Journal of Health, Population, and Nutrition最新文献

{"title":"Reimagining nursing practice in the era of AI: a qualitative systematic review and meta-synthesis of nurses' lived experiences.","authors":"Mohmmadjavad Veisimankali, Khalil Alimohammadzadeh, Ghasem Begloo-Amin, Mohammadkarim Bahadori, Abbas Abbaszadeh","doi":"10.1186/s41043-026-01356-0","DOIUrl":"10.1186/s41043-026-01356-0","url":null,"abstract":"<p><strong>Introduction: </strong>The integration of artificial intelligence (AI) into healthcare is transforming nursing practice, introducing both opportunities and challenges. This qualitative systematic review and meta-synthesis examines nurses' encounters with AI technologies across clinical, managerial, and educational domains. It aims to provide a comprehensive understanding of nurses' lived experiences with AI technologies across clinical, managerial, and educational domains, identify barriers and facilitators to its integration, and derive an interpretive framework for nurses' positioning in AI-enhanced care environments.</p><p><strong>Methods: </strong>Following PRISMA and ENTREQ guidelines, a comprehensive literature search was conducted across PubMed, CINAHL, Scopus, Web of Science, and Embase for peer-reviewed qualitative studies from January 2017 to June 2025. The SPIDER framework defined eligibility, focusing on nurses' experiences with AI. Two reviewers independently screened 284 deduplicated records, with 26 studies included after full-text review. Data were extracted using a tailored form, and quality was assessed via the CASP checklist. A combined meta-ethnography and thematic analysis synthesized findings, generating themes through iterative coding and consensus. Verbatim quotes ensured fidelity to nurses' voices, with methodological rigor maintained through reflexivity and member checking.</p><p><strong>Results: </strong>Five themes emerged from 26 studies: (1) Enhancing Clinical Efficiency and Decision-Making, where AI improves risk prediction and workflows; (2) Navigating Barriers to AI Integration, highlighting technical and organizational challenges; (3) Ethical and Cultural Considerations, emphasizing patient autonomy and bias concerns; (4) Evolving Nursing Roles, reflecting shifts to supervisory and technical competencies; and (5) AI's Role in Enhancing Communication, noting its facilitation and depersonalization risks. Nurses value AI's efficiency but stress user-friendly design and ethical safeguards. Continuous training is needed to balance technical skills with empathy.</p><p><strong>Conclusion: </strong>AI significantly enhances nursing efficiency and decision-making but introduces technical, ethical, and role-related challenges. User-centered AI design, comprehensive training, and ethical frameworks are essential to address barriers and biases. Nurses' evolving roles require balancing technical proficiency with humanistic care. Future research should explore longitudinal impacts to ensure AI supports equitable, patient-centered nursing practice.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13393954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148258288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood urea nitrogen to serum albumin ratio, systemic inflammation response index and diabetic macrovascular complications in Chinese inpatients: a cross-sectional analysis.","authors":"Chen-Xi Jin, Xiao-Yan Wang, Guo-Yong Xie, Yong-Qi Liang, Jing-Jing Liang, Yi-Ning Xu, Xiao-Meng Wang, Jun-Yan Huang, Xian-Bo Wu, Meng-Chen Zou","doi":"10.1186/s41043-026-01373-z","DOIUrl":"10.1186/s41043-026-01373-z","url":null,"abstract":"<p><strong>Background: </strong>Diabetic patients often experience prolonged hyperglycemia, which leads to sustained harm and malfunction of various body organs. The blood urea nitrogen (BUN) to serum albumin ratio (BAR) and systemic inflammation response index (SIRI) have been proven to be reliable indicators. We aimed to investigate the association of BAR, SIRI and their combination with the risk of diabetic macrovascular diseases.</p><p><strong>Methods: </strong>A total of 2,911 participants from Nanfang Hospital diagnosed with type 2 diabetes mellitus (T2DM) were included. Restricted cubic spline (RCS) and logistic regression modelling were used to assess the relation between different values of BAR, SIRI and combined BAR-SIRI and the risk of diabetic macrovascular complications. Receiver operating curve (ROC) analysis was used to compare the predictive value of BAR, SIRI, and their combination for macrovascular outcomes.</p><p><strong>Results: </strong>High value of BAR, SIRI and their combination were associated with increased risk of macrovascular complications (BAR: odds ratio [OR] = 1.45, 95% confidence interval [CI]: 1.18-1.78; SIRI: OR(95% CI) = 1.25(1.03,1.52); BAR-SIRI: OR(95%CI) = 1.51(1.21,1.88); all p < 0.05). ROC curve analysis demonstrated that combined BAR-SIRI has the best predictive value for risk of macrovascular outcomes (area under the ROC curve [AUC]: BAR-SIRI: 0.678 > SIRI: 0.674 > BAR: 0.673).</p><p><strong>Conclusion: </strong>BAR, SIRI and their combination exhibit a notable positive correlation with the risk of diabetic macrovascular disease and may be independent predictors of macrovascular complications.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov, TRN: NCT06651983, Registration date: 19 May 2025.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13520310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences and self-reported outcomes of abortion care in Sub-Saharan countries: a mixed methods systematic review.","authors":"Negash Wakgari, Gizachew A Tessema, Stuart J Watson, Ephrem Yohannes, Monique S Rose, Delayehu Bekele, Zoe Bradfield","doi":"10.1186/s41043-026-01363-1","DOIUrl":"10.1186/s41043-026-01363-1","url":null,"abstract":"<p><strong>Background: </strong>Access to safe abortion remains a public health concern in sub-Saharan countries, where restrictive policies and limited access to quality healthcare contribute to preventable maternal morbidity and mortality related to unsafe abortion. This study synthesised the available evidence on abortion care experiences and self-reported outcomes of people seeking abortion care. And explored the existing tools to assess abortion care experiences and outcomes in sub-Saharan Africa (SSA).</p><p><strong>Methods: </strong>We searched eight databases: Embase, Cochrane Library, CINAHL, Global Health, PsycINFO, Scopus, Medline, and Web of Science, to include studies published between 1 January 2010 and 18 October 2025. All original (quantitative, qualitative, and mixed methods) studies that focused on induced abortion care and assessed people's experiences and outcomes of abortion care in SSA were included. The Joanna Briggs Institute (JBI) data extraction tool and critical appraisal checklist were adapted. We undertook narrative synthesis for data analysis. The review protocol was registered in PROSPERO: CRD42023461963.</p><p><strong>Results: </strong>Of 20,180 records retrieved, 35 were eligible for the final review. Eighteen studies reported both experiences and outcomes of abortion care, nine reported abortion care experiences, seven reported abortion care outcomes, and one reported the development of a tool. The included studies identified negative experiences such as delays in obtaining care, stigmatisation, concerns about privacy and confidentiality, misinformation, and overstating risks, as well as psychological and emotional outcomes such as feeling guilt, sadness, and worry about future pregnancies. The findings also showed positive outcomes, including feelings of relief, happiness, and satisfaction with the services received. The review also identified the absence of reliable tools to assess patient-reported experiences and outcomes of abortion care in SSA.</p><p><strong>Conclusions: </strong>People experienced undesirable challenges while receiving abortion care. Despite negative psychological and emotional outcomes, satisfaction with care, relief, and happiness after abortion revealed in this review may indicate that abortion care is supportive in reducing the consequences of unwanted birth, which is not easily accessible in countries with restrictive abortion policies. A lack of validated measurement tools assessing abortion care experiences and outcomes requires the development of tools in this area.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13520264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in the burden of low back pain attributable to occupational ergonomic factors among the global population aged 15-64 years (1990-2021): a study based on the GBD database.","authors":"Haijing Ma, Sue Yuan, Hui Zhu, Yujia Chen, Ping Song, Yunxia Li","doi":"10.1186/s41043-026-01367-x","DOIUrl":"10.1186/s41043-026-01367-x","url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) is a major public health concern among the global working-age population and is closely associated with occupational ergonomic factors (OEF). However, comprehensive evidence on the global and regional burden of LBP attributable to OEF, as well as its long-term temporal trends in the working population, remains limited. Therefore, a systematic assessment of the burden and trends of OEF-related LBP is essential for informing occupational health policies and preventive strategies.</p><p><strong>Methods: </strong>This study used the GBD 2021 database to analyze the Disability-Adjusted Life Years (DALYs) rate and numbers of LBP attributable to OEF across global and SDI regions. DALY counts and population data were aggregated across the age groups 15-19 to 60-64 years to estimate DALY rates and numbers for the working-age population (15-64 years). Age-standardization and time-trend analysis were applied, with Joinpoint regression used to identify inflection points and the rate of change in DALYs globally. Stratified analyses by age group were further performed to assess temporal patterns in LBP burden within the working-age population.</p><p><strong>Results: </strong>From 1990 to 2021, the age-standardized DALY rate for LBP attributable to OEF among the global working-age population (15-64 years) decreased from 306.40 (95% UI: 270.5-346.2) per 100,000 population in 1990 to 275.80 (95% UI: 239.6-314.9) per 100,000 population in 2021. The age-standardized DALY rate declined from 1990 to 2021, with an annual average percentage change (AAPC) of -0.68 (95% CI: -0.72 to -0.63). Males experienced a faster decline than females. However, between 2019 and 2021, the downward trend stalled (APC = -0.39 for males; APC = -0.10 for females). Regionally, the highest DALY rates were in low-SDI areas, with 246.21 (95% UI: 333.60-174.75) for males and 292.34 (95% UI: 394.86-207.45) for females in 2021. The 50-54 age group had the highest burden, with females consistently showing higher DALY rates than males across all regions.</p><p><strong>Conclusions: </strong>OEFs are an important contributor to LBP in the working-age population, with significant gender, age, and regional disparities. Despite a global decline in DALY rates, the burden remains substantial, requiring stronger intervention measures.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148258360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary habits, dietary diversity, and the influence of work-related stress among male academic professionals in Ibadan, Nigeria: a cross-sectional study.","authors":"Oluwadamilola D Thompson, Ikeola A Adeoye, Oluwaseun S Williams, Precious B Fasiku, David E Agala","doi":"10.1186/s41043-026-01357-z","DOIUrl":"10.1186/s41043-026-01357-z","url":null,"abstract":"<p><strong>Background: </strong>Rapid urbanisation and occupational demands have contributed to unhealthy dietary habits in Nigeria, particularly among professionals. Male academic professionals may be especially vulnerable to poor eating habits due to demanding schedules and work-related stress. We assessed dietary habits, dietary diversity, and the influence of work-related stress and other associated factors among male academic professionals in Ibadan, Nigeria.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 235 male academic professionals at selected universities and research institutes in Ibadan. Multistage sampling was employed for larger institutions, while a census approach was used for smaller institutions. Data were collected using a structured WHO STEPS-based questionnaire and a 24-hour recall-based Dietary Diversity Tool. Work-related stress and depression were assessed using the Workplace Stress Scale and the Male Depression Risk Scale-7, respectively. Descriptive statistics summarised participants' characteristics and dietary habits. Binary logistic regression with a priori covariate selection was used to identify factors associated with dietary outcomes.</p><p><strong>Results: </strong>The mean age was 46.4 ± 9.5 years; the majority were married (88.1%), Christian (78.7%), PhD holders (67.7%), and university-based staff (72.3%), but 17.5% were current alcohol users. The distribution by rank was: early-career researcher (32.8%), mid-career (37.9%), and high-career (29.4%). Regarding their dietary habits,69.4%z skipped breakfast weekly, 61.7% snacked, and 30.2% ate out frequently. High dietary diversity was 55.7%. Muslims had lower odds of skipping breakfast (AOR = 0.15; 95% CI: 0.07-0.35), whereas high professional rank had higher odds (AOR = 5.30; 95% CI: 1.33-21.14). Severe work-related stress predicted breakfast skipping (AOR = 3.49; 95% CI: 1.05-11.61). Higher income was associated with lower odds of frequent eating out, whereas both institution type and income predicted eating-out frequency. Moderate depression was associated with lower odds of achieving high dietary diversity (AOR = 0.44; 95% CI: 0.20-0.99). Work-related stress showed no significant association with dietary diversity.</p><p><strong>Conclusion: </strong>Unhealthy dietary habits persist among male academic professionals despite relatively high dietary diversity. Work-related stress, professional rank, religion, income, and depression independently shape dietary outcomes in this population. Academic institutions should implement workplace nutrition programmes, structured meal break policies, stress management initiatives, and accessible healthy food options to improve dietary quality and overall well-being among academic professionals.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between sleep duration and sleep quality with hypertension in community dwelling adults: Ardakan Cohort Study on Ageing (ACSA).","authors":"Mohammad Bidkhori, Mohammadamin Jandaghian-Bidgoli, Asma Pourhoseingholi, Payam Karimi, Peymaneh Shirinbayan, Elham Hooshmand","doi":"10.1186/s41043-026-01348-0","DOIUrl":"10.1186/s41043-026-01348-0","url":null,"abstract":"<p><strong>Background: </strong>Hypertension is a leading risk factor for cardiovascular diseases, and its relationship with sleep quality and duration remains a topic of growing interest. Poor or insufficient sleep may contribute to the development of hypertension. This study aimed to investigate the association between sleep duration, sleep quality, and hypertension in community-dwelling adults using data from the Ardakan Cohort Study on Ageing (ACSA).</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted using ACSA data collected between 2020 and 2022, including 5,872 participants aged 50 years and older from Ardakan, Iran. Sleep quality was assessed using the validated Pittsburgh Sleep Quality Index (PSQI), and blood pressure was measured following standard protocols. Hypertension was defined according to the American Heart Association guidelines. Logistic regression models were employed to assess associations between sleep quality and hypertension.</p><p><strong>Results: </strong>Hypertensive participants (n = 2,967) showed poorer sleep quality than non-hypertensive individuals (n = 2,905), as indicated by a higher mean PSQI score (8.13 ± 4.23 vs. 6.93 ± 4.06; P < 0.001), a higher prevalence of poor sleep (76.99% vs. 66.53%; P < 0.001), longer sleep latency (50.69% vs. 42.62%; P < 0.001), and a greater proportion of insufficient sleep (P < 0.001). Logistic regression analysis showed that a sleep duration of 6-7 h was associated with 28% lower odds of hypertension (OR = 0.78, 95% CI: 0.64-0.94, P = 0.01). Poor sleep quality was borderline associated with hypertension in the total population (OR = 1.16, 95% CI: 0.99-1.35, P = 0.05). Sleep latency categories were not significantly associated with hypertension in adjusted models.</p><p><strong>Conclusion: </strong>In this cross-sectional study, a sleep duration of 6-7 h was associated with lower odds of hypertension, while poor sleep quality showed a borderline association. No significant association was observed between sleep latency and hypertension in the fully adjusted models. These findings warrant further investigation in longitudinal studies to clarify causality.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13483659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between omega-6 and omega-3 fatty acids intake, body mass index and depression in young Iranian adults: a cross sectional study.","authors":"Hasti Naderlou, Nasim Abedimanesh, Saba Mohiti, Mohammad Asghari-Jafarabadi, Mohammad Bager Torabi, Mehdi Khajevand","doi":"10.1186/s41043-026-01360-4","DOIUrl":"10.1186/s41043-026-01360-4","url":null,"abstract":"<p><strong>Background: </strong>Omega-3 polyunsaturated fatty acids (PUFAs) play important roles in cardiometabolic and mental health, and the dietary omega-6/omega-3 ratio has emerged as a key determinant of inflammatory and psychological outcomes. Despite generally low omega-3 intake in Iran, little is known about how dietary fatty acid patterns relate to mental health in young adults, who may be particularly vulnerable due to nutritional constraints and high rates of depressive symptoms. Moreover, prior studies in Iran have not simultaneously examined omega-3 intake, the omega-6/omega-3 ratio, BMI, and depressive symptoms within the same analytical framework.</p><p><strong>Objective: </strong>This cross-sectional study aims to investigate the associations between the intake of omega-6 and omega-3 fatty acids, the omega-6:3 ratio, body mass index, and depressive symptoms in young Iranian adults.</p><p><strong>Methods: </strong>Dietary data on omega-3 and omega-6 fatty acids were obtained through semi-quantitative food-frequency questionnaire (FFQ). The Beck Depression Inventory-II (BDI-II) was used to measure depressive symptom. We applied logistic regression to assess the relationships between variables.</p><p><strong>Results: </strong>A total of 440 university students aged 18-30 years were included. After adjustment for age, sex, and total energy intake, higher BMI was associated with greater odds of depressive symptoms (OR: 1.11; 95% CI: 1.04-1.20). Compared with the lowest quintile, participants in the highest quintile of omega-3 intake had lower odds of depressive symptoms (OR: 0.34; 95% CI: 0.17-0.71). In contrast, a higher omega-6/omega-3 ratio was associated with greater odds of depressive symptoms, with nearly tenfold higher odds observed in the highest versus lowest quintile (OR: 9.94; 95% CI: 3.89-25.43).</p><p><strong>Conclusion: </strong>Higher omega-3 intake was associated with lower odds of depressive symptoms, whereas higher BMI and a greater omega-6/omega-3 ratio were associated with higher odds. These findings suggest that dietary fatty-acid balance and body weight may be relevant correlates of mental health in young adults. Prospective and interventional studies are needed to clarify causal relationships.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research productivity, collaboration patterns, and socio-economic correlates of rheumatic fever and rheumatic heart disease research in Southeast Asia: a bibliometric analysis.","authors":"Maria Llaine J Callanta, Patrick R Relacion","doi":"10.1186/s41043-026-01354-2","DOIUrl":"10.1186/s41043-026-01354-2","url":null,"abstract":"<p><strong>Background: </strong>Rheumatic fever and rheumatic heart disease (RF/RHD) remain important causes of preventable cardiovascular morbidity in low- and middle-income settings, including Southeast Asia. Although research output on these conditions has increased globally, the extent, thematic focus, and distribution of research productivity within Southeast Asia have not been comprehensively characterized. This study aimed to examine the publication trends, collaboration patterns, funding distribution, thematic focus, and selected socio-economic correlates of rheumatic fever and rheumatic heart disease research in Southeast Asia using bibliometric methods.</p><p><strong>Methods: </strong>Original articles and conference papers on RF/RHD in SEA from 1900 to 2024 were identified using the Scopus database. Bibliometric indicators and citation data were extracted and summarized descriptively. Country collaboration networks and author keyword co-occurrence maps were visualized using VOSviewer. Associations between selected country-level socio-economic indicators and bibliometric measures were explored using correlation analysis.</p><p><strong>Results: </strong>A total of 333 records on RF/RHD published between 1900 and 2024 from various SEA countries were obtained. Regional publication output remained relatively high in recent years, although annual counts fluctuated and the 2024 output was incomplete at the time of search. Thailand, Indonesia, Malaysia, Singapore, and the Philippines accounted for the largest share of regional output. However, despite this positive trend, SEA's contribution to the global output for RF/RHD research is still below 2.5%. Notably, only one-fifth of the regional publications reported funding support, with marked disparities across countries. The retrieved literature was concentrated in themes related to diagnosis, surgery and complications, registries and epidemiology, anticoagulation, and valvular assessment. In contrast, topics such as social determinants of health, cost-effectiveness, implementation research, and patient-centered care appeared less represented. Country-level research productivity showed positive associations with selected socio-economic indicators and international collaboration, although these findings should be interpreted cautiously.</p><p><strong>Conclusion: </strong>Research on RF/RHD in Southeast Asia has grown, but publication output and funding remain unevenly distributed across countries. Continued efforts to strengthen international collaboration and research support are needed to amplify research productivity in low-resource Southeast Asian settings.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148211435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between triglyceride-glucose index and major adverse cardiovascular and cerebrovascular events in patients with heart failure.","authors":"Ling Ren, Dawei Liu, Bo Zhou, Jie Liu, Changqing Yu","doi":"10.1186/s41043-026-01369-9","DOIUrl":"10.1186/s41043-026-01369-9","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to verify the association between triglyceride-glucose (TyG) and major adverse cardiovascular and cerebrovascular events (MACCE) in patients with heart failure (HF).</p><p><strong>Methods: </strong>This single-center retrospective cohort study enrolled 927 patients with HF. Participants were categorized into four groups based on TyG index quartiles: Q1 (n = 227), Q2 (n = 237), Q3 (n = 234), and Q4 (n = 229). According to the occurrence of MACCE, they were further classified into non-MACCE (n = 847) and MACCE (n = 80) groups. Cox regression, subgroup analysis, receiver operating characteristic (ROC) curve analysis, Kaplan-Meier survival curves, and restricted cubic spline (RCS) plots were employed to evaluate the association between the TyG index and MACCE risk.</p><p><strong>Results: </strong>Multivariable Cox regression analysis demonstrated that the TyG index remained independently associated with the risk of MACCE after adjusting for lifestyle factors, comorbidities, treatments, and key laboratory and echocardiographic parameters. Each 1-unit increase in TyG was associated with an 85.4% increase in MACCE risk (HR: 1.336-2.572, P < 0.001). Patients in the highest TyG quartile (Q4) had a 3.679-fold higher risk of MACCE compared to those in the lowest quartile (Q1) (HR: 1.702-7.956, P = 0.001). Subgroup analyses revealed that the association was more pronounced in females, patients aged > 75 years, those with chronic HF, hypertension, and those without chronic kidney disease (P for interaction = 0.021 and 0.035 for gender and hypertension, respectively). Sensitivity analyses addressing endpoint heterogeneity showed a stronger association between TyG and \"hard endpoints\" (HR per unit: 2.01, P < 0.001), with significant net reclassification improvement at 12 months. ROC analysis indicated a modest predictive value of TyG for MACCE (AUC = 0.587, 95% CI: 0.525-0.649, P = 0.010). Kaplan-Meier curves showed significant differences in cumulative event risk across TyG groups (Log-rank P = 0.025). RCS analysis indicated a significant positive linear dose-response relationship between TyG and MACCE risk (P for nonlinearity > 0.05).</p><p><strong>Conclusion: </strong>The TyG index exhibits a significant positive linear association with the risk of MACCE in patients with HF. As a simple and readily accessible metabolic marker, the TyG index may provide supplementary prognostic information when considered alongside established clinical risk factors in this population.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a short-form Tuberculosis Medication Adherence Scale (TBMAS-SF).","authors":"Wei Zang, Xiaoxin Zhang, Wenjing Gu, Lutong Pan, Ziying Yu, Yunchou Wu, Ting Li","doi":"10.1186/s41043-026-01349-z","DOIUrl":"https://doi.org/10.1186/s41043-026-01349-z","url":null,"abstract":"<p><strong>Background: </strong>In this study, weemployed classical test theory (CTT) to develop and validate a concise, abbreviated version of the Tuberculosis Medication Adherence Scale (TBMAS-SF). This shortened version aims to provide a more efficient measurement tool for tuberculosis patients while maintaining acceptable psychometric properties.</p><p><strong>Methods: </strong>A survey of tuberculosis patients undergoing treatment at the Heilongjiang Provincial Institute of Infectious Disease Control and Prevention was conducted using convenient sampling and the TBMAS. Data analysis was performed using SPSS 26.0 and Amos 24.0. A total of 496 questionnaires were distributed in this study, with 404 valid responses collected, resulting in a valid response rate of 81.45%.</p><p><strong>Results: </strong>The analysis revealed that the TBMAS-SF demonstrated acceptable reliability, with a Cronbach's α coefficient of 0.931 and a split-half reliability of 0.739. Confirmatory factor analysis indicated that the TBMAS-SF demonstrated acceptable comparative fit but suboptimal absolute fit, with a chi-square degrees of freedom ratio of 4.981, RMSEA = 0.141, RMR = 0.014 (which is less than 0.05), CFI and IFI values exceeding 0.9, and NFI and TLI values approaching 0.9. There was a statistically significant but modest positive correlation between the TBMAS-SF score and medication literacy score (r = 0.228, p < 0.01), suggesting limited but acceptable empirical validity.</p><p><strong>Conclusion: </strong>The TBMAS-SF demonstrates acceptable internal consistency and promising construct validity, though suboptimal absolute fit indices warrant further refinement and cross-validation.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}