Tropical Medicine & International Health最新文献

{"title":"Effectiveness of health education in improving treatment adherence among patients with chronic communicable diseases: A systematic review and meta-analysis.","authors":"Lutfian Lutfian, Izdihar Javier Wardika, Muhammad Amirul Mukminin, Asroful Hulam Zamroni, Ayunda Puteri Rizanti, Ilany Nandia Chandra, Ryka Widyaningtyas, Artha Maressa, Sidik Maulana","doi":"10.1111/tmi.14133","DOIUrl":"10.1111/tmi.14133","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic communicable diseases, such as tuberculosis, HIV, hepatitis B, and hepatitis C, remain major global health challenges. Effective treatment adherence is crucial for improving patient outcomes and health education plays a key role in enhancing adherence. However, evidence for the most effective educational interventions remains limited.</p><p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of health education interventions in improving treatment adherence among patients with chronic communicable diseases.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted following the preferred item for systematic review and meta-analysis (PRISMA) guidelines. Comprehensive searches were performed in PubMed, CINAHL, Scopus, and the Web of Science for studies published between 2015 and 2024. Eligible studies included randomised controlled trials. Quality assessment was conducted using the Joanna Briggs Institute critical appraisal tools. Statistical analysis was performed using the Mantel-Haenszel method to estimate odds ratios (OR) and standardised mean differences (SMD) with 95% confidence intervals (CI) using a random effects model. Meta-regression was conducted to explore potential sources of heterogeneity.</p><p><strong>Results: </strong>Seventeen studies involving 4,157 participants were included. Health education interventions significantly improved treatment adherence compared to usual care (OR 2.42; 95% CI: 1.58-3.72; p <0.0001). Subgroup analyses showed the highest effectiveness in remote-based interventions (OR 5.65; 95% CI: 2.37-13.47), among patients with tuberculosis (OR 6.52; 95% CI: 3.59-11.84), and in upper-middle-income countries (OR 4.54; 95% CI: 1.54-13.39). Meta-regression indicated that younger participant age and intervention type were significant moderators, with media-based and remote-based showing greater effectiveness.</p><p><strong>Conclusion: </strong>Health education interventions significantly improve treatment adherence among patients with chronic communicable diseases, particularly those with tuberculosis and hepatitis C. Remote-based models, such as mHealth platforms and digital reminders, demonstrate the highest effectiveness, especially in low- and middle-income countries where stigma and limited healthcare access remain key barriers.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"598-612"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endorsement of reporting guidelines and clinical trial registration by tropical medicine and infectious disease journals: A cross-sectional study.","authors":"Alec Young, Eli Oldham, Makenna Hittner, Skylarr Beerman, Matthew Chancellor, Caleb A Smith, Danya Nees, Griffin Hughes, Matt Vassar","doi":"10.1111/tmi.14127","DOIUrl":"10.1111/tmi.14127","url":null,"abstract":"<p><strong>Background: </strong>Studies published in academic medical journals inform and influence healthcare decisions. Sufficient study reporting is primarily charged to researchers. However, journals can promote more complete reporting of their published studies. Recommending or requiring reporting guideline use and prospective trial registration may ensure published studies adhere to rigorous reporting standards. This study aimed to evaluate 'instructions to authors' pages of tropical medicine and infectious disease (TM/ID) journals to assess endorsement of reporting guidelines (RGs) for common medical study designs and clinical trial registration.</p><p><strong>Methods: </strong>Using a cross-sectional design guided by the Strengthening the Reporting of Observational Studies in Epidemiology checklist, we examined the top 100 infectious disease (ID) journals identified by the 2021 Scopus CiteScore tool and the 21 tropical medicine (TM) journals identified by Clarivate Web of Science. Each editorial journal staff was contacted for specific study designs accepted. Data were extracted from journals' 'instructions to authors' webpages with any discrepancies being resolved through consensus. We assessed adherence to RGs and clinical trial registration.</p><p><strong>Results: </strong>This study identified 293 TM/ID journals. Among the top 100 ID journals selected (Scopus CiteScore), 2 unfit journals were replaced. Among the 28 TM journals selected (Clarivate Web of Science), 5 were removed due to being duplicates and 2 were removed due to not being published in English. The Enhancing the QUAlity and Transparency Of health Research (EQUATOR) Network was cited by 49% of journals, while 85% of journals referenced the International Committee of Medical Journal Editors (ICMJE). Consolidated Standards of Reporting Trials (CONSORT) was most cited (73%), Quality of Reporting of Meta-analyses was least (2.6%). Clinical trial registration was mentioned by 73% of the journals.</p><p><strong>Conclusions: </strong>TM and ID journals demonstrated suboptimal endorsement of various RGs. Among our findings, however, CONSORT and clinical trial registration garnered over 70% endorsement. We propose journals streamline RGs, establish user-friendly 'instructions to authors' pages and mandate reporting guideline adherence. These insights inform future research on enhancing reporting guideline use and TM/ID research quality.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"580-587"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between parasites and lung cancer: Unveiling the link.","authors":"Mariam T El Khadrawe, Nahla El Skhawy, Maha M Eissa","doi":"10.1111/tmi.14119","DOIUrl":"10.1111/tmi.14119","url":null,"abstract":"<p><p>Lung cancer has become a significant global health concern due to the increasing number of cases and deaths. Recent research has suggested a potential link between parasites and lung cancer. This review aims to comprehensively analyse existing literature to highlight relevant studies evaluating this relationship. A thorough search in different databases revealed four key associations: parasites as a potential risk factor for lung cancer, suppressors of lung cancer, mimics of lung cancer leading to misdiagnosis, and coincidental infections with lung cancer. The review indicates a significant relationship between parasites and the suppression of lung cancer, emphasising the importance of further research to explore this novel avenue in the hope of identifying and developing novel biological cancer therapeutic and preventive strategies. It also stresses the importance of recognising pulmonary parasitic infections in the differential diagnosis of lung cancer to prevent misdiagnosis and subsequent unnecessary surgical intervention. Additionally, in patients with concurrent pulmonary parasitic infections and lung cancer, which may be easily overlooked, persistent symptoms despite applying appropriate anti-parasitic treatment should raise concern about the need for repetitive evaluation by appropriate diagnostic protocols and imaging follow-up for potential underlying lung cancer.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"613-624"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geospatial distribution of Leptospira-specific antibodies in febrile illness cases from Dakshina Kannada, India (2022-2023).","authors":"R K Veena, M Jayashankar, K Vinod Kumar, M R Padma, V Balamurugan","doi":"10.1111/tmi.14132","DOIUrl":"10.1111/tmi.14132","url":null,"abstract":"<p><strong>Background: </strong>Leptospirosis, a significant zoonotic disease, remains a major public health challenge in Dakshina Kannada, Karnataka, India, particularly during the monsoon.</p><p><strong>Objectives: </strong>To conduct spatial and temporal analysis of leptospirosis and investigate serogroup-specific distribution of Leptospira antibodies among febrile illness cases in Dakshina Kannada district, Karnataka state, India during 2022-2023.</p><p><strong>Methods: </strong>A total of 3489 serum samples from human febrile illness cases were screened for Leptospira-specific IgM antibodies using commercial ELISA. A subset of 1631 samples underwent the Microscopic Agglutination Test (MAT) with a panel of 20 serovars representing 17 serogroups. Additionally, PCR targeting the lipL32 gene was performed on a subset of samples to identify active infections. Spatial mapping of seroprevalence and serogroup distribution was carried out using QGIS software.</p><p><strong>Results: </strong>The overall seroprevalence was (657/3489) 19%. IgM ELISA detected antibodies in (593/3489) 17% of cases, while MAT confirmed a seroprevalence of (154/1631) 9%. Among 80 samples tested by LipL32 PCR, 13 (16%) were positive. Djasiman, Hurstbridge, Javanica, and Icterohaemorrhagiae were the most frequently detected serogroups. The highest positivity rates were observed in Moodabidri (29%) and Sulya (27%) Taluks. Fever was the most common symptom, and the 30-39 age group had the highest prevalence (23%, p < 0.05). Seasonal peaks corresponded with monsoon months.</p><p><strong>Conclusion: </strong>This study highlights the need for integrated diagnostics, including ELISA, MAT, and early molecular detection through PCR, to improve leptospirosis management during peak seasons. The findings support targeted interventions, such as water sanitation and rodent control, to reduce the burden in this region. Expanded surveillance of livestock, wildlife, and the environment is crucial for understanding reservoirs and contamination sources.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"737-748"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of mass drug administration of ivermectin and albendazole on transmission of Wuchereria bancrofti lymphatic filariasis from 2001 to 2017 in Burkina Faso.","authors":"Abdoulaye Sawadogo, Jacques Zoungrana, Arsène Gafourou Ouédraogo, Ismaël Diallo, Mahamadi Tassembedo, Appolinaire Kima, Mamadou Sermé, Boukary Ouédraogo, Aristophane Koffi Tanon, Serges Paul Eholié","doi":"10.1111/tmi.14116","DOIUrl":"10.1111/tmi.14116","url":null,"abstract":"<p><strong>Background: </strong>Lymphatic filariasis is a neglected parasitic transmitted disease that the world has pledged to eliminate by 2020. Burkina Faso has initiated an elimination programme from 2001 to 2017. The aim of this study was to describe the impact of annual mass drug administration of ivermectin and albendazole on lymphatic filariasis transmission.</p><p><strong>Methods: </strong>This was an ecological study conducted covering the period from 2001 to 2017. The data were collected from 1 January to 31 December 2017. In this study, we have considered data pertaining to the annual distribution of treatment according to geographical location, sex, age, and the various post-treatment evaluations, including the antigenic test and the microscopic search for microfilariae. All health districts implementing mass drug administration were included. The statistical analyses were descriptive using STATA software version 15.</p><p><strong>Results: </strong>During reviewing 16 years data of program implementation, the geographical coverage of health districts was complete 70/70 (100%). The average treatment coverage was 80%. Microfilaremia was less than 1% in 21 of the 30 sentinel sites. Post-treatment surveillance showed that the prevalence of filarial antigen was less than 1% at 2, 4, and 6 years after. Of the 70 endemic health districts, 87% (61/70) interrupted transmission.</p><p><strong>Conclusion: </strong>Lymphatic filariasis transmission was interrupted in several health districts. Transmission assessment surveys showed a significant reduction of immunoparasitological indicators during program implementation. However, the country had to make efforts to reach the WHO target by 2020.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"633-639"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a questionnaire assessing knowledge, attitude, and practice of snake envenomation among health care providers (KAPSE-HCPQ) in sub-Saharan African countries.","authors":"Sarah Hamed N Taha, Fatma Badr El Dine, Suzan Abdel-Rahman, Assem Gebreal, Kengo Nathan Ezie, Ukamaka Okafor, Gori Gaitano, Aschalew Benti, Moram Mahmoud, Sandra Konadu Bonnah, Saaid Jama, Alhaji Turay, Okot Michael, Abdul Mohsin Mohammad, Ramy Mohamed Ghazy","doi":"10.1111/tmi.14122","DOIUrl":"10.1111/tmi.14122","url":null,"abstract":"<p><strong>Background: </strong>A tropical disease that is often overlooked yet poses a significant risk to public health is envenomation caused by snakebite. This study aimed to develop a validated questionnaire to evaluate healthcare providers' knowledge, attitudes, and practices regarding snakebite envenomation (KAPSE-HCPQ).</p><p><strong>Methods: </strong>A cross-sectional survey among healthcare providers in 11 Sub-Saharan African countries was conducted from 3 November 2023 to 25 February 2024, using convenience and snowball sampling methods. Data collection included electronic surveys and face-to-face interviews. Internal consistency using Cronbach's alpha was measured to determine sub-domain scales' reliability. We assessed the instrument's validity using multiple approaches, including face, content, convergent, and divergent validity, and evaluated its structural validity through exploratory and confirmatory factor analyses.</p><p><strong>Results: </strong>A total of 634 healthcare providers were included in the study. The median age of participants was 31 years (interquartile range [IQR]: 11), with 61.0% being male, 47.9% holding a bachelor's degree, and the median years of professional experience were 5 years (IQR: 8). The Kaiser-Meyer-Olkin was 0.869, indicating a robust sample for factor analysis. Bartlett's test of Sphericity was statistically significant (p <0.001), confirming the suitability of the data for factor analysis. Three factors were extracted, collectively explaining 41% of the total variance. Knowledge items retained had loadings between 0.410 and 0.821, while attitude items ranged from 0.421 to 0.736. Practice items had loadings between 0.588 and 0.666. Confirmatory factor analysis results indicated good fit measures (RMSEA <0.08, GFI, NFI, CFI, TLI >0.9, and SRMR<0.08), with all domain correlations remaining below 0.05, confirming divergent validity. Cronbach's alpha values for knowledge, attitude, and practice domains were above 0.7, demonstrating acceptable internal consistency.</p><p><strong>Conclusions: </strong>The developed questionnaire has good reliability, validity, and good psychometric properties to be used as a tool for assessing knowledge, attitude, and practice of snake envenomation among healthcare providers.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"662-672"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cutaneous reactions during treatment with Nifurtimox or Benznidazole among Trypanosoma cruzi seropositive adults without symptomatic cardiomyopathy: A safety sub analysis of a placebo-controlled randomised trial.","authors":"Juan Carlos Villar, María Fernanda Saavedra, Pablo Andrés Bermúdez, Eliana Váquiro Herrera, Skarlet Marcell Vásquez, Helena Arango, Antonia Camacho, Mario Javier Olivera","doi":"10.1111/tmi.14123","DOIUrl":"10.1111/tmi.14123","url":null,"abstract":"<p><strong>Objectives: </strong>To determine, in a randomised placebo-controlled trial, if cutaneous adverse reactions during treatment (CARDT) with Benznidazole occur as often as with Nifurtimox, and whether the dose and duration of treatment change that frequency.</p><p><strong>Methods: </strong>We conducted the EQUITY trial (NCT02369978), allocating Trypanosoma cruzi seropositive adults with no apparent clinical disease to a 120-day, blinded treatment with Benznidazole, Nifurtimox, or Placebo (ratio 2:2:1). Active treatment groups included either 60-day conventional-dose (60CD) regimens (Benznidazole 300 mg/day or Nifurtimox 480 mg/day, followed or preceded by, 60 days of placebo) or 120-day half-dose (120HD) regimens (Benznidazole 150 mg/day or Nifurtimox 240 mg/day). CARDT had blinded adjudication as moderate to severe during the follow-up visits.</p><p><strong>Results: </strong>Among 307 participants, 42 CARDT (17.1%, 95% confidence interval [CI] 12.6-22.4) occurred in 246 receiving active treatment, compared to two CARDT (3.3%, 95% CI 0.0-11.3) in 61 participants receiving placebo. In 122 patients treated with Benznidazole, there were 31 CARDT (25.4%, including eight severe), compared to 11 CARDT (8.9%, including four severe) in 124 individuals treated with Nifurtimox (p < 0.001). Among the 125 participants assigned to the 120HD regimen, there were 26 CARDT (20.8%, including six severe), compared to 16 CARDT (13.2%, including six severe) among 121 in the 60CD group (p = 0.005). The agent-regime interaction was not significant (p = 0.443). Eleven participants (25%) with CARDT did not complete their treatment.</p><p><strong>Conclusion: </strong>CARDT occurred more frequently with Benznidazole treatment, particularly with longer exposure despite the half-dose regimen. Clinicians should consider these differences when discussing treatment options with patients receiving nitro derivative agents.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"673-684"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resurgence of polio and the path to eradication.","authors":"Ahmed Al-Nusairi, Raveena Bansari, Steven Lippmann","doi":"10.1111/tmi.14121","DOIUrl":"10.1111/tmi.14121","url":null,"abstract":"","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"577-579"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stigma among healthcare workers in HIV antiretroviral services: A cross-sectional study in Indonesia.","authors":"Angga Wilandika, Fatiah Handayani, Salami Salami, Riandi Alfin, Nunik Ayu Elvira","doi":"10.1111/tmi.14129","DOIUrl":"10.1111/tmi.14129","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess healthcare workers' stigma towards people living with HIV in health facilities providing antiretroviral drug services in Indonesia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from June to August 2024 in Bandung, West Java Province, Indonesia. A total of 164 healthcare workers from seven community health centres offering antiretroviral treatment services were recruited using random sampling. Data were collected using questionnaires assessing HIV-related stigma and healthcare providers' characteristics. Descriptive statistics, correlation tests, and multiple linear regression were used to analyse the data.</p><p><strong>Results: </strong>The study analysed HIV stigma among healthcare providers using descriptive statistics, correlation tests, and multiple linear regression. Findings indicated that 57.3% of participants exhibited high HIV stigma (107.2 ± 20.9). Correlation analysis showed that education level (p = 0.010), type of profession (p = 0.018), experience in caring for HIV patients (p = 0.004), training on HIV (p < 0.001), and fear of interacting with HIV patients (p <0.001) were significantly associated with stigma. Multiple regression analysis identified two independent predictors: experience in caring for HIV patients (B = 7.352, p = 0.009) and fear of interaction (B = 1.820, p < 0.001). These findings highlight key factors influencing HIV-related stigma among healthcare providers.</p><p><strong>Conclusions: </strong>Stigma towards people living with HIV in antiretroviral treatment services remains prevalent and negatively impacts care quality, treatment adherence, and HIV prevention efforts. Routine stigma-reduction interventions targeting healthcare workers are essential to enhance care for people living with HIV. For healthcare practice, this underscores the need for structured, ongoing professional development programmes focused on empathy-building, HIV education, and communication skills. Implementing policies that promote inclusive, non-discriminatory care environments, along with institutional support systems, can significantly improve healthcare workers' attitudes and ultimately the quality of care delivered to people living with HIV.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"721-729"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends and patterns of injuries among children under five in Mongolia: A retrospective analysis of national injury surveillance data between 2018 and 2022.","authors":"Tsetsegee Sambuu, Emma M Rath, Feiyu Hu, Tumen-Ulzii Badarch, Yui Yumiya, Tatsuhiko Kubo, Oyunsuren Enebish, Odgerel Chimed-Ochir","doi":"10.1111/tmi.14117","DOIUrl":"10.1111/tmi.14117","url":null,"abstract":"<p><strong>Objective: </strong>This retrospective study aimed to analyse the pattern and trend of fatal and non-fatal injuries among children under five in Mongolia from 2018 to 2022, using hospital-based national injury surveillance data to inform targeted public health interventions.</p><p><strong>Methods: </strong>Data from 101,731 injury cases were analysed from the National Trauma and Orthopaedic Research Center's surveillance system. Injury incidence and mortality rates were calculated based on demographic characteristics and geographic distributions.</p><p><strong>Results: </strong>From 2018 to 2022, 101,731 children under five sustained injuries in Mongolia, with most occurring at home (78.9%) and in Ulaanbaatar (87.6%). Boys accounted for 55.7%. Ulaanbaatar had the highest non-fatal injury incidence rate (1003 per 100,000), primarily from falls (45.8%), burns (16.5%) and mechanical forces. Non-fatal injuries increased annually in Ulaanbaatar, especially among boys (6.6%) and girls (9.9%). Children aged 1-4 years and boys were at higher risk, with injuries more frequent in summer and at home. Fatal injuries (n = 715) were mostly due to suffocation (34.7%), traffic (20.7%) and drowning (13.7%). Ulaanbaatar saw a significant decrease in fatality rates (14.9% annually for boys), while traffic-related deaths rose in girls in provinces (18.6%). Mortality rates were higher among infants aged 0-11 months.</p><p><strong>Conclusion: </strong>There is an increase in non-fatal injuries among children under 5 years of age in Mongolia, particularly in Ulaanbaatar, despite a declining trend in fatal injury rates. Injury rates also vary significantly across rural provinces, highlighting the need for geographically tailored policy interventions.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"640-651"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}