Journal of Medicine, Surgery, and Public Health最新文献

{"title":"Sjögren’s syndrome complicated by ischemic stroke in the right middle cerebral artery territory – A case report","authors":"Muhammad Mubashir,&nbsp;Imaan Jauhar,&nbsp;Saba Zaidi","doi":"10.1016/j.glmedi.2024.100104","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100104","url":null,"abstract":"<div><p>Sjögren's syndrome (SS) is a chronic autoimmune condition characterized by lymphoplasmacytic infiltration into salivary and lacrimal glands, leading to sicca syndrome and systemic symptoms. While pulmonary, musculoskeletal, dermatological, and renal manifestations are well-documented, reports of central nervous system (CNS) involvement, particularly stroke, remain rare. We present a case report of a 30-year-old female whose initial manifestation of vasculitis associated with Sjögren's syndrome was an ischemic stroke. Laboratory findings revealed a positive ANA profile and radiological investigations showed an infarct in the right middle cerebral artery (MCA). The patient was then managed using steroids, antiplatelets, hydroxychloroquine, and physiotherapy. Although small-vessel vasculitis is commonly implicated in CNS involvement, major cerebral vessel involvement in Sjögren's syndrome is infrequently reported, with only three cases documented in the literature. This case highlights the importance of recognizing stroke as a potential manifestation of Sjögren-related vasculitis and expands the understanding of CNS complications in this autoimmune disorder. Increased awareness of this rare presentation may aid in prompt diagnosis and appropriate management of vasculitic complications in Sjögren's syndrome patients. Further research is needed to elucidate the underlying mechanisms and explore optimal treatment strategies for this subset of patients.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100104"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000574/pdfft?md5=49b88ff4a391f053a77f0495aa1e66f8&pid=1-s2.0-S2949916X24000574-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racialized influence of parental education on adolescents’ tobacco and marijuana initiation: Mediating effects of average cortical thickness","authors":"Shervin Assari ,&nbsp;Payam Sheikhattari","doi":"10.1016/j.glmedi.2024.100107","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100107","url":null,"abstract":"<div><p>Various regions of the cerebral cortex, such as the prefrontal cortex, parahippocampal gyrus, insular cortex, temporal cortex, and anterior cingulate cortex, play critical roles in emotion regulation and executive/cognitive control. Given these regions' involvement, it is hypothesized that average cortical thickness might play a role in mediating the socioeconomic gradient observed in substance use behaviors. However, the mechanisms through which average cortical thickness influences the differential impact of socioeconomic factors, such as parental education, on the initiation of tobacco and marijuana use among youths from diverse backgrounds remain unclear. Recent studies indicate that the effects of socioeconomic factors on substance use and brain development are racialized, often showing weaker associations in racialized populations due to social stratification and racism. Our aim was to examine whether average cortical thickness mediates the racialized effects of parental education as a major socioeconomic determinant on the initiation of tobacco and marijuana use among youth. This longitudinal study, spanning 36 months, utilizes data from the Adolescent Brain Cognitive Development (ABCD) study, which included 10,777 pre-adolescents aged 9–10 years. From this, 8263 (76.67%) were White youth and 2514 (23.33%) were Black. Structural equation modeling was employed to assess the mediating role of average cortical thickness in the relationship between parental education (social determinant), race, and the initiation of tobacco and marijuana use, while considering covariates such as sex and age. Socioeconomic factors were predictive of future substance use. However, the association between these socioeconomic factors and substance use was found to be weaker among Black youths compared to White youths. Average cortical thickness partially mediated the influence of the racialized socioeconomic gradient on substance use, indicating both direct and indirect effects. Average cortical thickness acts as a partial mediator in the racialized impact of socioeconomic determinants on the initiation of adolescent substance use, underscoring the intricate relationship between neurodevelopmental and social factors in influencing substance use behaviors. This observation supports a biopsychosocial model that incorporates the effects of racism, aligning with the theory of minorities’ diminished returns.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100107"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000604/pdfft?md5=ceb465c0e8943396f72e3d48c1c14e15&pid=1-s2.0-S2949916X24000604-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140605786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cholesterol crystal embolism: Unraveling its impact on atherosclerotic cardiovascular diseases","authors":"Alief Waitupu,&nbsp;Mukti Citra Ningtyas,&nbsp;Henry Sutanto","doi":"10.1016/j.glmedi.2024.100102","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100102","url":null,"abstract":"<div><p>Cholesterol crystal embolism (CCE) has emerged as a significant factor in cardiovascular pathology, often overlooked in clinical diagnosis. Its role in eliciting immune responses and contributing to various cardiovascular diseases underscores its clinical importance. This review article delves into the complex interplay between CCE, the immune system, and atherosclerotic cardiovascular diseases. CCE, primarily arising from ruptured atherosclerotic plaques, can significantly impact cardiovascular health. It triggers an immune response by activating the NLRP3 inflammasome, leading to the secretion of proinflammatory cytokines, which exacerbate vascular inflammation and atherogenesis. The review highlights the role of CCE in various cardiovascular manifestations, including atheromatous disease progression and plaque rupture, with a particular focus on the clinical presentations, differential diagnoses, and impact on organs like the heart, kidneys, and peripheral vasculature. Additionally, it addresses the diagnostic challenges and the criteria for identifying CCE, emphasizing the role of imaging and biopsy. Therapeutic approaches, including the use of statins and anti-inflammatory medications, are discussed, along with management strategies for complications. The review concludes with an overview of the prognostic factors, mortality rates, and quality of life considerations for patients with CCE, providing insights into the importance of early detection and comprehensive management.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100102"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000550/pdfft?md5=f8c2b06a7280088efccef39d50bbe81a&pid=1-s2.0-S2949916X24000550-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary haemophagocytic lymphohistiocytosis in an elderly man with lymphoma: A case report","authors":"Mostafa Abdulaziz ,&nbsp;Ahmed M. Khalifa ,&nbsp;Ismail A. Ibrahim ,&nbsp;Ahmed R. Belasy ,&nbsp;Abdulqadir J. Nashwan","doi":"10.1016/j.glmedi.2024.100105","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100105","url":null,"abstract":"<div><p>Haemophagocytic lymphohistiocytosis (HLH) is an uncommon serious hematological disorder marked by tissue destruction and extreme inflammation brought on by abnormal immune system activation. It can manifest as primary (hereditary) in infants/young children or secondary, often associated with infections, malignancy, and autoimmune disorders. We present a case of HLH secondary to lymphoma in an elderly patient, highlighting the diagnostic challenges and clinical complexities encountered in this age group. Our 85-year-old male patient presented with persistent fever, generalized weakness, and abnormal laboratory findings, including pancytopenia and markedly elevated ferritin levels. Despite extensive investigations, including imaging studies and bone marrow biopsy, the diagnosis was challenging due to overlapping clinical features. The patient's clinical course was further complicated by COVID-19 infection, necessitating a palliative care approach. This case underscores the importance of early recognition and multidisciplinary management in optimizing outcomes for HLH, especially in elderly patients with comorbidities<strong>.</strong></p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100105"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000586/pdfft?md5=02207fee6b8ba504914d62c6835949ba&pid=1-s2.0-S2949916X24000586-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intergenerational transmission of incarceration among Black men and boys: A vicious cycle caused by structural racism","authors":"Shervin Assari","doi":"10.1016/j.glmedi.2024.100100","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100100","url":null,"abstract":"<div><h3>Introduction</h3><p>The widespread incarceration of Black men and boys in the US is a stark manifestation of structural and institutional racism, significantly impacting health and economic disparities within this community. While there is substantial research on the immediate effects of Black men's imprisonment, there remains a scarcity of longitudinal studies exploring the enduring impact of a father's incarceration on his children's health and well-being, particularly over decades. This study aims to explore the extensive intergenerational consequences of incarceration among Black fathers, focusing specifically on its impact on the educational achievements, likelihood of imprisonment, and mental health of their children 22 years later.</p></div><div><h3>Methods</h3><p>We analyzed data from the Future of Families and Child Wellbeing Study (FFCWS), formerly known as the Fragile Families and Child Wellbeing Study. Our sample included a cohort of births where the fathers were Black. These children were followed over a period of 22 years to assess the long-term effects of their fathers' incarceration.</p></div><div><h3>Results</h3><p>Overall, 1264 families were followed in our analysis. From this number, outcomes were available for 689 sons 22 years later. Our findings indicate that incarceration was more prevalent among Black fathers who were younger and had lower educational attainment. Additionally, a father's incarceration was linked to lower educational levels and younger maternal age. Crucially, we found associations between a father's incarceration and mental health issues (such as anxiety and depression) in their children by the age of 22.</p></div><div><h3>Conclusion</h3><p>The significantly higher risk of incarceration faced by Black men not only poses a direct health risk to themselves but also has profound intergenerational consequences for their children. The impacts extend across various domains, including the risk of incarceration, educational attainment, and mental health of their sons. These insights underscore the urgency for policy interventions aimed at dismantling the systemic barriers that perpetuate the cycle of incarceration and its long-lasting effects on the Black community.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100100"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000537/pdfft?md5=c28ee920793998920cec3027e123e8e4&pid=1-s2.0-S2949916X24000537-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140605823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence in healthcare delivery: Prospects and pitfalls","authors":"David B. Olawade ,&nbsp;Aanuoluwapo C. David-Olawade ,&nbsp;Ojima Z. Wada ,&nbsp;Akinsola J. Asaolu ,&nbsp;Temitope Adereni ,&nbsp;Jonathan Ling","doi":"10.1016/j.glmedi.2024.100108","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100108","url":null,"abstract":"<div><p>This review provides a comprehensive examination of the integration of Artificial Intelligence (AI) into healthcare, focusing on its transformative implications and challenges. Utilising a systematic search strategy across electronic databases such as PubMed, Scopus, Embase, and ScienceDirect, relevant peer-reviewed articles published in English between January 2010 till date were identified. Findings reveal AI's significant impact on healthcare delivery, including its role in enhancing diagnostic precision, enabling treatment personalisation, facilitating predictive analytics, automating tasks, and driving robotics. AI algorithms demonstrate high accuracy in analysing medical images for disease diagnosis and enable the creation of tailored treatment plans based on patient data analysis. Predictive analytics identify high-risk patients for proactive interventions, while AI-powered tools streamline workflows, improving efficiency and patient experience. Additionally, AI-driven robotics automate tasks and enhance care delivery, particularly in rehabilitation and surgery. However, challenges such as data quality, interpretability, bias, and regulatory frameworks must be addressed for responsible AI implementation. Recommendations emphasise the need for robust ethical and legal frameworks, human-AI collaboration, safety validation, education, and comprehensive regulation to ensure the ethical and effective integration of AI in healthcare. This review provides valuable insights into AI's transformative potential in healthcare while advocating for responsible implementation to ensure patient safety and efficacy.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100108"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000616/pdfft?md5=94c3adc7322ca033e4cb547c2e08e874&pid=1-s2.0-S2949916X24000616-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140633181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical case of hepatoma recurrence two years post-transplant","authors":"Syed Muhammad Sinaan Ali ,&nbsp;Abdul Haseeb ,&nbsp;Muhammad Ashir Shafique ,&nbsp;Muhammad Saqlain Mustafa ,&nbsp;Naeemullah Arbani ,&nbsp;Syeda Zainab Fatima","doi":"10.1016/j.glmedi.2024.100101","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100101","url":null,"abstract":"<div><p>Hepatocellular carcinoma ranks third most common cancer worldwide. Chronic hepatitis B and C are most common cause of HCC. Liver transplantation is only curative treatment for HCC. However, recurrence post transplantation is most dreadful complication. In this case report, we presented the case of a 48-year-old South Asian patient with a history of chronic hepatitis C infection and subsequent hepatocellular carcinoma (HCC) leading to liver cirrhosis and liver failure signs and symptoms. The patient underwent liver transplantation with a right lobe graft with middle hepatic vein in 2020 which significantly improved in his condition. Two years’ post-transplant, he presented with complaints of abdominal pain radiating and shortness of breath. Radiological investigations including triphasic CT scan and ultrasonography revealed an exophytic growth from the liver and an enhancing lesion in the pre and para-vertebral area, consistent with HCC recurrence and hematoma development. The patient was managed with transarterial chemoembolization (TACE), resulting in a favorable outcome.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100101"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000549/pdfft?md5=e81d1d7171aead638b0674d600baadf4&pid=1-s2.0-S2949916X24000549-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding mortality patterns and survival outcomes in small intestine cancer: Insights from a retrospective analysis of the SEER database","authors":"Ramez M. Odat ,&nbsp;Ismail A. Ibrahim ,&nbsp;Rana Jaffal ,&nbsp;Malak Aloqaily ,&nbsp;Saba Alshurman ,&nbsp;Yusuf Ja’afer Al Tarawneh ,&nbsp;Abdulqadir J. Nashwan","doi":"10.1016/j.glmedi.2024.100095","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100095","url":null,"abstract":"<div><p>Small intestine cancer, a rare malignancy originating in the small intestine, has seen an increased incidence in developed regions over the last five decades. This study explores how demographic variables, treatment modalities, tumor size, and grade impact survival in patients with small intestine cancer and compares their influence relative to other causes of death. We examined data from 38,894 patients diagnosed with small intestine cancer between 2000 and 2020, sourced from the Surveillance, Epidemiology, and End Result (SEER) database. Patients were categorized into three distinct subgroups to investigate the impact of these factors on patient outcomes: (I) Patients A live During the Study Period (II) Patients Deceased Due to Small Intestinal Cancer (III) Patients Deceased Due to Other Causes. Kaplan-Meier curves and a Cox proportional hazards model were used to assess the relationships between these factors and survival outcomes. Results indicate that 13.01% of patients succumbed to small intestine cancer with most being white (approximately 71%) and aged 65–69 years. Males had a higher likelihood of survival than females with median survival time of 37 months. Also, the tumor characteristics played a pivotal role in determining the prognosis. Small tumors (&lt;3 cm) and low-grade malignancies showed a better prognosis compared to larger tumors (&gt;3 cm) and higher-grade cancers. While, Surgery had a significant positive impact on survival (p &lt; 0.05), the efficacy of radiotherapy and chemotherapy was limited. This study reveals the complex interplay of factors affecting survival in small intestine cancer patients over two decades.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100095"},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000483/pdfft?md5=a67ca1a9aaaa684c03779df33778dcf0&pid=1-s2.0-S2949916X24000483-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health care workers’ risk behaviors and health status: Hidden realities or new paradigms?","authors":"Jagdish Khubchandani ,&nbsp;Kavita Batra ,&nbsp;Robert A. Yockey ,&nbsp;Fern J. Webb ,&nbsp;Srikanta Banerjee","doi":"10.1016/j.glmedi.2024.100097","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100097","url":null,"abstract":"<div><p>Healthcare workers (HCWs) and health systems comprise one of the most critical, diverse, and largest industries globally. Healthcare and public health research is often focused on population disease prevention and management, health and disease risks among the public, patient treatment and outcomes, drug and device innovations, healthcare costs, quality, and utilization. Not much is written about the health of HCWs despite the fact that their health is an indirect and major determinant of population health and health system functioning. This editorial proposes focus categories to examine and understand the determinants of the health of HCWs. We are also calling for more research on this topic and submissions to this journal on the extent and nature of health risk and protective factors among HCWs, the determinants of various health problems among HCWs, and interventions or initiatives as real-world examples of what works in improving various dimensions of the health of HCWs.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"2 ","pages":"Article 100097"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000501/pdfft?md5=8f41131b8b7b88a916f2bd19538dbca7&pid=1-s2.0-S2949916X24000501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140550978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and determinants of malnutrition among women of reproductive age in Bangladesh","authors":"Sanjoy Dey ,&nbsp;Mohammad Salim Zahangir ,&nbsp;Mohammad Omar Faruk ,&nbsp;Sorif Hossain ,&nbsp;Md. Rasel Hossain","doi":"10.1016/j.glmedi.2024.100096","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100096","url":null,"abstract":"<div><h3>Background</h3><p>Malnutrition among women of reproductive age is an important public health issue with significant implications for maternal and child health. A complex interplay of socioeconomic, cultural, and environmental factors influences the prevalence and determinants of malnutrition in this demographic status.This study aims to determine the socioeconomic, cultural, and demographic factors that significantly impact the nutritional status of women of reproductive age in Bangladesh.</p></div><div><h3>Methods</h3><p>This study considered 19798 women who underwent nutritional status assessment from the Bangladesh Demographic and Health Survey 2017–18 (BDHS 2017–18). A chi-square test of association and multinomial logistic regression analysis were performed to identify the factors that substantially influenced nutritional status.</p></div><div><h3>Results</h3><p>Odds ratios (OR) and 95% confidence intervals (CI) were used to evaluate the risk factors associated with body mass index (BMI). This study revealed that the average body mass index of ever-married women in Bangladesh was 23.32 ±4.24 kg/m². The odds ratio of being overweight and obese was higher among women who lived in urban areas (OR=1.094 and 1.254, p&lt;0.05) and those who lived in the Chattogram division (OR=4.249 and 6.341, p&lt;0.05). In addition, those exposed to mass media (OR=1.247 and 1.882) and involved in business (OR=1.644 and 2.162, p&lt;0.05) were found to be overweight compared to their complementary group.</p></div><div><h3>Conclusion</h3><p>Effective prevention and control programs should be implemented to target women with a higher risk of developing the disease to reduce the prevalence of malnutrition.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"2 ","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000495/pdfft?md5=964252e67b0ae7daa23301017746a646&pid=1-s2.0-S2949916X24000495-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140536761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}