The Outbreak of Digital Detox Motives and Their Public Health Implications for Holiday Destinations.

This paper aims to analyze the external and objective barriers of the digital difference between being at home and being on holiday, and the intrinsic and subjective inhibitors to remaining online once at a destination. In this study, the literature is thoroughly reviewed, going beyond the traditional economic and technological explanations, along with those related to skill, to consider those rooted in well-being and psychology. Hence, a more integrative and exhaustive framework deals with how tourists approach their perceived hazardous and oversaturating digital environment. Finally, the role played by sociodemographics is studied by profiling those who are predisposed toward disconnecting in order to preserve their wellness. In total, 346 tourists were surveyed at random, with proportional stratification, on the island of Gran Canaria. The measuring instrument comprised a questionnaire whose scales gathered information about more than eighteen devices, twenty-eight social media platforms, and sixteen device and social media barriers. The obtained evidence demonstrates how crucial "detox" motivations are when trying to elucidate the differences in digital behavior between their home and holiday destination. Similarly, the evidence highlights that while gender, age, nationality, and income are associated with these differences, education is not. This study pioneers an analysis of the detox barrier regarding staying connected while on holiday and provides insight into how this intrinsic and subjective inhibitor interacts with other external hindrances to people's health, both where they live and where they travel.

Linkage to care after HIV diagnosis among men who have sex with men and transgender women in Lima, Peru.

In Lima, Perú, HIV prevalence is estimated to be 15% among men who have sex with men (MSM) and 30% among transgender women (TW). We investigated timely linkage of MSM and TW to HIV care, as linkage to antiretroviral therapy (ART) is critical to protect the health of those living with HIV and to prevent onward transmission. We investigated linkage within 90 days of HIV diagnosis by matching data from two studies conducted in Lima between 2013 and 2015 to national ART program records. We used generalized linear modeling to assess predictors of timely linkage and late presentation to care. Of 487 newly-diagnosed MSM and TW, only 44% presented for care at an HIV clinic within 90 days. Timely linkage was less common among TW (aPR 0.7, 95% CI 0.5-1.0), those younger than 24 (aPR 0.8, 95% CI 0.6-1.0), and those reporting a history of sex work (aPR 0.7, 95% CI 0.6-0.9). Proximity to an ART program clinic was not associated with linkage; most participants linked to clinics offering "LGBTQ-friendly" care. The pattern of clinics selected by participants suggests the importance of concerns about confidentiality and stigma in decision-making about where to link to care.

Breastfeeding: an emotional instinct.

OBJECTIVE: The proposed objective of this research is twofold: (1) it examines the significance of emotions to the breastfeeding experience in relation to cognition, and (2) it analyzes the extent to which emotions and cognition are connected to breastfeeding. MATERIALS AND METHODS: An empirical research work has been carried out based on a questionnaire that was administered in a maternity hospital in the autumn of 2008, in order to gather information regarding cognitive and emotional aspects of breastfeeding behavior. The final sample comprised 311 breastfeeding mothers, and the sampling error was 5.55%. RESULTS: The research shows that breastfeeding is not only more of an emotional reaction than a rational decision, but also demonstrates that the emotional development of breastfeeding is independent from the cognitive process. CONCLUSIONS: A new approach in the literature of breastfeeding is put forward in which the predominant cognitive techniques and theories are complemented by highlighting the importance of understanding the target group and implementing suitable and affective actions. Specific practical implications are provided for social marketing campaigns as well as future lines of research.

Cómo aprender de la experiencia de lactancia de las madres: implicaciones para la promoción y el marketing social / How to learn from the mothers breastfeeding experience: implications for promotion and social marketing

Fundamentos: El objetivo del presente trabajo es abordar el proceso de aprendizaje con base en la experiencia de las madres respecto a la lactancia materna, de modo que se pueda diseñar campañas de promoción adaptadas al hacer de las mujeres lactantes. Métodos: Se desarrolla teóricamente y se estima empíricamente un modelo de aprendizaje inverso con base en análisis estadísticos tipo Path haciendo uso de una muestra de 311 madres lactantes, la cual se recabó en el Hospital Materno Infantil de Gran Canaria y en lugares organizados por la Asociación Pro-Lactancia Materna de Canarias en el año 2008. Resultados: Se demuestra que las madres lactantes pueden aprender a dar el pecho sobre la base de su experiencia, especialmente si aumenta la frecuencia de tomas y el esmero en hacerlo bien. Gracias a ello, las mujeres pueden desarrollar actitudes e involucración suficiente para adquirir conocimientos acerca de la salud y del amamantamiento humano. Conclusiones: Cuando se diseña una campaña de promoción de la lactancia debe considerarse la capacidad innata de la madre para dar el pecho y por ello basar la inducción de la lactancia de manera esencialmente práctica (AU)

Background: The objective of the current work is to focus on the learning process based on mothers' breastfeeding experience so that help to design promotional and social marketing campaigns taking into account the know- how of mothers. Method: A theoretical and empirical inverse learning model is developed by means of path analysis on a convenience sample of 311 elements gathered in the Maternity Hospital of Gran Canaria and other places chosen by the Breastfeeding Mothers Association of The Canary Islands in 2008. Results: Results show that mothers can learn about breastfeeding by their own experience, especially if mothers' breastfeeding frequency increases and they set their best on doing it. Based upon doing, attitudes and involvement determine their knowledge not only about breastfeeding but also about health. Conclusions: Social marketing campaigns should be drawn on innate mothers' skills to breastfeed and rely on experience (AU)