AUB letter head
Epidemiology and Biostatistics


 RESEARCH PROJECTS 
 ARTICLES, BOOKS AND REPORTS 
 ABSTRACTS, PRESENTATIONS AND PROCEEDINGS 
 

 

RESEARCH PROJECTS

 

Bekaa reproductive health study

The study is similar to the ‘Giza morbidity study’ and aims to investigate the prevalence of gynecological conditions and their risk factors, as well as to understand women’s perceptions of these morbidity conditions of health and ill-health as related to reproduction. It will involve both a questionnaire administered to women interviewed in their houses, and a gynecological exam at a medical facility in the village, in addition to some laboratory tests. It will also involve some in-depth case studies. The measurement of women’s personal interpretation and experience of the course of the illness will introduce a clearer understanding of women’s perspectives of reproductive morbidity with new added dimensions not covered by the Giza study. In addition, comparing these interpretations with the medical outcomes, will be very helpful in complementing the knowledge provided to this field by the Giza study. A sample of 500 women were interviewed and had a physical and gynecological exam. M. Deeb, J. Awwad, and H. Kaspar. (Supported by Mellon Foundation.)
 

 

Reproductive morbidity data base

In the context of strengthening of population laboratory database on reproductive health, two surveys were launched in the summer of 1995 that addressed gynecological morbidity: a clinic based study and a hospital based study. These studies, together with the Beirut 1992-93 population-based survey that included a section on gynecological health, are intended to provide a more comprehensive picture of gynecological morbidity in Beirut in terms of women’s perceptions of their symptoms, their health seeking behavior and their medically diagnosed conditions. From an epidemiological view point, these data enable us to identify the conditions that need to be targeted in prevention programs, specifically through the hospital based data, as well as the conditions that women need to be made aware of. By combining the three data sets, we hope to get a clearer picture of the conditions that need to be addressed at all preventive levels as well as the group of women who need to be targeted. It also offers an indirect avenue for analyzing medical procedures and pave the way for studying the quality of reproductive health care. M. Deeb, F. Ghorayeb, T. Kabakian and N. Aswad. (Supported by Ford Foundation).
 

 

Epidemiology of primary health problems and exposure in wartime: Beirut 1984-1994

The current study population is based on two population household surveys that were undertaken by the Faculty of Health Sciences, AUB in the city of Beirut in 1983-84 and 1993-94. These two surveys provide a unique longitudinal perspective in describing change over time in health issues. In each household the respondent provided information on permanent residents of the household, the survey cohort data covered 1,641 comprising a total of 6,327 individuals. Morbidity information covered specific current ailments and chronic conditions ever experiences by members of the household. The method that was used was based on perceived morbidity reported by the respondent. A case-control analysis will be conducted for each relevant risk factor as well as a logistic regression analysis including all risk factors. M. Deeb, H. Armenian and R. Khayat. (Supported by Ford Foundation.) 
 

 

Incidence of cardiovascular disease and exposures in wartime: Beirut 1984-1994

This research explores the relationship of war-events exposure to incidence of cardiovascular diseases. M. Deeb and H. Armenian. (Supported by Ford Foundation.)
 

 

The new demography of the Arab countries

A research oriented activity designed to:

  • Contribute to knowledge, mainly on the demography of Arab countries
  • Provide better understanding of the Arab fertility transition
  • Provide inputs to population policy formulation
  • Initiate and strengthen networking between Arab researchers and researchers interested in the Arab region
  • - Whenever possible, contribute to the training of junior researchers
    The current work of the project is organized in three broad clusters:
    - Cluster 1: Pathways of fertility transition
    - Cluster 2: Nuptiality
    - Cluster 3: Unmet need for family planning
    M. Deeb, H. Naufal and P. Saxena. (Supported by Mellon Foundation.)

     
     

    The impact of traumatic injury related disability on families and state among adults in Lebanon and the Palestinian autonomous state

    This project is a multi-disciplinary study conducted in collaboration with researchers from England, France and Palestine. The study involves three phases: screening for disability in the community, assessment of causes and impairments associated with the different types of disability, and finally psychological morbidity associated with war-related injuries and exposures. Field work and preliminary analysis of the data have already been accomplished. Secondary analysis and write-up of the final report is currently underway. A. Sibai, K. Sen,* M. Khlat,* L. Measey,* M. Sansur.* (Supported by European Economic Commission.)
     

     

    Behavioral risk factors among secondary schools in Lebanon

    Prevalence and correlates of behavioral risk factors, including intentional and unintentional injuries, drug use, and dietary habits, were determined in a sample of students attending secondary schools in Lebanon in 1997. Data analysis and final report submitted to WHO/UNICEF are already accomplished. We are currently, in the process of secondary analysis for write-up of publishable papers. A. Sibai, N. Kanaan. (Supported by WHO/UNICEF.)
     

     

    Living arrangements among the elderly in Lebanon: a proposal for planning and intervention

    This research includes secondary analysis of the 'Population and Housing Survey' conducted by the Ministry of Social Affairs in Lebanon in 1996. The project is in the analysis phase.

    A. Sibai. (Supported by URB.)
     

     
     
     

    ARTICLES, BOOKS AND REPORTS
     

    Deeb, M., Beirut: A Health Profile 1984-1994. Beirut, Lebanon: American University of Beirut, 1997.

    ———, Introduction. In Beirut: A Health Profile 1984-1994, 1-8, 1997. In: Beirut: A health profile 1984-1994, 1-9. Beirut, Lebanon: American University of Beirut, 1997.

    ———, The health profile and future prospects of Beirut: Concluding remarks. In Beirut: A Health Profile 1984-1994, 251-259. Beirut, Lebanon: American University of Beirut, 1997.

    ———, Breast feeding and weaning practices. In Lebanon Maternal and Child Health Survey 1996, 95-110. Lebanon: Ministry of Social Affairs, 1998.

    ———, Infant and child mortality. In: Lebanon Maternal and Child Health Survey 1996, 33-42. (Country of publication: name of publishers), 1998.

    ———, Immunization. In: Lebanon Maternal and Child Health Survey 1996, 65-74. Lebanon: Ministry of Social Affairs, 1998.

    Deeb, M., Campbell O.M.R.*, Kabakian T.K., New population based results from the Beirut 1994 Survey. International Journal of Obstetrics and Gynecology, 56 (2), 181-2, 1997.

    Deeb, M. and Khayat R., Survey methodology. In: Beirut: A Health Profile, 1984-1994, 9-40. Beirut, Lebanon: American University of Beirut, 1997.

    Deeb, M., Ghorayeb, F.*, Kabakian, T., Kanj, M. and Jabbour, J., Reproductive and child health. In Beirut: A Health Profile 1984-1994, 183-242. Beirut, Lebanon: American University of Beirut, 1997.

    El-Hajj, G. and Deeb, M., Hypovitaminosis D in a sunny country. The New England Journal of Medicine, June 10 1999. (Letter to the editor).

    Farhood, L., Chaya, M. and Skaff, J.*, Patterns of psychiatric illness from psychiatrist's case loads in different wartime periods. The Arab Journal of Psychiatry, November 1997.

    Karam, E., Howard, D.B.*, Karam, A.N.*, Ashkar, A.*, Chaya, M. Melhem, N. and Khoury, N., Major depression and external stressors: the Lebanon wars. European Archives of Psychiatry and Clinical Neurosciences, (248), 225-230, 1998.

    Mansour, A.M., Kassak, K., Chaya, M., Hourani, T., Sibai, A. and Alameddine, M.N. National survey of blindness and low vision in Lebanon. British Journal of Ophthalmology, 81, 905-906, 1997.

    Nuwayri-Salti, N. and Chaya, M., Major histocompatibility class I antigens in the Lebanese population. Eastern Mediterranean Health Journal, 3 (1), 1997.

    Sibai, A.M., The elderly in Lebanon: their demographic, socio-economic, social and health aspects. Report submitted to MOSA/Lebanon: Policies and Strategies Sub-Program, 1-64, September, 1998.

    Sibai, A.M. and Beydoun, M., Elderly Lebanese women in an aging world. Al-Raida Special Issue: 1999, International Year for Older Persons, 16 (85), 11-21, 1999.

    Sibai, A.M. and Kanaan, N., Youth health risk behavior survey among secondary school students in Lebanon: prevalence and clustering of risk behavior. Report submitted to WHO/UNICEF, 1-87, February, 1999.
     

     
     

    ABSTRACTS, PRESENTATIONS AND PROCEEDINGS
     

    Deeb M., Reproductive health. Third International Epidemiological Association, Eastern Mediterranean Scientific Meeting, Beirut, Lebanon, 1998.

    ———, Effects of widowhood on mortality in Beirut during wartime. The Population Association of America, Chicago, USA, 1998.

    ———, The Mellon research activities at the Faculty of Health Sciences. The Workshop on Reproductive Care in Lebanon: Policies and perceptions, Beirut, Lebanon, 1998.

    ———, Fertility transition in Lebanon. The New Demography of the Arab Region, Cairo, Egypt, 1998.

    ———, Results on child mortality, breast feeding and child immunization of the Lebanese maternal and child health survey. Beirut, Lebanon, 1998.

    ———, The New Demography of the Arab Region, Cairo, Egypt, 1997.

    ———, Women’s health problems in Lebanon. Regional Workshop on Interventions in Women’s Reproductive Health Services, Amman, Jordan, 1998.

    ———, Annual Meeting of the Population Association of America, New York, USA, 1999.

    ———, Policy implications of the results of the population and housing survey. Workshop of National Experts, Beirut, Lebanon, 1998. 

    Deeb, M. and Hatem, J., Review of legal aspects of women’s health in Lebanon. Beirut, Lebanon, 1998

    Deeb, M., Saxena, P. and Khayat, R., Some problems in the measurements of change through longitudinal studies: examples from Beirut surveys 1984 and 1994. IUSSP XXIII General Population Conference, Beijing, China, 1997.

    Khayat, R., Hospital policies for labor and delivery in Lebanon. Reproductive Health Care in Lebanon: Policies and Perceptions, Beirut, Lebanon, 1998.

    Khayat, R., and Campbell, O.M.R.*, Hospital policies and practices in maternity wards in Lebanon. MAMAH (Newsletter), (6), 1998.

    Sibai, A.M., The social and health profile of the elderly in Lebanon. The Elderly and the Golden Age, MECC, Beirut, Lebanon, 1997.

    ———, The elderly in Lebanon: resources, needs and developmental opportunities. The New Generations Forum, UNFPA/MECC, Beirut, Lebanon, 1998.

    Sibai, A.M. and Naja, N.A.*, Behavioral risk factors in schools in Lebanon: prevalence and perceptions. The First Arab Conference on School Health, Ajyalona Association, UNESCO, Beirut, Lebanon, 1999.

    Sibai, A.M. and Sa, M.*, The impact of traumatic injury-related disability on families and the state among adults in Lebanon and Palestine. Methodology and Relevance of Health System Research/EEC, Cambridge, England, 1998.
     
     
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