Clinical Epidemiology and Global Health最新文献

{"title":"Development of health literacy tool for hypertension and determinants of limited health literacy in rural Myanmar: Implications for targeted public health interventions","authors":"Roshan Kumar Mahato,&nbsp;Saw San Myint Htun,&nbsp;Kyaw Min Htike,&nbsp;Rajitra Nawawonganun,&nbsp;Kittipong Sornlorm","doi":"10.1016/j.cegh.2025.102018","DOIUrl":"10.1016/j.cegh.2025.102018","url":null,"abstract":"<div><h3>Background &amp; objectives</h3><div>Health literacy (HL) is essential for managing chronic diseases like hypertension. However, limited health literacy is common in many populations leading to poor health outcomes. This study aimed to develop hypertension-specific health literacy tool and identify factors associated with limited health literacy (LHL) among individuals with and without hypertension.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in rural Karen State, Myanmar from December 2023 to November 2024. Descriptive statistics and multivariable analysis using the logistic regression were employed to investigate the associations between LHL and hypertension-related factors.</div></div><div><h3>Results</h3><div>Among 487 participants, the developed tool demonstrated strong reliability with Cronbach's alpha values of 0.923 (access), 0.879 (understand), 0.902 (appraise) and 0.889 (apply). The overall prevalence of LHL was 85.82 % (95 % CI: 82.02–89.08) in the no-hypertension group and 83.53 % (95 % CI: 73.91–90.69) in the hypertension group. Key factors associated with LHL in individuals with hypertension included employment in agriculture, farming, self-employment or non-government sectors (AOR: 4.85, 95 % CI: 1.18–19.91), a family history of hypertension (AOR: 5.42, 95 % CI: 1.28–22.84) and poor or average knowledge about hypertension (AOR: 5.21, 95 % CI: 1.20–22.57).</div></div><div><h3>Conclusion</h3><div>Four out of five individuals in rural Myanmar had LHL highlighting disparities compared to urban populations. Employment type, family history of hypertension and insufficient hypertension knowledge were significant predictors of LHL. A context-specific tool was developed to ensure accurate assessment and inform targeted interventions.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102018"},"PeriodicalIF":2.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of bronchitis in children at Latin America's largest open-pit coal mine","authors":"Heli A. Arregocés ,&nbsp;Roberto Rojano","doi":"10.1016/j.cegh.2025.102022","DOIUrl":"10.1016/j.cegh.2025.102022","url":null,"abstract":"<div><h3>Background/objectives</h3><div>Air pollution, the presence of substances that harm other living organisms, results from human activity. Open-pit coal mines are notable sources of particulate matter emissions, which spread over considerable distances and affect surrounding communities. This study aimed to evaluate the influence of prolonged exposure to particulate matter with a diameter of ≤10 μm (PM₁₀) emissions from Latin America's largest open-pit coal mine on bronchitis incidence in children aged 0–4 years.</div></div><div><h3>Methods</h3><div>We collected daily PM₁₀ concentration data from 25 stations between January 2011 and December 2019, monitored every three working days. The AirQ + model was used to estimate the human health impacts of long-term exposure to ambient PM₁₀ using the bronchitis prevalence data from the National Institute of Colombia.</div></div><div><h3>Results</h3><div>From 2011 to 2019, the average daily PM₁₀ levels for the zones directly and indirectly impacted by mining were 37.52 and 31.54 μg/m³, respectively. Approximately 500 bronchitis cases were attributed to PM₁₀ pollution. Moreover, an average reduction of 15 μg/m³ in the annual mean PM₁₀ concentration could prevent 56 bronchitis cases annually in children near the mines.</div></div><div><h3>Conclusions</h3><div>From 2011 to 2019, all monitoring stations consistently recorded more than the World Health Organization's annual average reference of 15 μg/m³. Our findings on the long-term effects of PM₁₀ on bronchitis prevalence underscore the health impact of air pollution, emphasizing the importance of stringent air quality standards, particularly in industrial mining zones. This information is vital for developing, monitoring, and assessing air pollution policies while safeguarding public health.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102022"},"PeriodicalIF":2.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hepatitis B virus immunoprophylaxis for newborns of rural women living with hepatitis B virus infection: The moderating role of knowledge, perceived susceptibility and severity","authors":"Okasha Mohammed ,&nbsp;Vivian Efua Senoo-Dogbey ,&nbsp;Charles Ampong Adjei","doi":"10.1016/j.cegh.2025.102029","DOIUrl":"10.1016/j.cegh.2025.102029","url":null,"abstract":"<div><h3>Background</h3><div>Mother-To-Child Transmission (MTCT) of Hepatitis B Virus (HBV) poses a significant public health threat, particularly in high-prevalence regions like sub-Saharan Africa. Effective interventions, including Hepatitis B Immunoglobulin (HBIG) and hepatitis B vaccine, can substantially reduce vertical transmission risk. However, disease transmission knowledge, perceptions of risk and severity are factors in the face of other personal factors that collectively shape the decision-making process of immunoprophylaxis utilization for exposed newborns. This study investigated knowledge of disease transmission, perceptions of risk and severity and their impact on the utilization of HBV immunoprophylaxis for exposed newborns of rural women living with HBV infection in Ghana's North-East Region.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design was employed, involving 213 mothers who had been diagnosed with hepatitis B virus infection and had given birth within the past 6 weeks. Sampling was done using random sampling procedures following proportional allocation to the selected facilities. The women were interviewed in a face-to-face interaction using a structured pretested questionnaire. Data were analyzed using SPSS version 26 employing descriptive statistics, Chi-Square test and logistic regression analysis with the level of significance set at 0.05.</div></div><div><h3>Results</h3><div>The mean age of the participants was 28 years (±1.5). A total of 56.3 % of the mothers had good knowledge. Higher education and religious affiliation were significantly associated with good knowledge of HBV disease transmission and newborn immunoprophylaxis. Mothers with good overall knowledge of HBV had significantly higher odds of uptake (aOR: 2.23, 95 % CI: 1.12–4.45, p-value: 0.023). There was no significant association between (aOR: 0.97, 95 % CI: 0.46–2.07, p-value: 0.941) perceived susceptibility and immunoprophylaxis uptake. Mothers who perceived HBV severity as high had higher odds of immunoprophylaxis uptake for their newborns (aOR: 1.36, 95 % CI: 0.15–0.87, p-value: 0.023).</div></div><div><h3>Conclusion</h3><div>This study highlights the pivotal role of knowledge of HBV disease and its prevention and perceived severity in determining HBV immunoprophylaxis uptake among rural women. Addressing barriers surrounding education and perceptions through targeted education, improved healthcare accessibility, and culturally sensitive interventions is critical for enhancing MTCT prevention in similar settings.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102029"},"PeriodicalIF":2.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal postnatal depression, bonding, and health care practices in providing essential services for preterm and low birth weight infants in Indonesia","authors":"Ricvan Dana Nindrea ,&nbsp;Long Chiau Ming ,&nbsp;Nissa Prima Sari","doi":"10.1016/j.cegh.2025.102028","DOIUrl":"10.1016/j.cegh.2025.102028","url":null,"abstract":"<div><h3>Background</h3><div>Preterm and low birth weight (LBW) infants face higher health risks and need specialized care. Maternal postnatal depression, mother-infant bonding, and healthcare practices are key to providing proper care for these vulnerable infants. This study aims to explore the role of maternal postnatal depression and bonding in enhancing healthcare practices for providing essential health care to preterm and LBW infants.</div></div><div><h3>Methods</h3><div>This community-based cross-sectional study was conducted from July to December 2024 in three regions of West Sumatra, Indonesia: the operational areas of the Health Offices in Padang City, Padang Pariaman Regency, and Solok Regency. A total of 246 mothers of LBW or preterm infants born between January and December 2023 were selected through multistage random sampling. Data analysis was conducted using structural equation modeling (SEM).</div></div><div><h3>Results</h3><div>Most respondents were aged 20–34 years (71.5 %), with a median of two pregnancies and one delivery. Preterm births (63.0 %) and cesarean deliveries (59.3 %) were common. SEM analysis revealed that maternal postnatal depression had a direct effect on healthcare practices (β = 0.278, P = 0.004) and an indirect effect mediated by mother-infant bonding (β = 0.172, P = 0.007). Furthermore, mother-infant bonding was significantly associated with better healthcare practices (β = 0.181, P = 0.005).</div></div><div><h3>Conclusion</h3><div>Maternal postnatal depression significantly influences healthcare practices both directly and indirectly through its effect on mother-infant bonding. These findings highlight the importance of addressing maternal mental health and fostering strong mother-infant bonds to enhance caregiving practices and improve health outcomes for vulnerable infants.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102028"},"PeriodicalIF":2.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical characteristics and potential biomarkers predicting disease progression in severe adenoviral pneumonia: A pediatric intensive care unit experience","authors":"Bijay Kumar Meher ,&nbsp;Sovesh Ranjan Behera ,&nbsp;Sarthak Naik ,&nbsp;Pravakar Mishra ,&nbsp;Deepti Damayanty Pradhan","doi":"10.1016/j.cegh.2025.102026","DOIUrl":"10.1016/j.cegh.2025.102026","url":null,"abstract":"<div><h3>Background</h3><div>Respiratory tract infections (RTIs) are a major global threat to children, with adenovirus being a leading cause of severe RTIs in this age group. Treatment options are limited, and understanding the factors affecting mortality is essential for developing effective management strategies. This study aims to analyze adenovirus infections in critically ill children and identify biomarkers associated with a poor outcomes.</div></div><div><h3>Methods</h3><div>This prospective observational study was conducted in children aged 1 month to 14 years with severe adenoviral RTI. Demographic information and clinical data were collected; polymerase chain reaction (PCR) testing was conducted on nasopharyngeal swabs. Survival and non-survival groups were compared using the Mann-Whitney <em>U</em> test and independent sample t tests. Associations with outcomes were evaluated using the chi-square test, and diagnostic evaluation was conducted using receiver operating characteristics (ROC) analysis.</div></div><div><h3>Results</h3><div>In 70 children with severe adenoviral infection, common symptoms included fever, cough, and respiratory distress. Most patients required respiratory support, including invasive mechanical ventilation support. Chest radiograph findings revealed patchy infiltration and right upper lobar consolidation. Forty percent of the cases resulted in death. Children with lower hemoglobin and lymphocyte counts and higher CRP, LDH, and ferritin levels had poorer outcomes. Hemoglobin (≤9 gm/dL), serum ferritin (&gt;897 ng/mL), and serum LDH (&gt;1172 U/L) showed high sensitivity and specificity, making them good outcome markers.</div></div><div><h3>Conclusion</h3><div>Low hemoglobin, high serum ferritin, and high LDH in the second week are markers of disease progression and poor prognostic markers in severe adenoviral infections, emphasizing further research and targeted interventions.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102026"},"PeriodicalIF":2.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Knowledge of primary health care physicians about clinical governance in Mansoura district, Egypt: A cross-sectional study\"","authors":"Shymaa Mamdouh Mohamed Abdu ,&nbsp;Abdel-Hady El-Gilany ,&nbsp;Sahar Mohamed Youness","doi":"10.1016/j.cegh.2025.102019","DOIUrl":"10.1016/j.cegh.2025.102019","url":null,"abstract":"<div><h3>Background</h3><div>Clinical governance (CG) serves as a crucial mechanism for enhancing service quality in primary health care (PHC) facilities in Egypt. Little is known about knowledge of PHC physicians about CG. The aim of this study was to assess the knowledge of PHC physicians about the concepts of CG and to identify its determinants.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 108 PHC physicians selected through a convenience sampling technique. The data were collected through a validated questionnaire including data related to knowledge of PHC physicians about the concepts, principles of CG, and barriers affecting their engagement in CG. Binary logistic regression analysis was used to detect the predictors of knowledge about CG.</div></div><div><h3>Results</h3><div>More than half of participants (52.8 %) had high knowledge about CG with a total mean score of (3.61 ± 0.73). 65.7 % and 61.1 % of PHC physicians knew continuous quality improvement (CQI) and responsibility as CG principles, respectively. Multiple regression analysis revealed that those with diploma (AOR = 9.72, P = 0.007), those who had postgraduate studies (AOR = 3.99, p = 0.007), and those who previously heard about CG (AOR = 5.78, P = 0.019) significantly predicted PHC physicians' knowledge of CG.</div></div><div><h3>Conclusion</h3><div>More than half of PHC physicians are knowledgeable about CG. Level of education is the strongest predictor of PHC physician's knowledge. Less than half of rural physicians have high knowledge about CG, and no statistically significant difference has been detected. Thus, conducting educational and training programs, and increasing human and financial resources are crucial for improving PHC physicians' engagement in CG.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102019"},"PeriodicalIF":2.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a system for monitoring and validation of proper hand washing using machine learning","authors":"Juan Nicolas Quiñones-Romero ,&nbsp;Andrés Felipe Romero-Gómez ,&nbsp;Ricardo Buitrago","doi":"10.1016/j.cegh.2025.101971","DOIUrl":"10.1016/j.cegh.2025.101971","url":null,"abstract":"<div><h3>Background</h3><div>Hand hygiene is critical in medical settings to prevent infections and ensure patient safety. Despite multiple initiatives to improve adherence to hygiene protocols, compliance rates remain low, posing a persistent challenge.</div></div><div><h3>Methods</h3><div>We developed an AI-driven application to monitor adherence to hand-rubbing techniques in a clinical setting. The system utilizes machine learning to an alyze hand landmarks extracted from video, incorporating a normalization process based on hand centroids to mitigate biases related to camera distance and hand size. Three machine learning models—Logistic Regression, Support Vector Machine, and Random Forest—were evaluated based on accuracy, inference speed, and memory usage.</div></div><div><h3>Results</h3><div>Logistic Regression demonstrated the best performance, achieving 99.5 % accuracy and processing each hand-washing step in only 3 ms. The application also tracks the duration of each hygiene step, promoting compliance with recommended hand-washing times. We tested the algorithm in a clinical setting.</div></div><div><h3>Conclusion</h3><div>This AI-driven solution provides a scalable, real-time method for improving hand hygiene compliance in clinical settings. Its ability to deliver data-supported feedback highlights its potential to enhance patient safety and reduce infection rates.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 101971"},"PeriodicalIF":2.3,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Colorectal cancer risk factors: A multi-center, case-control study in Egypt","authors":"Essam A. El-Moselhy ,&nbsp;Mohamed M. Abdel-Halim ,&nbsp;Alshaimaa M.M. Eid Eid ,&nbsp;Ahmed M. Ghazy ,&nbsp;Neamat A. Abdelmageed ,&nbsp;Amir A. Eldamaty ,&nbsp;Sherif A. Sherif ,&nbsp;Asmaa A. Attia ,&nbsp;Fatma M. Kotb ,&nbsp;Abdelhamid A. Abdelhafez ,&nbsp;Mohamad M. Abdelnaser ,&nbsp;Mohamed H. El Sisi ,&nbsp;Ahmed M. Abdelnaby ,&nbsp;Moshira A. Ibrahim ,&nbsp;Osama O. Khalil ,&nbsp;Mohmed Tag El-Din ,&nbsp;Esam M. Osman ,&nbsp;Abd-Elnaser S. Mohammed ,&nbsp;Alyaa H. Abo-Rahma ,&nbsp;Ahmed E. Abdrabo ,&nbsp;Karima M-S Kholief","doi":"10.1016/j.cegh.2025.102017","DOIUrl":"10.1016/j.cegh.2025.102017","url":null,"abstract":"<div><h3>Background</h3><div>Colorectal cancer (CRC) is one of the most diagnosed cancers worldwide. This study aimed to define characteristics and risk factors (RFs) of CRC in Egypt.</div></div><div><h3>Methods</h3><div>A multi-center, hospital-based, case-control study was conducted. Two-hundred CRC patients and an equal number of controls were recruited. An interviewing, clinical examinations, investigations, medical and surgical data, and patients records were used to collect data. The study used logistic regression test for statistical analysis of data.</div></div><div><h3>Results</h3><div>Most of the CRC patients age was 40-≥60year. The commonest CRC symptoms were rectal bleeding (56.0 %) and abdominal pain/cramp (39.5 %). Significant medical and family history (FH)-RFs were precancerous colonic lesions, first-degree FH of CRC, inflammatory bowel disease (IBD), irregular-use of nonsteroidal anti-inflammatory drugs (NSAIDs), cholecystectomy, and type 2 diabetes mellitus (T2DM) (MLE-ORs = 8.57, 8.25, 7.07, 4.97, 3.74, 2.71; respectively). Significant dietary-RFs were high red- and processed-meats intake, low fibers intake, high salty-/spicy-foods intake, and high animal-fat intake (MLE-ORs = 4.97, 3.98, 3.04, 2.73; respectively). Significant personal lifestyle-RFs were coffee-use, physical inactivity (PiA), and alcohol- and/or beer-use (MLE-ORs = 6.95, 5.69, 4.92; respectively). Significant healthcare-RFs were non-compliance with medical follow-up and noncovered healthcare costs (MLE-OR = 3.72 and 3.7, respectively). Significant sociodemographic-RF was male-sex (MLE-OR = 2.86).</div></div><div><h3>Conclusions</h3><div>The most important RFs of CRC were precancerous colonic lesions, FH of CRC, IBD, coffee-use, PiA, and high red-meat intake. RFs of CRC are mostly preventable; targeted prevention strategies focusing on modifiable risk factors and screening can reduce CRC burden in Egypt. Following healthful lifestyle regarding diet, PiA, and compliance with follow-up are priorities.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102017"},"PeriodicalIF":2.3,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of birth defects surveillance in Urumqi from 2018 to 2023 and application of three kinds of model in prediction","authors":"Luhan Zhang ,&nbsp;Jinfang He ,&nbsp;Shuyuan Xue ,&nbsp;Rui Shi ,&nbsp;Guifeng Ding","doi":"10.1016/j.cegh.2025.102016","DOIUrl":"10.1016/j.cegh.2025.102016","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the incidence and risk factors of perinatal birth defects in Urumqi (2018–2023), and compare the predictive accuracy of Joinpoint regression, Prophet, Grey Model (GM(1,1)), and a Bayesian-optimized hybrid model.</div></div><div><h3>Methods</h3><div>Data were extracted from the Xinjiang Maternal and Child Health Cloud Platform. After quality control, we constructed the database in Excel, and analyses were performed using JMP 14.0 and R 4.4.1. Using population-based surveillance data from 36 midwifery institutions, we conducted trend analysis (Joinpoint regression) and time-series forecasting (Prophet, GM(1,1), and a Bayesian-weighted hybrid model). Model performance was evaluated by MAE, RMSE, MAPE, and R².</div></div><div><h3>Results</h3><div>The overall incidence of birth defects was 149.47 per 10,000, with a significant upward trend (χ²_trend = 25.268, <em>P</em> &lt; 0.001). Congenital heart disease (53.65 %) was the most prevalent defect. Higher incidence rates were observed in male infants, urban areas, and mothers aged≥35 years. The Grey Model showed the lowest prediction error (MAE = 21.8, MAPE = 15.86 %), while the Combined model achieved the highest R²(0.82) and lowest RMSE (29.34).</div></div><div><h3>Conclusion</h3><div>The rising incidence of perinatal birth defects in Urumqi underscores the need for enhanced monitoring. Our findings advocate a tiered public health surveillance strategy: GM(1,1) for immediate-term (0–12 months), the hybrid model for medium-term (13–24 months), and Prophet for long-term (&gt;25 months) planning, enabling resource prioritization in low-resource settings.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102016"},"PeriodicalIF":2.3,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747613","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":"A community based cross-sectional study on the magnitude of childhood injuries during the past one year among tribal children aged 1–14 Years in Dharmapuri district, Tamil Nadu","authors":"Alex Joseph ,&nbsp;Roshni Mary Peter ,&nbsp;Dhasarathi Kumar","doi":"10.1016/j.cegh.2024.101910","DOIUrl":"10.1016/j.cegh.2024.101910","url":null,"abstract":"<div><h3>Background</h3><div>Unintentional injuries are a significant public health problem among children, especially in developing nations, which is claiming millions of lives annually. They are of noteworthy concern from the age of one, which contributes both to morbidity and mortality throughout childhood and adolescence. The study aimed to assess the prevalence of childhood injuries in the past year among tribal children aged 1–14 years in Dharmapuri district, Tamil Nadu.</div></div><div><h3>Materials and method</h3><div>A community-based cross-sectional study was conducted among the parents of the selected children in the tribal region of Sitheri, Tamil Nadu. The study was conducted using a piloted, semi-structured questionnaire. Data on unintentional injuries from the past one year was collected.</div></div><div><h3>Results</h3><div>Among the 331 children, 24.2 % (95 % CI: 0.196–0.291) of the children were injured. Among those injured, the majority of them had fall-related injury (16 %), followed by bite/animal-related injury (3.6 %), burn-related injury (2.4 %) and road traffic-related injures (1.5 %). Drowning and other miscellaneous injuries contributed 0.3 % each and there was no case of poisoning reported among the tribal children. Among the injured children, 79.5 % were male, and 20.5 % were female.</div></div><div><h3>Conclusion</h3><div>Falls were the most common injury among children. To reduce the magnitude of unintentional injury among children, actions related to sensitizing the policy measures and providing education and awareness to the community must be implemented to provide a better and safer environment for the children.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 101910"},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767863","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}