Celine Miani

Celine Miani
Bielefeld University · School of Public Health

Doctor of Public Health

About

87
Publications
12,822
Reads
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450
Citations
Citations since 2016
68 Research Items
422 Citations
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Introduction
I am a Junior Research Group Leader in the department of “Epidemiology and International Public Health”, at the School of Public Health, Bielefeld University, Germany. I am also an affiliated researcher within Unit 14 “Sexual and Reproductive Health and Rights” of the Institut national d’études démographiques (Ined), France. My research focuses on gender norms and relations and their impact on reproductive health (e.g. contraception, birth, abortion).
Additional affiliations
January 2012 - February 2017
RAND Europe
Position
  • Researcher
January 2011 - December 2011
University of Cambridge
Position
  • Research Assistant
Education
April 2017 - November 2017
Bielefeld University
Field of study
  • Public Health
September 2008 - June 2010
Ecole d'économie de Paris
Field of study
  • Economics
September 2004 - June 2010
Ecole Normale Supérieure de Paris
Field of study
  • Social sciences

Publications

Publications (87)
Article
Full-text available
Background Exclusive breastfeeding is the optimal infant nutrition, providing infants immunoprotection against many diseases including SARS-CoV-2 infection. Restrictions during the COVID-19 pandemic may have negatively affected breastfeeding practices in maternity care facilities. The aims of the study were to examine exclusive breastfeeding rates...
Article
Full-text available
Background The perinatal period is an optimal time to intervene for achieving smoking cessation in expectant parents and offers multiple health benefits for women and the newborn. While Behavior Change Technique (BCT) interventions are a promising approach to support pregnant smokers to quit smoking, effectiveness of these interventions among expec...
Article
Full-text available
Introduction According to the World Health Organization, the medicalisation of birth tends “to undermine the woman's own capability to give birth and negatively impacts her childbirth experience”. The COVID-19 pandemic has disrupted maternity care, with potential increase in the medicalisation of birth and in occurrences of disrespectful maternity...
Article
Full-text available
From 2020 the COVID-19 pandemic has deeply affected maternal and neonatal care. The implementation of governmental policy responses to limit the spread of the disease and the development of new hospital protocols have forced healthcare workers and women alike to adapt. The perception of the quality of hospital care by both groups has been at the co...
Article
Mothers tended to be responsible for most of the (additional) caregiving and domestic tasks during the COVID-19 pandemic while simultaneously having to pursue their work duties. Increased role conflicts, parenting stress, and exhaustion predict adverse mental health. We aimed to examine how women referred to and made sense of dominant gender norms...
Article
Full-text available
Background: Gender as a relational concept is rarely considered in epidemiology. However, an in-depth reflection on gender conceptualisation and operationalisation can advance gender analysis in quantitative health research, allowing for more valid evidence to support public health interventions. We constructed a context-specific gender score to as...
Article
Full-text available
Objectives Mothers of young children have been identified as a particularly vulnerable group during the COVID-19 pandemic. We aimed to explore how occupational, psychosocial and partnership-related factors were associated with their self-reported mental well-being during the first COVID-19 wave. Methods Five hundred fifty participants of the BaBi...
Article
Full-text available
Background The mapping of immigration-related health inequalities remains challenging, since immigrant populations constitute a heterogenous socially constructed group whose health experiences differ by social determinants of health. In spite of the increasing awareness that population mobility and its effects on health are highly gendered, an expl...
Article
Introduction: Recent quantitative research in public health indicates that women across the globe report suboptimal treatment during institutional deliveries. The most common approaches used to comprehend this abuse, violence, or mistreatment have not fully achieved a balance between theoretical perspectives and empirical assessment. To contribute...
Article
Full-text available
Background Multi-country studies assessing the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic, as defined by WHO Standards, are lacking. Methods Women who gave birth in 12 countries of the WHO European Region from March 1, 2020 - March 15, 2021 answered an online questionnaire, including 40 WHO Standard-based Quality Meas...
Article
Full-text available
Medical abortion (MA) is recommended by the WHO as a safe and effective pregnancy termination method in the first trimester. From a feminist perspective, it is a non-medicalised, self-managed, emancipating procedure allowing persons seeking abortion to be more in control of their abortion, as opposed to surgical procedures. In European countries wh...
Article
Full-text available
Background The relevance of gender as a social determinant of health and its role in the production of health inequalities is now broadly acknowledged. However, the plethora of existing approaches to capture gender, which often stem from disciplines outside of epidemiology, makes it difficult to assess their practicality and relevance for a given r...
Conference Paper
Full-text available
Background Social media offer expecting and new mothers a space to discuss birth-related fears, hopes and experiences. This is particularly the case during the Covid-19 pandemic, which has altered delivery of maternity care. Measures to reduce transmission risk in birth facilities and changes in birth plans are likely to have had an impact on new m...
Conference Paper
Background The mapping of migration-related health inequalities remains challenging, since immigrant populations constitute a heterogenous socially constructed group whose health experiences differ by social determinants of health. In spite of the increasing awareness that population mobility and its effects on health are highly gendered, an explic...
Conference Paper
Background Gender as a relational concept is rarely taken into account in epidemiology, yet an in-depth reflection on gender conceptualisation and operationalisation can advance gender analysis in quantitative health research, allowing for more valid evidence to support public health interventions. We constructed a context-specific gender score to...
Conference Paper
Background Women globally report suboptimal conditions during facility-based childbirth. Most approaches that capture abuse, violence or mistreatment in epidemiology do not reflect a theoretical perspective in their measurement. In order to contribute to a more valid consideration of the cultural drivers, institutional conditions, direct expression...
Conference Paper
Full-text available
Background Measures to contain the Covid-19 pandemic had major impacts on families, e.g., due to the unpredictable closing of childcare facilities and schools. Parents had to re-arrange their work, childcare and household obligations. Methods We conducted 17 email interviews with mothers having at least one child aged < =6 years. Topics included a...
Article
Objective Official German recommendations advise women to start taking folic acid supplementation (FAS) before conception and continue during the first pregnancy trimester to lower the risk of birth defects. Women from lower socioeconomic background and ethnic minorities tend to be less likely to take FAS in other European countries. As little is k...
Article
Full-text available
Background Social media have in recent years challenged the way in which research questions are formulated in epidemiology and medicine, and in particular when it comes to women’s health. They have contributed to the emergence of ‘new’ public health topics (e.g. gynaecological and obstetric violence, long-Covid), the unearthing of testimonials of m...
Article
Full-text available
Background: Measuring the phenomenon of violation of birth integrity (vBI) (e.g., obstetric violence) relies in part on the availability and content of maternity care providers' data. The population coverage and linkage possibilities that these data provide make for a yet untapped potential. Although vBI is a complex phenomenon best measured with d...
Article
Full-text available
Background Multi-country studies assessing the quality of maternal and newborn care (QMNC) during the COVID19 pandemic, as defined by WHO Standards, are lacking. Methods Women who gave birth in 12 countries of the WHO European Region from March 1, 2020 - March 15, 2021 answered an online questionnaire, including 40 WHO Standard-based Quality Measu...
Article
Full-text available
Background Gender as a social construct contributes to determine who migrates and which migration-related risks and opportunities emerge in all phases of the migration trajectory. Simultaneously, migration influences the individual as well as societal definition and perception of gender roles. An explicit gender perspective in migration-related epi...
Conference Paper
Full-text available
Background The relevance of gender as a social determinant of health inequalities is now broadly acknowledged. However, the plethora of existing approaches to capture gender, which are often stemming from disciplines outside of public health, makes it difficult to assess their practicality and relevance for a given research purpose. We conducted a...
Poster
Full-text available
Background: Violation of maternal integrity (VMI) during childbirth is reported by women and observed by researchers globally. It has serious health consequences for the mother and the infant in the short and long-term. The terminology to capture VMI ranges from disrespect and abuse to mistreatment and obstetric violence. This variety of terms and...
Conference Paper
Full-text available
Background Medical abortion is one of the WHO recommended methods for safe and effective first trimester abortion. It is often seen as an emancipating procedure allowing women to be more in control of their abortion, as opposed to surgical procedures where the surgery is “done to” the woman by a doctor. In countries where medical abortion is legal...
Conference Paper
Full-text available
Violence against women is a pervasive human rights violation, which is still under-recognized despite some recent progress. From sexist ubiquitous online harassment, to physical and sexual violence that affects at least 1 in 3 women in her lifetime, this prevalent and large spectrum of violence constitutes a profound health problem. It affects wome...
Conference Paper
Full-text available
Background Measuring the phenomenon of violation of maternal integrity in childbirth (e.g. obstetric violence) relies in part on the completeness of maternity care providers' data. The population coverage and linkage possibilities that they provide make for a great untapped potential. Although violation of integrity is a complex phenomenon best mea...
Article
Full-text available
Objective Non-medical antenatal care (ANC) refers to a range of non-medical services available to women during pregnancy aiming at supporting women and prepare them for the birth and the postpartum period. In Germany, they include antenatal classes, breastfeeding classes and pregnancy-specific yoga or gymnastics courses. Studies suggest that variou...
Article
Full-text available
Objectives: Community-based social innovations (CBSIs) are one type of intervention that may help to address the complex needs of ageing populations globally. The aim of this research was to assess evidence for the effectiveness and cost-effectiveness of CBSIs involving in such contexts. Methods: We conducted a systematic review of CBSIs for hea...
Article
Full-text available
Background: Women with a migration background are reportedly at a higher risk of emergency caesarean section. There is evidence that this is due in part to suboptimal antenatal care use and quality of care. Despite the fact that migrant women and descendants of migrants are often at risk of socioeconomic disadvantage, there is, in comparison, scar...
Article
Children with a migration background are more at risk of health-related problems than those without a migration background. The German health system still does not adequately meet the challenges of on increasingly heterogeneous population, not least due to a lack of adequate epidemiological data and models. The BaBi study contributes to gaining new...
Conference Paper
Full-text available
Background Gender as a social construct contributes to determine who migrates and which migration-related risks and opportunities emerge in all phases of the migration trajectory. Simultaneously, migration influences the individual as well as societal definition and perception of gender roles. An explicit gender perspective beyond biological sex in...
Poster
Full-text available
Background Breastfeeding is considered beneficial for both mother and child. In Germany, national guidelines recommend fully breastfeeding for at least 4 months, a goal reached by only 34% of mothers in 2012. The WHO’s recommendation of exclusively breastfeeding for six months was met by 19% only. Hardly modifiable factors such as socio-economic st...
Article
There is a growing awareness of the role of gender in the production of health inequalities. Gender, as a social construct, is built on culturally constructed roles, behaviours, expectations, opportunities and responsibilities that individuals experience throughout their lives in societies. It is also a reflection of relations to others, and of the...
Conference Paper
Full-text available
Background Violation of maternal integrity (VMI) during childbirth is reported by women world-wide and reflects one aspect of gender-related violence against women. Terminology and concepts to describe VMI range from disrespect and abuse over mistreatment in childbirth to obstetric violence. The choice of terms might determine the scope of referenc...
Article
Risk factor-oriented epidemiology was largely disconnected from sociological theory. Recently, efforts have been made to integrate more systematically gender as a social concept in epidemiology. An intersectional multi-level approach to gender-sensitive epidemiology could move beyond a male-female dichotomy, allowing to understand the interdependen...
Article
Full-text available
Background The “Latina paradox” describes the unexpected association between immigrant status, which is often correlated to low socioeconomic status, and low prevalence of unfavourable birth outcomes. Social (e.g. culture, religion) and/or non-social factors related to country of origin are potentially responsible for this paradox. Methods Questio...
Article
The demand for health services in England is both growing and changing in nature, yet resources are limited in their ability to respond to the scale and scope of need. As a result, the NHS is under increasing pressures to realise productivity gains, while continuing to deliver high quality care. RAND Europe and the University of Manchester have bee...
Article
Background: Long-term conditions place a substantial burden on primary care services, with drug therapy being a core aspect of clinical management. However, the ideal frequency for issuing repeat prescriptions for these medications is unknown. Aim: To examine the impact of longer-duration (2-4 months) versus shorter-duration (28-day) prescriptio...
Article
Full-text available
Background To reduce expenditure on, and wastage of, drugs, some commissioners have encouraged general practitioners to issue shorter prescriptions, typically 28 days in length; however, the evidence base for this recommendation is uncertain. Objective To evaluate the evidence of the clinical effectiveness and cost-effectiveness of shorter versus...
Article
Full-text available
Background The notion of a community hospital in England is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. Howe...
Article
Full-text available
Background There is no single definition of a community hospital in the UK, despite its long history. We sought to understand the nature and scope of service provision in community hospitals, within the UK and other high-income countries. Methods We undertook a scoping review of literature on community hospitals published from 2005 to 2014. Data w...
Article
Full-text available
Objectives: Variation in patterns of referral from primary care can lead to inappropriate overuse or underuse of specialist resources. Our aim was to review the literature on strategies involving primary care that are designed to improve the effectiveness and efficiency of outpatient services. Methods: A scoping review to update a review publish...
Article
Full-text available
Aim This study updates a previous scoping review published by the National Institute for Health Research (NIHR) in 2006 (Roland M, McDonald R, Sibbald B. Outpatient Services and Primary Care: A Scoping Review of Research Into Strategies For Improving Outpatient Effectiveness and Efficiency . Southampton: NIHR Trials and Studies Coordinating Centre...
Technical Report
Full-text available
Bryn Garrod, Josephine Exley, Emma Harte, Celine Miani, Jennifer Newbould, Catherine L. Saunders, Tom Ling. An evaluation of the first phase of Q: Engaging the founding cohort in a co-designed approach to health care improvement. Santa Monica, CA: RAND Corporation, 2016. http://www.rand.org/pubs/research_reports/RR1517.html.
Article
This study seeks to help inform the further development of medical education and training for primary care in Germany. It explores approaches to medical education and training in a small number of high-income countries and how these seek to address shortages of doctors practising in primary or ambulatory care through reforming their education and t...
Technical Report
Full-text available
This report seeks to help inform the further development of medical education and training for primary care in Germany. It explores approaches to medical education and training in a small number of high-income countries and how these seek to address shortages of doctors practising in primary or ambulatory care through reforming their education and...