Top 10 Most Read in February: Associations between SES and adverse birth outcomes in Canada, the use of hormones among transgender women in Nepal and the effects of introducing PrEP programmes in Sweden

In February, we saw five new papers enter BMJ Open’s list of top 10 most read articles. New entries include a protocol for a systematic review and meta analysis that aims to examine the effects of physical activity interventions on the BMI of children and adolescents in Latin america, and a study into the use of alternative weighting procedures for the German Index of Multiple Deprivation (GIMD) and their associations with mortality.  

New in at number one is a cross sectional study that evaluated the socioeconomic gradients of adverse birth outcomes and related maternal factors in Alberta, Canada. Ospina et al evaluated the socioeconomic gradients by using provincial health data and found that there was an unequal distribution of adverse birth outcomes and related risk factors across the socioeconomic gradient in urban-rural settings, with high concentrations in groups in rural areas with lower socioeconomic status. 

Also new in at number five is a qualitative study about the use of hormones in transgender women in Nepal. Regmi et al aimed to explore what hormones are used and how they are used, along with what side effects are experienced by transgender women by conducting interviews and focus groups. They found that most of the study participants found information about hormone therapy from peer networks and online. They also found that most participants bought hormones from private pharmacies or abroad with friends, with only a few participants approaching a doctor for a prescription. 

Lastly, new in at number eight is a study that investigated the effects of introducing pre-exposure prophylaxis (PrEP) to men who have sex with men in Sweden using a mathematical pair formation model. Hansson et al concluded that targeting PrEP programmes towards high risk individuals could see a significant decrease in the long-term HIV prevalence in Sweden. 


Rank Author(s) Title
1 Ospina et al.  Socioeconomic gradients of adverse birth outcomes and related maternal factors in rural and urban Alberta, Canada: a concentration index approach
2 Ali et al. Sex-specific prevalence, inequality and associated predictors of hypertension, diabetes, and comorbidity among Bangladeshi adults: results from a nationwide cross-sectional demographic and health survey
3 Godoy-Cumillaf et al. 
4 Williams et al. Examining risk factors for self-harm and suicide in LGBTQ+ young people: a systematic review protocol
5 Regmi et al. Hormone use among Nepali transgender women: a qualitative study
6 Kaasbøll and Paulsen What is known about the LGBTQ perspective in child welfare services? A scoping review protocol
7 Miltz et al. Prevalence and correlates of depressive symptoms among gay, bisexual and other men who have sex with men in the PROUD randomised clinical trial of HIV pre-exposure prophylaxis
8 Hansson et al. Introducing pre-exposure prophylaxis to prevent HIV acquisition among men who have sex with men in Sweden: insights from a mathematical pair formation model
9 Schederecker et al.  Do alternative weighting approaches for an Index of Multiple Deprivation change the association with mortality? A sensitivity analysis from Germany
10 Yousufuddin et al. Association between hyperlipidemia and mortality after incident acute myocardial infarction or acute decompensated heart failure: a propensity score matched cohort study and a meta-analysis


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