Journal of Public Health Research最新文献

{"title":"Adverse event of ACE inhibitors: A descriptive analysis of FAERS data.","authors":"Nehad Jaser Ahmed","doi":"10.1177/22799036261444101","DOIUrl":"https://doi.org/10.1177/22799036261444101","url":null,"abstract":"<p><strong>Background and objective: </strong>Angiotensin-converting enzyme inhibitors are first-line therapies for hypertension and related cardiovascular and renal conditions. The study aimed to characterize the adverse event profile of ACE inhibitors using the U.S. Food and Drug Administration Adverse Event Reporting System.</p><p><strong>Methods: </strong>This retrospective pharmacovigilance study analyzed FAERS reports submitted from January 1, 1979, through March 31, 2025, for nine ACE inhibitors (benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, quinapril, ramipril, and trandolapril) identified as primary suspect drugs. Extracted variables included patient age, sex, reporter type, and reported adverse events. Descriptive statistics were used to summarize reporting frequencies. Comparisons between subgroups (male vs female, <18 vs ≥18 years, and healthcare professional vs consumer reporters) were conducted using reporting proportions. Reporting proportion ratios (RPRs) were calculated to compare the proportion of specific adverse events between predefined reference categories. As FAERS does not provide denominator data, findings reflect reporting patterns rather than incidence or risk estimates.</p><p><strong>Results: </strong>A total of 124,638 adverse event reports were identified. ADEs were disproportionately higher in adults and elderly patients compared to those <18 years. Males generally reported more ADEs than females, though some drugs showed the opposite trend. Healthcare professionals submitted the majority of reports (pooled RR = 2.22, 95% CI: 2.20-2.25). The most commonly reported ADEs were angioedema, cough, hypotension, and acute kidney injury.</p><p><strong>Conclusion: </strong>ACE inhibitor adverse event profiles vary by drug, patient age, and sex. Adults and elderly patients carry the highest burden of ADEs, though pediatric cases remain clinically relevant for specific agents. These findings support tailored monitoring and risk mitigation strategies in clinical practice.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261444101"},"PeriodicalIF":1.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822103","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":"Antenatal care utilisation in Tanzania: A Poisson regression analysis of the Tanzania Demographic Health Survey 2022.","authors":"Edgar Elirehema Pallangyo, Dyness Kejo, Monica Chipungahelo, Zahara Daudi, Nsajigwa Reuben Mwalupani, Doris Katana, Amina Suleiman Msengwa","doi":"10.1177/22799036261441323","DOIUrl":"https://doi.org/10.1177/22799036261441323","url":null,"abstract":"<p><strong>Background: </strong>Antenatal care (ANC) is essential for ensuring maternal and child health. Despite efforts to improve maternal healthcare in Tanzania, many women still fail to complete the recommended number of ANC visits. This study examines the socioeconomic and demographic determinants influencing ANC utilisation using data from the 2022 Tanzania Demographic and Health Survey (TDHS).</p><p><strong>Design and methods: </strong>This study employed a retrospective cross-sectional approach using secondary data from the 2022 TDHS, focussing on women aged 15-49 who had a live birth within 5 years preceding the survey. Poisson regression was applied to identify factors associated with the number of ANC visits. Model fit was assessed using Deviance and Pearson Goodness-of-Fit tests.</p><p><strong>Results: </strong>Approximately 89.26% of women attended at least one ANC visit, while only 61.26% completed the recommended minimum of four visits. The average number of visits was 4.00 (variance = 4.06). Poisson regression revealed that Higher maternal education (IRR = 1.3002, <i>p</i> < 0.001) and household wealth in the poorer (IRR = 1.0959, <i>p</i> < 0.001), middle (IRR = 1.1277, <i>p</i> < 0.001), richer (IRR = 1.1624, <i>p</i> < 0.001), and richest (IRR = 1.2514, <i>p</i> < 0.001) were positively associated with increased ANC visits, while larger household sizes negatively affected utilisation. Regional disparities were evident, with women in the Central, Southern, Eastern, and Zanzibar zones attending more ANC visits compared to those in the Western zone. Goodness-of-fit tests confirmed that the model adequately fit the data (Deviance <i>p</i> = 0.2679; Pearson <i>p</i> = 0.9901).</p><p><strong>Conclusion: </strong>Despite high initial contact with ANC services, a substantial proportion of women do not complete the full recommended visits. Socioeconomic, demographic, and regional factors significantly influence ANC utilisation. Policies aimed at promoting women's education, economic empowerment, and equitable access to maternal healthcare, particularly in underserved regions, are essential to improve ANC coverage in Tanzania.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261441323"},"PeriodicalIF":1.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822106","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":"Public views, patterns, and impacts of social networking site use for medicine-related information in Saudi Arabia: A cross-sectional study.","authors":"Faten Alhomoud, Farah Kais Alhomoud, Amal Al Muslim, Sarah Altheeb, Rana Al Subait, Hawra Alsadah, Bayan Alsultan, Marwah Alamer, Aymen Ali Alqurain, Basmah Alfageh, Hailah Almoghirah","doi":"10.1177/22799036261444088","DOIUrl":"https://doi.org/10.1177/22799036261444088","url":null,"abstract":"<p><strong>Introduction: </strong>Social networking sites (SNSs) are increasingly used as sources of health and medicine-related information, offering accessible communication but raising concerns about misinformation and its impact on medication-related behaviors. This study examined public views, patterns of use, and factors associated with using SNSs for medicine-related information in Saudi Arabia, as well as the perceived impact on medication-related decisions.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among adults aged ≥18 years residing in Saudi Arabia who used at least one SNS. An online self-administered questionnaire was distributed via multiple social media platforms using a secure web-based survey (QuestionPro). Data were analyzed using SPSS version 29. Bivariate and multivariate analyses were conducted, with statistical significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Of 651 participants, 60.2% used SNSs to seek medicine-related information. YouTube was the most commonly used platform, followed by X (formerly Twitter) and Instagram. Commonly searched topics included medication side effects, long-term effects, and mechanisms of action. Nearly one quarter reported altering or discontinuing medications, 25.0% initiated treatments based on SNS information, and 14.5% experienced adverse effects. Higher SNS use was associated with residence outside the Eastern Province, whereas retired participants and those using prescription or over-the-counter medications were less likely to rely on SNSs.</p><p><strong>Conclusions: </strong>SNSs are widely used by the Saudi public for medicine-related information and significantly influence medication-related behaviors. Despite their convenience, these platforms pose risks related to misinformation. Greater involvement of healthcare professionals, particularly pharmacists, is needed to provide evidence-based medication information and enhance medication literacy and patient safety.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261444088"},"PeriodicalIF":1.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822059","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":"Exploring the forced circumstances leading to early sexual debut among primary school learners in Musina, Limpopo.","authors":"Ikekhwa Albert Ikhile, Azwihangwisi Helen Mavhandu-Mudzusi, Ayobami Precious Adekola, Vhothusa Edward Matahela, Hulisani Matakanye, Livhuwani Tshivhase","doi":"10.1177/22799036251388581","DOIUrl":"https://doi.org/10.1177/22799036251388581","url":null,"abstract":"<p><strong>Introduction: </strong>This study explored the forced circumstances contributing to early sexual debut among primary school learners in Musina, Limpopo, focussing on the socio-economic, cultural, and educational factors shaping this phenomenon.</p><p><strong>Methods: </strong>A qualitative cross-sectional design was adopted, involving 320 learners (Grades 5-7) and 20 Life Orientation teachers from eight schools. Data collection for learners involved classroom-based group discussions conducted in a developmentally appropriate manner, while teachers participated in a separate workshop to provide contextual insights on learner experiences. Thematic content analysis was conducted using Bronfenbrenner's social-ecological model, Ajzen's theory of planned behaviour, and Galtung's structural violence framework.</p><p><strong>Results: </strong>Learners reported that early sexual debut was primarily influenced by forced circumstances such as poverty, lack of basic needs, coercion, and peer pressure, rather than voluntary risky behaviours. Cultural expectations, familial pressures, and gender power imbalances further constrained their agency. Teachers highlighted barriers, including insufficient training and socio-cultural taboos, that limited their ability to support learners.</p><p><strong>Conclusion: </strong>Early sexual debut among primary school learners in Musina is largely a result of external forced circumstances occurring outside the school environment, particularly linked to socio-economic deprivation and coercive pressures. Addressing this requires public health interventions that are multi-level and contextually tailored, including socio-economic support for vulnerable families, community-based sexual health education, and policies that protect children from exploitation and coercion.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036251388581"},"PeriodicalIF":1.8,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13111816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785197","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 community needs: Comprehensive analysis of the family adoption program conducted in coastal region of South India.","authors":"Ashwini Kumar, Manjula Anil Kunder, Ranjitha S Shetty, Udyawar Lahari, Bailur Sanjay Kini, Akhila Doddamani, Harshitha Hanglur Narasimha, Kundangar Eshwari, Sneha D Mallya, Rakshitha R Shenoy, Afraz Jahan, Divya Arvind Prabhu, Jagnyaseni Maiti","doi":"10.1177/22799036261439972","DOIUrl":"https://doi.org/10.1177/22799036261439972","url":null,"abstract":"<p><strong>Background: </strong>The Family Adoption Program (FAP), launched by the National Medical Commission, is a community-based initiative aimed at enhancing medical student's understanding of rural health. The program fosters both academic and social impact by aligning with the Sustainable Development Goals. This study aimed to assess the socio-demographic profile, burden of chronic illnesses and healthcare-seeking patterns related to Non-Communicable Diseases (NCD) among families enrolled in FAP in a rural area of South India.</p><p><strong>Design and methods: </strong>A cross-sectional study was conducted across eight villages in selected taluk of Udupi district, Karnataka chosen by feasibility and convenience sampling. Second-year MBBS students revisited the families they were assigned in their first year. Data were collected using a pre-tested semi-structured questionnaire covering demographics, chronic disease prevalence and healthcare preferences. Analysis was performed using SPSS version16.</p><p><strong>Results: </strong>Among 696 households surveyed, covering 3364 individuals, 98% response rate, approximately 21.3% reported at least one chronic illness, hypertension (13.9%) and diabetes (10.8%) being the most common. Multivariate analysis showed age more than 45 years (AOR: 13.25, 95% CI: 9.89-17.72), illiterates (AOR: 2.24, 95% CI: 1.48-2.38) as significant independent predictors for the presence of chronic illness. Preference for private healthcare facilities, especially for cancer and cardiovascular diseases, with over 90% of such patients seeking care in the private sector.</p><p><strong>Conclusions: </strong>FAP not only strengthens student learning through community engagement but also offers critical insights into rural health trends. The study highlights the dual challenge of rising NCD burden and underutilization of public healthcare services in rural regions.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261439972"},"PeriodicalIF":1.8,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13111829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785215","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":"An infodemiological analysis of arabic online educational content on low back pain: Insights into quality and reliability.","authors":"Hassan Ali Alradhi, Mohammed Bader Altaha, Ayat Jassim Al Eid, Mohammad Hasan Alatiyah, Biam Saydo, Layan Saleh Baeesa, Abdulrahman Jafar Sabbagh, Saleh Salem Baeesa","doi":"10.1177/22799036261441327","DOIUrl":"https://doi.org/10.1177/22799036261441327","url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) is the leading cause of disability worldwide and is highly prevalent in Arabic-speaking countries. Many patients seek health information online, but the quality and reliability of Arabic resources remain unclear. This study evaluated the quality, reliability, and readability of Arabic websites on LBP.</p><p><strong>Design and methods: </strong>A cross-sectional study was conducted on July 15, 2025, using the Arabic keyword \"low back pain\" in Google, Yahoo, and Bing. The first 100 results per engine were screened in incognito mode. Eligible websites were Arabic, publicly accessible, and patient oriented. After exclusions, 95 websites were included. Websites were classified by affiliation and assessed using the DISCERN instrument (quality), Journal of the American Medical Association (JAMA) benchmarks (reliability), and automated readability indices (Flesch Reading Ease, Flesch-Kincaid Grade Level, SMOG).</p><p><strong>Results: </strong>Of 300 screened websites, 95 met inclusion criteria. Health portals and educational sites comprised 46.3%. Overall quality was moderate (mean DISCERN 45.9 ± 11.5), with 82.1% rated as moderate and only 4.2% as good. Reliability was low (mean JAMA 2.46 ± 1.1); only 20% met all four benchmarks. Authorship and currency were present in 36.8% and 26.3% of sites. Readability was high, with 96.8% achieving FRE ≥ 80. Top-ranked websites showed higher quality and reliability (<i>p</i> < 0.001), though readability differences were minimal. DISCERN and JAMA correlated moderately (rho = 0.472, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Arabic websites on LBP are generally easy to read but often lack transparency, reliability, and evidence-based content. Strengthening online Arabic health resources through standardized quality frameworks is crucial to reduce misinformation and support informed decision-making.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261441327"},"PeriodicalIF":1.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785159","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":"Beyond the standard: Rethinking Likert scale use in measuring patient satisfaction at public health center in Indonesia.","authors":"Adila Kasni Astiena, Yudiantri Asdi, Rika Ampuh Hadiguna","doi":"10.1177/22799036261441329","DOIUrl":"https://doi.org/10.1177/22799036261441329","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction surveys in Indonesian public health centers use a four-point Likert scale mandated by the Regulation of the Minister of State Apparatus Empowerment and Bureaucratic Reform (PERMENPAN-RB), which may restrict sensitivity and accuracy. Internationally, broader Likert scales commonly five or seven-point-are widely used to obtain more nuanced responses and have been shown to improve reliability, validity, and cross-cultural comparability of patient-reported outcomes. Aligning Indonesian practices with these standards enhances measurement precision and facilitates benchmarking against global indicators. Accurate measurement of patient satisfaction is critical for benchmarking health service quality worldwide. This study aimed to develop a predictive model that generates scores on a seven-point Likert scale based on responses originally measured using a four-point format.</p><p><strong>Design and method: </strong>This cross-sectional study surveyed 200 outpatients from 2 Public Health Centers (Puskesmas) in Padang City, measuring satisfaction with four- and seven-point Likert scales simultaneously. Regression analysis developed a predictive model converting four-point scores into seven-point equivalents.</p><p><strong>Results: </strong>The seven-point scale produced higher satisfaction and performance scores. A strong correlation (<i>r</i> = 0.7573) and significant regression model (<i>p</i> = 0.0001) were found, with Y = 33.96 + 0.656X, explaining 57.3% of the variance.</p><p><strong>Conclusion: </strong>The seven-point scale provides a more accurate measure of patient satisfaction. The regression model enables conversion of existing four-point data, supporting more precise assessment of patient satisfaction and service quality, and informing evaluation and policy decisions.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261441329"},"PeriodicalIF":1.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724185","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":"Lung cancer screening knowledge, opinions and attitudes among healthcare professionals in Estonia prior to national program initiation.","authors":"Kadi Kallavus, Tanel Laisaar, Kaja-Triin Laisaar","doi":"10.1177/22799036261439973","DOIUrl":"https://doi.org/10.1177/22799036261439973","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to gain insight into the opinions and attitudes about, and potential barriers and facilitators to lung cancer screening (LCS) among healthcare professionals in Estonia. It also aimed to determine knowledge gaps that could be addressed when planning next steps toward a national LCS program.</p><p><strong>Methods: </strong>A cross-sectional, web-based survey was conducted in June to August 2023 among primary care providers (PCPs), pulmonologists, radiologists, oncologists, and thoracic surgeons in Estonia. Differences between PCPs and other specialists were analyzed with regard to their knowledge, beliefs and attitudes toward LCS.</p><p><strong>Results: </strong>About 146 healthcare professionals responded, 57% were family physicians. Less than half of all respondents considered existing evidence or international recommendations sufficient to support national LCS implementation, with uncertainty higher among PCPs. Adjusted analyses revealed that the PCPs had substantially higher odds of responding \"Do not know\" concerning international recommendations (aOR 5.06; 95% CI 1.97-13.85), and were far less likely to agree to assigning main responsibility for LCS participation to family physicians (aOR 0.10; 95% CI 0.02-0.40). PCPs also demonstrated greater uncertainty about the costs and labor intensity in LCS.</p><p><strong>Conclusion: </strong>This study reveals substantial variation in LCS knowledge, attitudes, and certainty across healthcare profession(al)s, highlighting the need for targeted training. Although for most professionals the benefits of LCS outweigh potential harms, structural constraints and uncertainty should still be carefully considered. Despite limited generalizability, study findings support evidence-informed planning and have already been considered in the Estonian LCS pilot study, the first step toward a national LCS program.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261439973"},"PeriodicalIF":1.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724170","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":"Access to care during COVID-19: A qualitative study of healthcare system resilience in San Antonio, Texas.","authors":"Sandra Ovuegbe, Asha Collier, Danequa Forrest, Laura McKieran, Jack Tsai","doi":"10.1177/22799036261441334","DOIUrl":"10.1177/22799036261441334","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic challenged healthcare systems across the United States. It had distinct effects in rapidly growing cities like San Antonio, Texas. San Antonio, one of the fastest-expanding metropolitan areas, faces high rates of uninsured residents and a mix of urban and semi-rural healthcare landscapes. This makes it a valuable case for understanding health system responses to access challenges during public health crises. This qualitative study examined how healthcare system leaders, frontline providers, and policymakers in San Antonio navigated three major challenges during COVID-19: system-level disruptions in healthcare delivery, telehealth access, and health insurance coverage.</p><p><strong>Methods: </strong>From February to April 2023, data came from 2 focus groups (<i>n</i> = 20) and 12 key informant interviews. These were analyzed thematically using a grounded theory approach to identify barriers and evidence-based resolutions.</p><p><strong>Results: </strong>Participants identified three core challenges: First, disruptions in healthcare delivery due to workforce shortages, reduced preventive care access, and discharge delays. Second, barriers to telehealth access related to the digital divide and health literacy. Third, instability in health insurance coverage following the rollback of pandemic-era Medicaid protections. Participants also shared practice-based recommendations. These included standardized screening for social determinants of health (SDOH) with linked referrals to resources, culturally responsive food assistance programs, and hybrid care models that integrate telehealth with in-person care.</p><p><strong>Conclusion: </strong>This project shows that engaging local leadership and coordinating strategies can make systems more resilient. These actions improve healthcare access during public health crises and offer practical lessons for other urban healthcare systems.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261441334"},"PeriodicalIF":1.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724116","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":"Traditional diets and cultural beliefs affecting diabetes prevention and control in Africa.","authors":"Zemichael Getu Alemayehu, Abenezer Shiferaw Keraga, Yonatan Abbawa Zewdie, Beamlak Getachew Woldeselassie, Henok Wolde Nida, Brook Lelisa Sime, Yared Mezemir Tiruneh, Yonathan Belay Kebede, Yeabsra Tewdrose Tsegaye, Yafet Teklehaymanot Awaso","doi":"10.1177/22799036261430965","DOIUrl":"10.1177/22799036261430965","url":null,"abstract":"<p><p>The burden of type 2 diabetes mellitus in Africa is growing rapidly due to socio-economic changes, urbanization, and substitution of traditional and nutritious, high-fiber diets with ultra-processed, high-energy foods. This review explains the protective value of traditional African diets that contain native grains and fermented foods, but are under threat of westernization and cultural transitions. Moreover, cultural beliefs, social practices, dietary limitations, and gender roles strongly influence diabetes prevention and management practices on the continent. Community-based programs, school nutrition initiatives, and fiscal policies aimed at promoting healthy food settings can be taken as promising interventions. In spite of these considerations, there is an urgent gap in quality research studies especially randomized controlled trials and rural population studies. Culturally sensitive multisectoral strategies are pivotal to reversing the diabetes epidemic in Africa and to achieve sustainable health results.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261430965"},"PeriodicalIF":1.8,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13031752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575843","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}