- Smoking Behavior and Cessation
- Global Public Health Policies and Epidemiology
- Obesity, Physical Activity, Diet
- Global Maternal and Child Health
- Sex work and related issues
- Vaccine Coverage and Hesitancy
- HIV/AIDS Research and Interventions
- Air Quality and Health Impacts
- HIV, Drug Use, Sexual Risk
- Global Health Care Issues
- COVID-19 epidemiological studies
- Health Promotion and Cardiovascular Prevention
- Poverty, Education, and Child Welfare
- Cancer Risks and Factors
- Child Nutrition and Water Access
- Behavioral Health and Interventions
- Selenium in Biological Systems
- Blood Pressure and Hypertension Studies
- Healthcare Systems and Reforms
- Influenza Virus Research Studies
- Noise Effects and Management
- Breastfeeding Practices and Influences
- Hepatitis B Virus Studies
- Dermatoglyphics and Human Traits
MRC Unit the Gambia
2019-2025
Georgia State University
2023-2025
University College London
2017-2020
University of the Gambia
2017-2020
Globally HIV incidence is slowing, however epidemics among sex workers are stable or increasing in many settings. While laws governing work considered structural determinants of HIV, individual-level data assessing this relationship limited. In study, used to assess the relationships and stigmas risk female workers, examine mechanisms by which stigma affects across diverse legal contexts countries sub-Saharan Africa. Interviewer-administered socio-behavioral questionnaires biological testing...
Objectives The type of electronic nicotine delivery system (ENDS) used by different age groups may be associated with ENDS and cigarette use behaviours. This study sought to identify differences in the device based on status inform policy about regulating ENDS. Design was a cross-sectional study. Setting Data derived from national survey conducted 2021 USA. Participants include 2369 US youth adults (13 years or older) who reported past 30-day use. Outcome measures Past fairly regular (i.e.,...
Non-communicable diseases are increasing in sub-Saharan Africa and estimated to account for 32% of adult deaths The Gambia. Worldwide, prevalence hypertension is highest the African region (46%) a very high proportion undiagnosed. This study examined diagnosed undiagnosed Gambian population. Data were collected 2010 from nationally representative random sample 4111 adults aged 25–64 years, using World Health Organization STEPwise cross-sectional survey methods. Analyses restricted...
Background: Epidemiological data are needed to characterize the age-specific HIV burden and engagement in services among young, marginalized women sub-Saharan Africa. Setting: Women aged ≥18 years who reported selling sex were recruited across 9 countries Southern, Central, West Africa through respondent driven sampling (N = 6592). Methods: Individual-level pooled prevalence antiretroviral therapy (ART) coverage estimated for each region using generalized linear mixed models. HIV-service...
Objectives Non-communicable diseases account for 70% of global deaths; 80% occur in low-income and middle-income countries. The rapid increase obesity sub-Saharan Africa is a concern. We assessed generalised abdominal their associated risk factors among adults Gambia. Design Nationwide cross-sectional health examination survey using the WHO STEPwise methods. Setting Participants This study uses secondary analysis 2010 nationally representative random sample aged 25–64 years (78% response...
The Hepatitis B virus that can cause liver cancer is highly prevalent in the Gambia, with one ten babies at risk of infection from their mothers. Timely hepatitis birth dose administration to protect very low Gambia. Our study assessed whether 1) a timeliness monitoring intervention resulted improvements overall, and 2) impacted differentially among health facilities different pre-intervention performances.We used controlled interrupted time series design including 16 13 matched controls...
Tobacco use is the leading cause of preventable death in world, with a higher burden low- and middle-income countries. The aim this study was to quantify prevalence predictors smoking among Gambian men using nationally representative data.Data collected 2010 from random, sample 4111 adults aged 25-64 years (78% response rate) World Health Organization (WHO) STEPwise cross-sectional survey methods. Our analyses focused on valid information status (n = 1766) because low women (1%).The current...
Introduction: Second-hand smoke is associated with more than 1.2 million deaths per year among non-smokers. Smoking in public places prohibited The Gambia but there no information on the level of exposure to second-hand adolescents and adults 15–64 years. aim this study was assess predictors compliance smoke-free regulations Gambia. Methods: A population-based survey conducted an established Health Demographic Surveillance System (HDSS). total 4547 participants (15–64 years) from households...
To assess whether the implementation of a results-based financing (RBF) project in The Gambia resulted (1) improved national vaccination coverage (2) higher intervention than non-intervention areas, and (3) improvement rural-urban inequality.The study used difference-in-differences design, based on repeated cross-sectional data from Gambian Demographic Health Surveys 2013 (N = 1650) 2020 1456). Full (receipt one BCG, 3 OPV, DTP, 1 measles-containing vaccine doses) inequality were our outcome...
Objectives To investigate the relationship between cigarette prices and smoking experimentation among children in Gambia, thereby expanding evidence base of likely impact excise taxes on demand low-income middle-income countries. Design A survival analysis using Gambia 2017 Global Youth Tobacco Survey data. Setting The Gambia. Participants survey sample was 12 585 youths, aged 12–17 years, but our restricted to 11 030 respondents with information status. Primary secondary outcome measures...
Identifying actionable targets is crucial to improve overall and equity in vaccination coverage, line with the global Immunization Agenda 2030. Therefore, this study seeks assess prevalence of missed opportunities for simultaneous (MOSVs) their impact on coverage urban-rural inequity The Gambia.We used data children aged 12-23 months from Gambia 2019/2020 demographic health survey (weighted n = 1355) seen cards. We analyzed: frequency MOSVs; percentage point reduction attributable MOSVs 18...
1. Maziak W. Commentary: The waterpipe--a global epidemic or a passing fad. Int J Epidemiol. 2010;39(3):857-859. doi:10.1093/ije/dyq054 CrossRef Google Scholar
Objectives Six million children were under-vaccinated in 2022. Our study aimed to 1) quantify the magnitude of under-vaccination variation between health facilities, 2) assess which extent individual and center level factors contributed variation, 3) identify facility associated with under-vaccination, 4), explore rural vs. urban variations.
Access to tobacco plays a strong role in smoking initiation among youth. This study aimed quantify successful purchase of cigarettes and assess the factors associated with cigarette access students aged 11-17 years The Gambia.We used 2017 Global Youth Tobacco Survey (GYTS) 12585 students, from Gambia. analysis was restricted 2951 who bought and/or attempted buy within past 30 days regardless status. Our outcome purchasing access, defined as successfully days. We report weighted prevalence...
Population Medicine considers the following types of articles:• Research Papers -reports data from original research or secondary dataset analyses.• Review -comprehensive, authoritative, reviews within journal's scope.These include both systematic and narrative reviews.• Short Reports -brief reports research.• Policy Case Studies articles on policy development at a regional national level.• Study Protocols -articles describing protocol study.• Methodology -papers that present different...
Population Medicine considers the following types of articles:• Research Papers -reports data from original research or secondary dataset analyses.• Review -comprehensive, authoritative, reviews within journal's scope.These include both systematic and narrative reviews.• Short Reports -brief reports research.• Policy Case Studies articles on policy development at a regional national level.• Study Protocols -articles describing protocol study.• Methodology -papers that present different...
<h3>Background</h3> Non-communicable diseases are increasing in sub-Saharan Africa (SSA). They estimated to account for 32% of deaths The Gambia according the WHO. Worldwide, prevalence hypertension is highest African region (46%) and a very high proportion undiagnosed. There limited up-to-date information on burden diagnosed undiagnosed associated risk factors Gambia. This study aims examine cardiovascular adult population, with particular focus hypertension. <h3>Methods</h3> Data was...
<h3>Background</h3> The prevalence of obesity has more than doubled in West Africa over the past 15 years. Obesity is increasing at a faster rate developing countries compared with developed countries. Possible explanations include epidemiological and nutritional transition, increased consumption processed foods, urbanisation. A 1996 study revealed double burden over- under-weight Gambia. We examined overweight associated risk factors Gambian adults. <h3>Methods</h3> This uses random...