, and mortality have been widely documented, but it is unclear whether different parts of the body are differentially sensitive, and if such effects persist through childhood. This may be relevant to understanding the relationship between early life environment and body size and proportions. We investigated associations between birth month and anthropometry among rural highland ( n = 16…
Characterising variability and predictors of infant mortality in urban settings
Background Urbanisation in Latin America (LA) is heterogeneous and could have varying implications for infant mortality (IM). Identifying city factors related to IM can help design policies that promote infant health in cities. Methods We quantified variability in infant mortality rates (IMR) across cities and examined associations between urban characteristics and IMR in a cross-sectional design. We estimated IMR for the period 2014–2016 using v…
Early anthropometric indices predict short stature and overweight status in a cohort of peruvians in early adolescence
While childhood malnutrition is associated with increased morbidity and mortality, less well understood is how early childhood growth influences height and body composition later in life. We revisited 152 Peruvian children who participated in a birth cohort study between 1995 and 1998, and obtained anthropometric and bioimpedance measurements 11–14 years later. We used multivariable regression models to study the effects of childhood anthropometr…
The equigenic effect of greenness on the association between education with life expectancy and mortality in 28 large Latin American cities
Wellcome Trust (Grant, 205177/Z/16/Z)
"Exporting "failure
The '10/90 gap' was first highlighted by the Global Forum for Health Research. It refers to the finding that 90% of worldwide medical research expenditure is targeted at problems affecting only 10% of the world's population. Applying research results from the rich world to the problems of the poor may be a tempting, potentially easy and convenient solution for this gap. This paper had the objective of presenting arguments that such an approach ru…
Park use, perceived park proximity, and neighborhood characteristics
This study examines how park use may be associated with perceived park proximity, neighborhood-built environment and perceived social disorder in Latin American cities. The study uses self-reported data from the 2016 CAF survey, including 7,970 urban residents from 11 cities across Latin America. Results show positive graded associations between perceived park proximity and use, holding all others constant. Additional factors that were found to b…
Asociación entre ver televisión y obesidad en mujeres peruanas
OBJETIVO: Evaluar la asociación entre frecuencia de ver televisión, sobrepeso y obesidad en una muestra representativa de mujeres peruanas a nivel nacional. MÉTODOS: Análisis secundario de la Encuesta Nacional Demográfica y de Salud Familiar incluyendo mujeres de 15 a 49 años. Las variables resultados fueron obesidad (índice de masa corporal >30 kg/m2) y sobrepeso (>25 peso <30 kg/m2); mientras que la exposición fue la frecuencia de ver televisió…
The process of prioritization of non-communicable diseases in the global health policy arena
Although non-communicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, the global policy response has not been commensurate with their health, economic and social burden. This study examined factors facilitating and hampering the prioritization of NCDs on the United Nations (UN) health agenda. Shiffman and Smith’s (Generation of political priority for global health initiatives: a framework and case study of maternal…
Family Support and Diabetes
Family support is crucial for managing chronic conditions but it is often overlooked when designing behavioral interventions in type 2 diabetes mellitus (T2DM). As part of the formative phase of a feasibility randomized control trial (RCT), we conducted 20 semistructured interviews with people with T2DM from Lima, Peru. Based on such results, we describe the support people with T2DM receive from their families and the role that such support has i…
Migration, urbanisation and mortality
OBJECTIVE: To compare all-cause and cause-specific mortality among 3 distinct groups: within-country, rural-to-urban migrants, and rural and urban dwellers in a longitudinal cohort in Peru. METHODS: The PERU MIGRANT Study, a longitudinal cohort study, used an age-stratified and sex-stratified random sample of urban dwellers in a shanty town community in the capital city of Peru, rural dwellers in the Andes, and migrants from the Andes to the shan…
Políticas de salud y salud politizada? Un análisis de las políticas de salud sexual y reproductiva en Perú desde la perspectiva de la ética médica, calidad de atención y derechos humanos
La ética médica es considerada entre los profesionales de salud como la disciplina que proporciona las bases para brindar una atención adecuada a los pacientes. En los últimos años, los conceptos de calidad de atención y derechos humanos - así como sus diversos discursos acompañantes - se han sumado al concepto de ética médica entre los paradigmas a tener en cuenta en la atención de las personas, tanto a nivel individual, así como a nivel de polí…
Traditional healers, still part of the community health systems in the Andes
Traditional medicine in the Andes moves us automatically to the figure of traditional healers, and, in some cases, automatically to censure their work. Albeit they have been present in the community health
Do we need them? Working with traditional birth attendants in the Andes
Fifty two per cent of deliveries at Ayacucho department (south central Peruvian Andes) occur at home, and at rural settings this number is expected to be higher. The main actor involved
Culturally appropriate birth services within health facilities
For many years Peruvian Andean women used to birth their babies at home. The continuous rejection of care at health facilities is partially based on important cultural beliefs. Some of them are the
Neurocysticercosis
Adverse psychosocial exposure or "misery" is associated with physical disease. This association may not be causal. Rather it may reflect issues of reverse causation, reporting bias, and confounding by aspects of the material environment typically associated with misery. A non-causal relation will not form the basis of effective public health interventions. This may be why psychosocial interventions have, so far, showed little effect on objective …
The right water and the right to water
Twenty per cent of the world’s population lack access to clean water, 80% of them being rural dwellers. Some 2.3 billion people each year suffer from diseases linked
Assessing computer skills in Tanzanian medical students
Our study has found a low level of ability to use ICT facilities among medical students in a leading university in sub-Saharan Africa. A pilot scheme utilising UK elective students to tutor basic skills showed potential. Attention is required to develop interventions that can improve ICT skills, as well as computer access, in order to bridge the digital divide
Life and death, day after day
The image, a corridor outside a medical ward in a main hospital of an African country, was
Frameworks for Understanding Dilemmas of Health Care in a Globalized World
The way health is conceptualized determines the actions taken to protect and promote it and, in turn, the actors responsible for such actions in an increasingly inter-dependent world. This essay presents a brief description of health policies in Peru during the last ten years in order to analyze the implications of paradigms of medical ethics, human rights and quality of care. These paradigms offer distinct ways of formulating, applying and evalu…
On the front line of primary health care
Overlooking undernutrition? Using a composite index of anthropometric failure to assess how underweight misses and misleads the assessment of undernutrition in young children
In light of current international interest in the Millennium Development Goals, this short report examines the suitability of one of the primary indicators being used to assess progress. Using anthropometric data on 46,784 children aged 0-35 months in seven developing countries, we show how the weight for age (underweight) indicator is problematic but not for the reasons conventionally cited. We show that the information it provides about the deg…
Políticas de salud y salud politizada? Un análisis de las políticas de salud sexual y reproductiva en Perú desde la perspectiva de la ética médica, calidad de atención y derechos humanos
La ética médica es considerada entre los profesionales de salud como la disciplina que proporciona las bases para brindar una atención adecuada a los pacientes. En los últimos años, los conceptos de calidad de atención y derechos humanos - así como sus diversos discursos acompañantes - se han sumado al concepto de ética médica entre los paradigmas a tener en cuenta en la atención de las personas, tanto a nivel individual, así como a nivel de polí…
Determining a cost effective intervention response to HIV/Aids in Peru
The results of this work add evidence-based clarity as to which interventions warrant greatest consideration when planning an intervention response to HIV in Peru. Cost effectiveness analysis provides a necessary element of transparency when facing choices about priority setting, particularly when the country plans to amplify its response through new interventions partly funded by the GFATM
Mortality profiles in a country facing epidemiological transition
Peruvian mortality shows a double burden of communicable and non-communicable, with increasing importance of non-communicable diseases and injuries. This challenges national and sub-national health system performance and policy making
Evaluación situacional, estructura, dinámica y monitoreo de los sistemas de información en accidentes de tránsito en el Perú - 2009
Current information systems for road traffic injuries have limitations. The actual use and utility of the information for decision-making for prevention of road traffic injuries nationwide is limited
Evaluación situacional, estructura, dinámica y monitoreo de los sistemas de información en accidentes de tránsito en el Perú - 2009
Objective: A baseline assessment of the structure, dynamics, and monitoring capabilities of the information systems for road traffic injuries was conducted in three Peruvian cities: Lima, Huamanga and Pucallpa. Material and methods. 50 in-depth interviews were performed with key stakeholders, including managers and operators of information systems. The instrument was developed taking into account international standards and recommendations for in…
Cobertura real de la ley de atención de emergencia y del Seguro Obligatorio contra Accidentes de Tránsito (Soat)
In this study, the lack of knowledge about the provision of emergency health care law was important, and the coverage of care was deficient as nearly half of participants reported not to be treated by one or more of the entitlements stated in such law. Road traffic injuriesrelated health care costs were not covered by any insurance scheme in one of three victims. Improvements on citizens information about their rights and of effective law enforce…
Traumatismos causados por el tránsito en el Perú. ¿Dónde estamos y hacia dónde vamos
Americanae nace como un proyecto conjunto que surge dentro de la Red Europea de Información y Documentación sobre América Latina (REDIAL), y que ha afrontado la Biblioteca de la Agencia Española de Cooperación Internacional para el Desarrollo (AECID). Esta nueva biblioteca virtual hace más accesibles los libros digitales de tema americanista a los investigadores y usuarios interesados de cualquier parte del mundo
Reduciendo el trauma y la mortalidad asociada a los accidentes de tránsito en los peatones en el Perú
Pedestrians in Peru are the victims of the greatest proportion of road traffic fatalities in the world. In 2009, pedestrians were involved in 27% of road traffic incidents in Peru. This is a significant public health problem in Peru and it has important economic effects as well. We review the evidence for some of the solutions and interventions implemented in other countries that may work well in Peru to confront this problem via preventing pedes…
Traumatismos causados por el tránsito en países en desarrollo
Road traffic injury (RTI) is the leading cause of death in persons aged 10-24 worldwide and accounts for about 15% of all male deaths. The burden of RTI is unevenly distributed amongst countries with over eighty-fold differences between the highest and lowest death rates. Thus the unequal risk of RTI occurring in the developing world, due to many reasons, including but not limited to rapid motorization and poor infrastructure, is a major global c…
Traumatismos causados por el tránsito en países en desarrollo
Road traffic injury (RTI) is the leading cause of death in persons aged 10-24 worldwide and accounts for about 15% of all male deaths. The burden of RTI is unevenly distributed amongst countries with over eighty-fold differences between the highest and lowest death rates. Thus the unequal risk of RTI occurring in the developing world, due to many reasons, including but not limited to rapid motorization and poor infrastructure, is a major global c…
Cobertura real de la Ley de Atención de Emergencia y del Seguro Obligatorio contra Accidentes de Tránsito (Soat)
Objective. The aim of this study was to ascertain, from patients’ perspective, the degree of knowledge and the actual coverage of the Emergency Health Care Law and the Compulsory Insurance against Road Traffic Crashes (SOAT). Material and methods. A cross-sectional, active surveillance of emergency wards of selected health facilities in three Peruvian cities (Lima, Pucallpa y Ayacucho) was conducted. Results. Out of 644 surveyed victims, 77% did …
Physical activity and cardiovascular risk factors among rural and urban groups and rural-to-urban migrants in Peru
People living in a rural area had much higher levels of physical activity and lower risk of being overweight and obese compared to those living in an urban area of Lima. Study participants from the same rural area who had migrated to Lima had levels of physical inactivity and obesity similar to those who had always lived in Lima. Interventions aimed at maintaining higher levels of physical activity among rural-to-urban migrants may help reduce th…
"Exporting "failure
The '10/90 gap' was first highlighted by the Global Forum for Health Research. It refers to the finding that 90% of worldwide medical research expenditure is targeted at problems affecting only 10% of the world's population. Applying research results from the rich world to the problems of the poor may be a tempting, potentially easy and convenient solution for this gap. This paper had the objective of presenting arguments that such an approach ru…
Calidad de vida vinculada a salud en población migrante rural-urbana y población urbana en Lima, Perú
The impact of rural-to-urban migration on quality of life suggests a differential effect within its specific domains
Calidad de vida vinculada a salud en población migrante rural-urbana y población urbana en Lima, Perú
Objectives. To explore if there is a difference in the perception and self reported quality of life between rural-to-urban migrants and urban groups. Materials and methods. Cross-sectional study, secondary analysis of the PERU-MIGRANT study (PEru’s Rural to Urban MIGRANTs Study). WHOQOL-Brief survey’s global scores and per specific domains obtained in the survey were compared using Kruskall-Wallis’ test and assessing size effect. Results. A total…
Medicine (117 obras) · Environmental health (64 obras) · Political science (57 obras) · Geography (46 obras) · Population (46 obras) · Demography (44 obras) · Public health (38 obras) · Sociology (35 obras) · Economic growth (30 obras) · Economics (29 obras)