Jinan Usta

Jinan Usta
American University of Beirut | AUB · Department of Family Medicine

MD, MPH

About

80
Publications
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Introduction
Skills and Expertise

Publications

Publications (80)
Article
Background As the proportion of women in family medicine increases, their well-being and job satisfaction become concerns. Objectives This study aimed to uncover the working conditions and career satisfaction of women family physicians across multiple countries. Methods A cross-sectional survey of the WONCA Working Party on Women and Family Medic...
Article
The COVID-19 pandemic has placed strain on healthcare systems across the world; however, countries experiencing overlapping crises such as economic or political unrest face immense pressure in ensuring routine healthcare services can continue to operate. Despite being less likely suffer severe disease or die from COVID-19, data suggest women have e...
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Objectives The aim of this study is to explore the factors that could predict contraceptive use. This will help develop interventions to increase the use of family planning methods among Syrian refugees. Methods We conducted a cross sectional survey on a random sample of male and female Syrian refugees residing in Lebanon. Data collection took pla...
Article
Elder abuse is a preventable problem. Presently, little is known about this phenomenon in Middle Eastern settings. The purpose of this study was to explore elder abuse in Beirut, Lebanon from different stakeholders' points of view with a focus on identifying behaviors that are considered to be abusive to older adults and predisposing factors. Focus...
Article
Lebanon is one of the most unequal countries in the world, whose economy, social welfare and public health system struggle to meet the needs of the Lebanese and over one million Syrian refugees. Researchers applied Community Based Participatory Research (CBPR) methodology in collaboration with an NGO in an underserved Beirut neighborhood from 2014...
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The Syrian conflict has created approximately five million refugees. Of these, more than one million have settled in Lebanon. This project aimed to determine the prevalence of psychological distress (PD) amongst Syrian refugee mothers compared to a control group of local mothers living in the same informal urban settlement in Beirut. A convenient s...
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This pilot study compares symptoms of depression and risk factors amongst Syrian refugees and low-income Lebanese mothers accessing a primary care centre in Beirut between January and June 2018. Women who gave birth in the previous two years or who were currently pregnant were included in the study. Depressive symptoms were assessed using the Arabi...
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Background An estimated 30% of women worldwide experience intimate partner violence (IPV) during their lifetime. Exposure to IPV is associated with poor health outcomes and the prevalence of violence may be higher amongst women seeking healthcare. Existing evidence from the Arab region is limited. We conducted a systematic review and meta-analysis...
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Background: Primary healthcare (PHC) is essential for equitable access and cost-effective healthcare. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstances, but for most countries, no data are available. Objectives: This...
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We describe an unusual case of a urinary tract infection (UTI) in a 52-year-old woman caused by Vibrio fluvialis. To our knowledge, this is the first report of this organism causing such an infection. The source of the organism could be the highly contaminated water she is using at home.
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ABSTRACT Background: Primary healthcare (PHC) is essential for equitable access and cost-effective health- care. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstan- ces, but for most countries, no data are available. Obje...
Article
It was supposed to be a straightforward case: a 13-year-old Syrian refugee girl was brought by her mother for irregular menstrual cycles. The girl started menstruating 9 months earlier and had 2 periods since then. My colleague, who was attending to the case, was unsuccessful in convincing the mother of the futility of performing a workup at this s...
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Gougerot and Carteaud confluent and reticulated papillomatosis (CARP) is an uncommon dermatosis characterized by hyperpigmented scaly macules or papillomatous papules coalescing into confluent patches or plaques centrally with a reticular pattern peripherally. We report a 28-year-old woman presenting at 16 weeks of gestation with an itchy rash that...
Article
This study used focus group discussions to explore 29 Syrian women’s experiences of being displaced refugees in Lebanon. Women reported intimate partner violence (IPV), harassment, and community violence. They experienced difficult living conditions characterized by crowding and lack of privacy, adult unemployment, and overall feelings of helplessn...
Article
This study explored the socialization of Lebanese men's attitudes toward gender equality to understand violence against women in Middle Eastern countries. Two hundred seventy-three men completed a survey, and 73 participated in seven focus groups. Survey results showed that participants' education, parents' expectations for gender-typed behavior, s...
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Children exposed to multiple sources of violence may become desensitized, increasing the possibility of them imitating the aggressive behaviors they watch and considering such behavior as normal. The purpose of this article is to assess the association between exposure to various types of violence (including war) and desensitization in Lebanese chi...
Article
The current conflict and humanitarian crisis in Syria continue to displace thousands of Syrians to neighboring countries, including Lebanon. This chapter examines the relation between refugee status, reproductive health outcomes, and domestic violence. We conducted a rapid needs assessment from June to August 2012 in Lebanon to collect information...
Article
Consanguinity is still common in the Middle East. This chapter uses the Demographic and Health Surveys (DHS) from Egypt (2005; N =5,240) and Jordan (2007; N=3,444) to examine the relationship between consanguinity and intimate partner violence (IPV). Binary logistic regression models used to assess the association revealed that IPV, namely physical...
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Background: Domestic violence (DV) is highly prevalent in the developing and developed world. Healthcare systems internationally are still not adequately addressing the needs of patients experiencing violence. Aim: To explore physicians' attitudes about responding to DV, their perception of the physician's role, and the factors that influence th...
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Domestic violence (DV) is quite prevalent and negatively impacts the health and mental wellbeing of those affected. Victims of DV are frequent users of health service, yet they are infrequently recognized. Physicians tend to treat the presenting complaints without addressing the root cause of the problem. Lack of knowledge on adequately managing ca...
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The current conflict in Syria continues to displace thousands to neighboring countries, including Lebanon. Information is needed to provide adequate health and related services particularly to women in this displaced population. We conducted a needs assessment in Lebanon (June-August 2012), administering a cross-sectional survey in six health clini...
Article
Our purpose was to assess medical students' willingness to help women survivors of intimate partner violence (IPV) and its relation to past exposure to violence. A cross-sectional study of medical students enrolled in three major universities in Beirut was carried out: 545 students filled out a self-administered questionnaire. The Inventory of Beli...
Chapter
During wars and displacement, there is a collapse in the social and moral order: bonds within communities and families may get destabilized; violence becomes more acceptable, with resources barely available for survivors and priority is given for food and shelter. Most research and interventions addressing sexual and gender based violence during wa...
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This article explores the experiences and perceptions of Lebanese women and men with economic abuse. Data were drawn from focus group discussions and face-to-face interviews with men, women and social workers. The findings reveal that Lebanese women experience many forms of economic abuse, including the withholding of earnings, restricted involveme...
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PURPOSE Domestic violence is prevalent among women using primary health care services in Lebanon and has a negative effect on their health, yet physicians are not inquiring about it. In this study, we explored the attitudes of these women regarding involving the health care system in domestic violence management. METHODS We undertook a qualitative...
Article
Background: This study examined the prevalence, risk factors and consequences associated with child maltreatment in the home. Methods: The sample was 1028 (556 boys; 472 girls) Lebanese children aged 8-17 years (M = 11.89; SD = 1.67). Children were administered an interview questionnaire that included the International Child Abuse Screening Tool...
Article
In the above paper it should be noted that an incorrect reference was included. The following reference on page 218 is incorrect: Haj Yahia MM. A patriarchal perspective of beliefs about wife beating among Palestinian men from the West Bank and the Gaza Strip (Israel). J Fam Issues 1998;19:595. The correct reference is: Haj Yahia MM. A patriarchal...
Article
Child sexual abuse (CSA) is rarely addressed in the Arab world. This study examined the prevalence, risk factors and consequences associated with CSA in Lebanese children before, during and after the 2006 Hezbollah-Israeli war. A total of 1028 Lebanese children (556 boys; 472 girls) were administered an interview questionnaire that included the Int...
Article
Multiple sclerosis (MS) is a demyelinating disease of uncertain etiology. Many genetic and environmental risk factors have been associated with this disease including certain human leukocyte antigen haplotypes, Epstein-Barr virus infection, and vitamin D deficiency. We report a 30-year-old woman with MS, the product of consanguineous marriage, and...
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Over the last decade more emphasis is being put on teaching communication skills (CS). Use of videos and role-play was suggested to improve CS. This article will present the impact of an audiovisual package on promoting the knowledge of medical students in CS. Seventy-five second year medical students--distributed into eight groups led by four faci...
Article
To investigate how Lebanese women were affected by the July 2006 conflict that erupted between the Hezbollah and the State of Israel, with a specific focus on their personal violence exposure and how they coped with these circumstances. Participants were 310 women at Ministry of Social Affairs Centers (MOSA) located in six geographic areas with var...
Article
This study investigates the potential of essential oils from commonly used medical and culinary herbs in Lebanon as an environmentally safe measure to control the seaside mosquito, Ochlerotatus caspius. The composition of essential oils extracted from parsley seeds and leaves, alpine thyme inflorescences, anis seeds, and coriander fruits were analy...
Article
To estimate the prevalence of domestic violence among women presenting to primary health care facilities in Lebanon; to identify presenting symptoms and responses to varied forms of violence; and to examine variables associated with domestic violence. A cross-sectional survey of all women presenting to four primary health care centres in different...
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This study assesses the level of job and career satisfaction, work, social life and child care conflict of full time female academic physicians, and compares it with full time female non medical academicians at the American University of Beirut. The authors show that female physicians were significantly more satisfied with resources and income than...
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Community violence is a major public health concern. Much has been written about high intensity community violence such as wars or gang violence. However, chronic low intensity community violence is greatly overlooked. The objective of the following study is to assess how children living in neighbourhoods characterized by chronic low intensity viol...
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Communication skills are widely taught in US medical schools, but in Lebanon, such teaching is in its infancy. At the American University of Beirut, we piloted a communication skills teaching package using video scenarios in Arabic. A total of 150 second-year medical students addressed eight communication issues in a 3-hour multi-method workshop th...
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To explore associations between work status and multidimensional health indices in a sample of urban Lebanese children. A cross-sectional survey was used to compare 78 male children (aged 10-17 years) working full time in small industrial shops, and a comparison group of 60 non-working male schoolchildren. All children lived and worked or studied i...
Article
Tracheobronchial amyloidosis is a disease presumably of plasma cell origin characterized by deposition of amyloid in the walls of the airways. Because of the rarity of the condition, there are no established standard measures to follow the disease. We report a case of tracheobronchial amyloidosis that presented to a primary care clinic with moderat...
Article
Osteitis pubis is a poorly understood and uncommon disorder rarely associated with spontaneous delivery. We present a case consistent with osteitis pubis that followed a normal vaginal delivery and where symptoms developed earlier than ever previously reported. The potential benefit of low molecular heparin is discussed.
Article
Continuing medical education (CME) is a requirement in many developed countries. Lebanon lacks such a rule; hence, the dictum "once a doctor always a doctor" holds. This article describes a pioneering postgraduate educational program for primary care physicians in remote areas of Lebanon. The Lebanese Society of Family Medicine introduced a 2-year...
Article
The effect of water extracts of cinnamon and clove on rat mitochondrial F(0)F1ATPase was investigated. Both spices stimulated ATP hydrolysis. Gas chromatography analysis of the water extracts, confirmed the presence of eugenol and cinnamaldehyde as major components in clove and cinnamon, respectively. Both components (1) stimulated ATPase significa...
Article
Parsley has been claimed in folk medicine to possess laxative properties attributed to the presence therein of some volatile oils that are more concentrated in seeds than in stems or leaves. The advocated physiological effect of parsley, does not have, however, any proven scientific background and relies mainly on simple observations and empirical...
Article
Asthma is a chronic disease that cannot be cured but can be effectively controlled. Control is achieved through education of the patient, monitoring of symptoms and pulmonary functions, environmental modification and pharmacologic therapy. The latter should aim at providing control with the least amount of medications. Any form of asthma more sever...
Article
The effects of structural analogues of ceramide on rat brain mitochondrial ceramidase (mt-CDase) were investigated. Design of target compounds was mainly based on modifications of the key elements in ceramide and sphingosine, including stereochemistry, the primary and secondary hydroxyl groups, the trans double bond in the sphingosine backbone, and...
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This study was aimed at identifying the molecular mechanisms by which ceramide inhibits telomerase activity in the A549 human lung adenocarcinoma cell line. C(6)-ceramide (20 microm) caused a significant reduction of telomerase activity at 24 h as detected using the telomeric repeat amplification protocol, and this inhibition correlated with decrea...
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This study was designed to analyze whether ceramide, a bioeffector of growth suppression, plays a role in the regulation of telomerase activity in A549 cells. Telomerase activity was inhibited significantly by exogenous C(6)-ceramide, but not by the biologically inactive analog dihydro-C(6)-ceramide, in a time- and dose-dependent manner, with 85% i...
Article
The effect of a water extract of some spices on the in vitro activity of the rat jejunal Na(+)-K(+)-ATPase was investigated. Extracts of nutmeg, cinnamon, clove, cumin, coriander, turmeric and caraway all inhibited the ATPase, while anise seed and white pepper exerted no significant effects. The extracts of clove and cinnamon had the most potent in...
Article
Aim: To determine the prevalence of seat belt (SB) use and proper headrest (HR) position by car drivers in Lebanon. Methods: After adequate training of ten volunteers, the mean of visual reliability of the position of the HR in relation to the driver's head, compared to a slide ruler, were 89% and 97% for the horizontal and vertical positions, resp...
Article
To determine the purified protein derivative conversion rate among Lebanese children we followed a cohort of 1236 students, ages 5-14 years, enrolled in 25 public schools in Beirut. All cases received an intradermal injection of purified protein derivative in 1992 and one year later. Test administration was done using standard techniques and result...
Article
The gene products of both Wilson's (WND) and Menkes (MNK) diseases as deduced from primary structures are Cu transporting P-ATPase isozymes. Whereas the WND is expressed in the liver, kidney, brain and heart, MNK is expressed in all tissues except liver. We have recently identified and kinetically characterized a Cu** ATPase in rat livers with an a...
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The health status of 2778 elementary students enrolled in twenty-five government schools in Beirut was evaluated. Parents completed special forms relating to demographic information, socioeconomic status, the students' medical and vaccination history, and the presence of certain medical conditions in the family. A complete physical examination of e...
Article
Previous reports have suggested that 1,25-dihydroxychole-calciferol regulated cellular differentiation via its effects on protein kinase C activity. This study examined the in vivo effects of ergocalciferol on the activity of protein kinase C, and whether the differentiation of crypt intestinal cells is dependent on the activation of this enzyme. E...
Article
Although imperforate hymen occurs in approximately 0.1% of female newborns, familial occurrence of imperforate hymen has been reported only once. We report two families in which imperforate hymen was diagnosed in three siblings of each family. One family is described in detail; the patients were two postmenarchal young women and one premenarchal gi...
Article
Background: Although imperforate hymen occurs in approximately 0.1[P] of female newborns, familial occurrence of imperforate hymen has been reported only once. Cases: We report two families in which imperforate hymen was diagnosed in three siblings of each family. One family is described in detail; the patients were two postmenarchal young women an...
Article
Fluorescent 5-coordinate organotin-flavone complexes of 3-hydroxy-flavone (Hof) and 3,5,7,2',4',-pentahydroxyflavone (morin) are good inhibitors of mitochondrial F1F0ATPase but do not inhibit F1-ATPase and they have been examined as possible fluorescent probes of F1F0ATPase. R2SnX (morin) complexes exhibit low fluorescence enhancement on binding to...
Article
Full-text available
A B S T R A C TIN T R O D U C T I O N : Over the last decade more emphasis is being put on teaching communica- tion skills (CS). Use of videos and role-play was sug- gested to improve CS. This article will present the impact of an audiovisual package on promoting the knowledge of medical students in CS. METHODS : Seventy-five second year medical st...

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