Kerstin Klipstein‐grobusch
Dados Biográficos
| ID | 3589557 |
|---|---|
| NOME | Kerstin Klipstein‐grobusch |
| PRENOMES | Kerstin |
| SOBRENOME | Klipstein‐grobusch |
| ASSINATURA | GROBUSCH K K |
| AFILIAÇÕES | University of the Witwatersrand |
| ORCID | 0000-0002-5462-9889 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 56 |
| TOTAL DE CITAÇÕES | 14 |
| TOTAL COMO AUTOR | 56 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1998 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Physical activity domains and their associations with psychosocial well-being and cardiometabolic outcomes among Ghanaians in Europe and Ghana
Migrants in Europe report lower physical activity (PA), increasing chronic disease risk. Exercise programs show limited impact; targeting culturally familiar PA domains may be more effective. We compared PA domains (work, transport, recreational) between Ghanaians in Europe and Ghana and assessed associations with psychosocial well-being and cardiometabolic outcomes. Cross-sectional RODAM data included 2,397 Ghanaians in Europe and 2,363 in Ghana…
How do policymakers involve citizens in advancing health? A mixed-method qualitative study in municipalities in the Netherlands
Introduction: Citizen involvement in health policymaking is becoming imperative. Yet, implementing this practice in local policymaking often proves challenging. This study explores how local policymakers in the Netherlands experience and approach citizen involvement in health promotion policymaking. Methods: In 2023, a stratified random sample of 65 out of 342 Dutch municipalities was selected to participate in this mixed-method study, combining …
Determinants, barriers, and facilitators of healthcare access for patients with hypertension in rural Ghana
BACKGROUND: Hypertension is a major risk factor for cardiovascular diseasemorbidity and mortality, affecting 25% of adults in Ghana. Access to adequate care is critical for effective hypertension management. OBJECTIVE: Evaluate healthcare utilisation among patients with hypertension and identify determinants. METHODS: Guided by the Andersen and Newman model, we examined predisposing, enabling, and need factors affecting HCU. Data were collected f…
Feasibility and impact of a patient support group care model on diabetes and hypertension care in informal settlements in Nairobi, Kenya
Background A support group care model including self-financing is a promising strategy to improve care for patients with diabetes or hypertension in resource-constrained settings.Objectives We investigated the uptake, feasibility, and impact of a self-financing patient support group care model on cardiometabolic parameters among adult patients with uncontrolled diabetes or hypertension in informal settlements in Nairobi, Kenya.Methods A two-group…
Exploring barriers to hypertension medication adherence among people living with HIV enrolled in the iHeart-SA trial
Addressing barriers to hypertension medication adherence among PLHIV requires a multifaceted approach. Interventions focusing on improving health literacy, fostering social support, and integrating hypertension care into routine HIV services are essential for optimizing health outcomes
Magnitude, trends, transitions, and drivers of the double burden of malnutrition among adolescent girls in urban slums, Kenya
The prevalence of overweight/obesity, as well as transitions to overweight/obesity were higher compared to undernutrition (stunting and thinness). Double-duty and multi-sectoral interventions that consider demographic (family, ethnicity), environmental (neighbourhood, school), and psychosocial (ACE, depression score) factors that may drive DBM in adolescent girls living in urban slums are recommended, to address DBM and reverse the growing trend …
Drivers and solutions to unhealthy food consumption by adolescents in urban slums, Kenya
Objective: To explore the perceptions, drivers and potential solutions to the consumption of unhealthy, ultra-processed foods (UPF) and foods high in fat, salt and sugar (HFSS) and their contribution to the double burden of malnutrition among adolescents living in urban slums, Kenya. Design: Qualitative participatory research, through Photovoice, group discussions and community dialogues. Inductive, thematic analysis was undertaken. Setting: Thre…
EuroQol EQ-5D-3L Quality of Life Population Norms for Sierra Leone
Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project
Introduction: The SCUBY project aimed to provide knowledge on the scaling-up of an Integrated Care Package (ICP) for type 2 diabetes and hypertension across three distinct health systems (Cambodia, Slovenia, and Belgium). Here, we analyse the different elements of the country-specific scale-up roadmaps to identify similarities and differences, and share lessons learned. Methods: Thematic analysis was used to derive crucial roadmap elements from k…
Process Evaluations for the Scale-Up of Complex Interventions – a Scoping Review
Introduction: Complex health interventions (CHIs) are common in (public) health and social care practice and policy. A process evaluation (PE) is an essential part of designing and testing CHIs and questions what is implemented, the mechanisms of change, and how context affects implementation. The scale-up of CHIs is challenging and heterogeneous, making the accompanying PE unique to the nature of the inquiry. Methods: We conducted a scoping revi…
Scale-Up of Integrated Care Interventions for Chronic Diseases in Diverse Settings
The global burden of chronic conditions such as Type 2 Diabetes (T2DM) and hypertension (HTN) is increasing exponentially, not only in high-income countries (HIC) but also, and more rapidly, in low- and middle-income countries (LMIC). Health systems worldwide struggle to manage this growing burden. Integrated interventions for prevention, detection, treatment, and control of T2DM and HTN have been previously demonstrated to be effective in contro…
Green space visits among Turkish and South Asian Surinamese women with a high cardiometabolic risk living in disadvantaged neighborhoods in the Netherlands
Motives, means and prerequisites to visit green space of women with a Turkish or South Asian Surinamese background who live in disadvantaged neighborhoods span multiple interacting themes. Future studies examining the relationship between green space and health should consider interactions between motives, means, prerequisites and ethnicity. The possibility of expanding the multifunctionality of green spaces to provide marginalized populations wi…
Unravelling the Belgian cascade of hypertension care and its determinants
Our results show that undiagnosed hypertension is the most significant barrier to BP control in Belgium. Health interventions are thus needed to improve the accurate and timely diagnosis of hypertension. Once diagnosed, the Belgian health system retains patients fairly well along the continuum of hypertension care, yet targeted health interventions to improve hypertension management for high-risk groups remain necessary, especially with regard to…
Unfair knowledge practices in global health
Unfair knowledge practices easily beset our efforts to achieve health equity within and between countries. Enacted by people from a distance and from a position of power (‘the centre’) on behalf of and alongside people with less power (‘the periphery’), these unfair practices have generated a complex literature of complaints across various axes of inequity. We identified a sample of this literature from 12 journals and systematized it using the r…
Examining Macro-Level Barriers and Facilitators to Scaling Up Integrated Care from a Complexity Perspective
Examining differences and similarities between barriers in each health system stimulated reciprocal learning. Interactions between health system barriers in specific contexts require further attention to move complex health systems forward
Process evaluations for the scale-up of complex interventions – A scoping review
Background: Process evaluation (PE) is an essential part of testing and adapting complex health interventions (CHIs) and involves evaluating what is implemented (and how), mechanisms of change, and how context affects implementation and health outcomes. To address complex health needs, the focus is on developing new CHIs, rather than on adapting and scaling up existing interventions to promote stronger integration, increased population coverage, …
Noncommunicable Disease Conditions and HIV in Rural and Urban South Africa
Although average blood pressure of urban hypertensive individuals decreased, urgent measures focused on early identification, treatment, and control of the respective conditions should be implemented to decrease the burden of noncommunicable diseases
Cross-country lessons from the SCUBY project on country-specific roadmaps for scaling up integrated care in Belgium, Slovenia, and Cambodia
Background: The aim of the SCUBY project was to provide evidence on the scaling up of an Integrated Care Package (ICP) for type II Diabetes (T2D) and hypertension (HT) across three distinct health systems (Cambodia, Slovenia, and Belgium) through the development and implementation of country-specific roadmaps for a national scale-up strategy. Harnessing mixed-methods research and stakeholder engagement informed the development of country-specific…
Workshop launch of the Ijic Thematic issue on scale-up of integrated care interventions for chronic diseases in three diverse settings
Chronic diseases – such as Type 2 Diabetes (T2D) and hypertension (HTN) – are on the rise globally, regardless of country income levels. A vast range of policy initiatives and interventions stimulates principles of integrated care – to prevent and manage T2D and HTN. These integrated care interventions, shown to be effective in small-scale settings, whilst mostly not technically nor medically complex, tend to be organizationally challenging: they…
Developing and testing an Evaluation Strategy for Integrated care for Type II Diabetes in three health system contexts (Belgium, Cambodia and Slovenia)
Introduction: Primary health care (PHC) systems across the globe are struggling to produce an effective response to the rising burden of disease related to Type 2 Diabetes (T2D). However, effective T2D care at the PHC level – the ‘Integrated Care Package (ICP)’– exists and is cost-effective. Further, there is evidence that this integrated care package ((1) structure) leads to improved care processes (2), to health care responsive to people’s need…
Tuberculosis treatment and resulting abnormal blood glucose
BACKGROUND: Hyperglycaemia is a risk factor for tuberculosis. Evidence of changes in blood glucose levels during and after tuberculosis treatment is unclear. OBJECTIVE: To compile evidence of changes in blood glucose during and after tuberculosis treatment and the effects of elevated blood glucose changes on treatment outcomes in previously normoglycaemic patients. METHODS: Original research studies (1980 to 2021) were identified in PubMed, Web o…
Cognitive and Motor Development in 3- to 6-Year-Old Children Born to Mothers with Hyperglycaemia First Detected in Pregnancy in an Urban African Population
Individual and contextual factors associated with under- and over-nutrition among school-aged children and adolescents in two Nigerian states
Objective: This study aimed to identify individual and contextual factors that are associated with under- and over-nutrition among school-aged children and adolescents in two Nigerian states. Design: Community-based cross-sectional study. Setting: The study was carried out in rural and urban communities of Osun and Gombe States in Nigeria. Participants: A total of 1200 school-aged children and adolescents. Results: Multi-level analysis showed tha…
Macro-level barriers to scaling up integrated care in three countries
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Psychosocial stressors among Ghanaians in rural and urban Ghana and Ghanaian migrants in Europe
Psychosocial stressors have significant health and socio-economic impacts on individuals. We examined the prevalence and correlates of psychosocial stressors among non-migrant and migrant Ghanaians as there is limited research in these populations. The study was cross-sectional and quantitative in design. A majority of the study participants had experienced stress, discrimination and negative life events. Increased age, female sex, strong social …
Let's Talk about Sex, Maybe
Researchers are often skeptical of sexual behavior surveys: Respondents may lie or forget details of their intimate lives, and interviewers may exercise authority in how they capture responses. We use data from a 2010-2011 cross-sectional sexual behavior survey in rural South Africa to explore who says what to whom about their sexual lives. Results show an effect of fieldworker age across outcomes: Respondents report "safer," more "responsible" s…
Psychosocial stressors among Ghanaians in rural and urban Ghana and Ghanaian migrants in Europe
Psychosocial stressors have significant health and socio-economic impacts on individuals. We examined the prevalence and correlates of psychosocial stressors among non-migrant and migrant Ghanaians as there is limited research in these populations. The study was cross-sectional and quantitative in design. A majority of the study participants had experienced stress, discrimination and negative life events. Increased age, female sex, strong social …
Quality of integrated chronic disease care in rural South Africa
The integrated chronic disease management (ICDM) model was introduced as a response to the dual burden of HIV/AIDS and non-communicable diseases (NCDs) in South Africa, one of the first of such efforts by an African Ministry of Health. The aim of the ICDM model is to leverage HIV programme innovations to improve the quality of chronic disease care. There is a dearth of literature on the perspectives of healthcare providers and users on the qualit…
Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations
BACKGROUND: The prevalence of diabetes has been shown to be socially patterned but the direction of the association in low-income countries and among migrant populations in Europe has varied in the literature. This study examined the association between socioeconomic position (SEP) and diabetes in Ghanaians in Europe and in Ghana. METHODS: Data were derived from the multicentre Research on Obesity and Diabetes among African Migrants (RODAM) study…
Body composition specific to body type and nutrition with adults - comparison of skinfold thickness measurements and bioelectrical impedance analysis
The objective of the present study was to conduct a comprehensive analysis of body build, body composition and nutritional status. The study sample consists of 498 men and women aged from 35 to 65 years. Subjects underwent a detailed anthropometric examination incompassing thirty-one body measurements, eleven skinfold thickness measurements, and bioelectrical impedance analysis for determination of body composition. Dietary intake was assessed by…
Trends in self-reported past alcoholic beverage consumption and ethanol intake from 1950 to 1995 observed in eight European countries participating in the European Investigation into Cancer and Nutrit…
Objective: To describe the trends of self-reported past consumption of alcoholic beverages and ethanol intake from 1950 to 1995 within the European Prospective Investigation into Cancer and Nutrition (EPIC). Design: Data on consumption of beer/cider, wine and liqueur/spirits were obtained retrospectively at age 20, 30 and 40 years to calculate average consumption and ethanol intake for the time periods 1950–1975 (at age 20), 1960–1985 (at age 30)…
Patterns of alcohol consumption in 10 European countries participating in the European Prospective Investigation into Cancer and Nutrition (Epic) project
bjective: The aim of this study was to compare the quantities of alcohol and types of alcoholic beverages consumed, and the timing of consumption, in centres participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). These centres, in 10 European countries, are characterised by widely differing drinking habits and frequencies of alcohol-related diseases. Methods: We collected a single standardised 24-hour dietary re…
Variability of fish consumption within the 10 European countries participating in the European Investigation into Cancer and Nutrition (Epic) study
Objective: To describe and compare the consumption of total fish (marine foods) and the fish sub-groups – white fish, fatty fish, very fatty fish, fish products and crustacea, in participants from the European Investigation into Cancer and Nutrition (EPIC) study. Design: Cross-sectional analysis of dietary intake using a computerised standardised 24-hour recall interview. Crude means, means and standard errors adjusted by age, season and day of t…
Overweight, obesity and fat distribution in 50- to 64-year-old participants in the European Prospective Investigation into Cancer and Nutrition (Epic)
Objective: To describe anthropometric characteristics of participants of the European Prospective Investigation into Cancer and Nutrition (EPIC). Design: A cross-sectional analysis of baseline data of a European prospective cohort study. Subjects: This analysis includes study populations from 25 centres in nine European countries. The British populations comprised both a population-based and a ‘health-conscious’ group. The analysis was restricted…
Meat consumption in the European Prospective Investigation into Cancer and Nutrition (Epic) cohorts
Objective: To evaluate meat intake patterns in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts. Design and setting: 24-Hour dietary recalls were assessed within the framework of a prospective cohort study in 27 centres across 10 European countries by means of standardised computer-assisted interviews. Subjects: In total, 22 924 women and 13 031 men aged 35–74 years. Results: Mean total meat intake was lowest in the…
Dietary intake of folate equivalents and risk of myocardial infarction in the European Prospective Investigation into Cancer and Nutrition (Epic)–Potsdam study
Objective To assess the relationship between intake of dietary folate equivalents and risk of myocardial infarction in a German cohort. Design Intake of dietary folate equivalents was assessed by a validated food-frequency questionnaire. Cox proportional hazard models were used to evaluate the association between intake of dietary folate equivalents and risk of myocardial infarction. Setting The European Prospective Investigation into Cancer and …
Dietary intake of different types and characteristics of processed meat which might be associated with cancer risk – results from the 24-hour diet recalls in the European Prospective Investigation int…
Objective There is increasing evidence for a significant effect of processed meat (PM) intake on cancer risk. However, refined knowledge on how components of this heterogeneous food group are associated with cancer risk is still missing. Here, actual data on the intake of PM subcategories is given; within a food-based approach we considered preservation methods, cooking methods and nutrient content for stratification, in order to address most of …
WHO 2006 child growth standards
Objectives To assess the proportion of children being stunted and underweight-for-age at 3, 9 and 15 months in Lambaréné, Gabon, using the WHO child growth standards released in 2006 as compared with the Centers for Disease Control and Prevention (CDC) 2000 and the National Center for Health Statistics (NCHS) 1978 child growth charts/references. Design and setting Prospective birth cohort in Lambaréné, Gabon. Subjects Two hundred and eighty-nine …
High body mass index is not associated with atopy in schoolchildren living in rural and urban areas of Ghana
In Ghanaian schoolchildren, high BMI was not associated with atopy. Further studies are warranted to clarify the relationship between body weight and atopy in children subjected to rapid life-style changes associated with urbanization of their environments
Predictors of adolescent weight status and central obesity in rural South Africa
Objective To investigate predictors of adolescent obesity in rural South Africa. Design Cross-sectional study. Height, weight and waist circumference were measured using standard procedures. Overweight and obesity in adolescents aged 10–17 years were assessed using the International Obesity Taskforce cut-offs, while the WHO adult cut-offs were used for participants aged 18–20 years. Waist-to-height ratio of >0·5 defined central obesity in those a…
Relationship between household socio-economic status and under-five mortality in Rufiji DSS, Tanzania
BACKGROUND: Disparities in health outcomes between the poor and the better off are increasingly attracting attention from researchers and policy makers. However, policies aimed at reducing inequity need to be based on evidence of their nature, magnitude, and determinants. OBJECTIVES: The study aims to investigate the relationship between household socio-economic status (SES) and under-five mortality, and to measure health inequality by comparing …
Mortality in women of reproductive age in rural South Africa
OBJECTIVE: To determine causes of death and associated risk factors in women of reproductive age in rural South Africa. METHODS: Deaths and person-years of observation (pyo) were determined for females (aged 15-49 years) resident in 15,526 households in a rural South African Demographic and Health Surveillance site from 2000 to 2009. Cause of death was ascertained by verbal autopsy and ICD-10 coded; causes were categorized as HIV/TB, non-communic…
Prevalence of HIV among those 15 and older in rural South Africa
A greater knowledge of the burden of HIV in rural areas of Southern Africa is needed, especially among older adults. We conducted a cross-sectional biomarker survey in the rural South African Agincourt Health and Socio-demographic Surveillance site in 2010-2011 and estimated HIV prevalence and risk factors. Using an age-sex stratified random sample of ages 15+, a total of 5037 (65.7%) of a possible 7662 individuals were located and 4362 (86.6%) c…
Predictors of health care use by adults 50 years and over in a rural South African setting
BACKGROUND: South Africa's epidemiological transition is characterised by an increasing burden of chronic communicable and non-communicable diseases. However, little is known about predictors of health care use (HCU) for the prevention and control of chronic diseases among older adults. OBJECTIVE: To describe reported health problems and determine predictors of HCU by adults aged 50+ living in a rural sub-district of South Africa. DESIGN: A cross…
Are social support and HIV coping strategies associated with lower depression in adults on antiretroviral treatment? Evidence from rural KwaZulu-Natal, South Africa
We assess depression rates and investigate whether depression among HIV-infected adults receiving antiretroviral treatment (ART) is associated with social support and HIV coping strategies in rural South Africa (SA). The study took place in a decentralised public-sector ART programme in a poor, rural area of KwaZulu-Natal, SA, with high-HIV prevalence and high-ART coverage. The 12-item General Health Questionnaire (GHQ12), validated in this setti…
Cardiometabolic disease risk and HIV status in rural South Africa
Sub-Saharan Africa is facing intersecting epidemics of HIV and hypertension. In this setting, around half the adult population require long-term care for at least one of HIV, hypertension or diabetes. Together with the adverse effects that HIV and its treatment have on lipids, this may have serious implications for the South African health care system. Monitoring of the interaction of HIV, ART use, and cardiometabolic disease is needed at both in…
Risk factors of impaired fasting glucose and type 2 diabetes in Yaoundé, Cameroon
For successful primary prevention of T2D in the general population in Cameroon tailored efforts to address obesity, particularly abdominal obesity, and associated life-style factors are warranted
Temporal trends in childhood mortality in Ghana
BACKGROUND: Following the adoption of the Millennium Development Goal 4 (MDG 4) in Ghana to reduce under-five mortality by two-thirds between 1990 and 2015, efforts were made towards its attainment. However, impacts and challenges of implemented intervention programs have not been examined to inform implementation of Sustainable Development Goal 3.2 (SDG 3.2) that seeks to end preventable deaths of newborns and children aged under-five. Thus, thi…
Tuberculosis patients’ pre-hospital delay and non-compliance with a longstanding DOT programme
Mixed methods analysis demonstrated the importance of in-depth information ascertained by qualitative approaches to understand how cultural, socio-economic and organisational factors are influencing patients' pre-hospital delay and treatment compliance. To strengthen the Zambian NTP, combating stigma is of utmost priority coupled with programmes addressing poverty. Organisational barriers and co-operation between (private) clinics and traditional…
Quality of integrated chronic disease care in rural South Africa
The integrated chronic disease management (ICDM) model was introduced as a response to the dual burden of HIV/AIDS and non-communicable diseases (NCDs) in South Africa, one of the first of such efforts by an African Ministry of Health. The aim of the ICDM model is to leverage HIV programme innovations to improve the quality of chronic disease care. There is a dearth of literature on the perspectives of healthcare providers and users on the qualit…
Let's Talk about Sex, Maybe
Researchers are often skeptical of sexual behavior surveys: Respondents may lie or forget details of their intimate lives, and interviewers may exercise authority in how they capture responses. We use data from a 2010-2011 cross-sectional sexual behavior survey in rural South Africa to explore who says what to whom about their sexual lives. Results show an effect of fieldworker age across outcomes: Respondents report "safer," more "responsible" s…
Association between socioeconomic position and the prevalence of type 2 diabetes in Ghanaians in different geographic locations
BACKGROUND: The prevalence of diabetes has been shown to be socially patterned but the direction of the association in low-income countries and among migrant populations in Europe has varied in the literature. This study examined the association between socioeconomic position (SEP) and diabetes in Ghanaians in Europe and in Ghana. METHODS: Data were derived from the multicentre Research on Obesity and Diabetes among African Migrants (RODAM) study…
Power Difference and Risk Perception
To address the burden of maternal morbidity and mortality in low- and middle-income countries (LMICs), research with pregnant women in these settings is increasingly common. Pregnant women in LMIC-context may experience vulnerability related to giving consent to participate in a clinical trial. To recognize possible layers of vulnerability this study aims to identify factors that influence the decision process towards clinical trial participation…
Does body mass index early in pregnancy influence the risk of maternal anaemia? An observational study in Indonesian and Ghanaian women
Higher BMI in early pregnancy is associated with higher haemoglobin levels at antenatal booking and with a reduced risk of anaemia in Indonesian and Ghanaian women
Medicine (46 obras) · Environmental health (28 obras) · Demography (22 obras) · Internal Medicine (18 obras) · Population (18 obras) · Demography (16 obras) · Geography (13 obras) · Gerontology (13 obras) · Health care (13 obras) · Public health (12 obras)