Clinical Epidemiology and Global Health最新文献

{"title":"Development and validation of the resilience in self-care scale (RISE) among older adults with diabetes in Northeast Malaysia","authors":"Maryam Mohd Zulkifli ,&nbsp;Azidah Abdul Kadir ,&nbsp;Razlina Abdul Rahman ,&nbsp;Rosediani Muhamad ,&nbsp;Norlaila Mustafa ,&nbsp;Najib Majdi Yaacob ,&nbsp;Nik Harlina Roza Nik Kazim","doi":"10.1016/j.cegh.2025.102169","DOIUrl":"10.1016/j.cegh.2025.102169","url":null,"abstract":"<div><h3>Problem considered</h3><div>Understanding the level of resilience in managing self-care in older adults with diabetes (OAwD) remains crucial to determining the resilience level. Hence, OAwD with low resilience could be invited to participate in the resilience intervention and diabetes education program. However, there is a lack of validated instruments to assess this. This study aims to develop and validate the resilience in self-care scale (RISE) among OAwD in Northeast Malaysia.</div></div><div><h3>Methods</h3><div>The scale was developed based on the Resiliency Model, literature reviews, and discussions among research team members. A step-by-step validation procedure involving content, face, and construct validity was applied. The construct validation was conducted via cross-sectional studies among 216 OAwD using Exploratory Factor Analysis and 300 OAwD using Confirmatory Factor Analysis. The study was conducted face-to-face at a tertiary hospital's primary care and medical clinic.</div></div><div><h3>Results</h3><div>The preliminary RISE displays a high item Content and Face Validity Index with 22 items. The EFA analysis demonstrated a domain with 18 items. The final questionnaire after CFA analysis consists of one domain with 17 items. The level of goodness of fit (comparative fit index = 0.961, Tucker-Lewis index = 0.954, incremental fit index = 0.901, chi-squared/degree of freedom = 2.560, and root mean square error of approximation = 0.072), signifying a good fit model. The Cronbach's alpha of this questionnaire is 0.967.</div></div><div><h3>Conclusion</h3><div>The RISE scale is a valid and reliable tool for measuring resilience in managing self-care among OAwD.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102169"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048409","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":"Challenges in pediatric cardiac emergency care amid nursing and resource shortages in Germany","authors":"Georg Daniel Duerr ,&nbsp;Dietmar Schranz","doi":"10.1016/j.cegh.2025.102165","DOIUrl":"10.1016/j.cegh.2025.102165","url":null,"abstract":"<div><h3>Objectives</h3><div>Pediatric cardiac emergency care in Germany faces critical challenges due to ICU bed shortages, rigid healthcare policies, and nursing workforce deficits. The strict adherence to the Paediatric Cardiac Surgery Directive (PCSD) often prevents critically ill children from receiving timely life-saving interventions, as policies restrict their admission to adult intensive care units (AICUs), even in urgent situations.</div></div><div><h3>Study design</h3><div>comparative cross-national report.</div></div><div><h3>Methods</h3><div>This study employs a comparative approach, analyzing pediatric cardiac care models in the United Kingdom, New Zealand, and Australia. These countries have implemented flexible, interdisciplinary strategies to address ICU capacity issues, ensuring critically ill children receive timely surgical and postoperative care. Literature from PubMed and national healthcare policy frameworks were reviewed to assess their applicability to Germany.</div></div><div><h3>Results</h3><div>Findings indicate that integrating pediatric and adult intensive care services, along with flexible policy adaptations, can improve emergency care accessibility. International models emphasize interdisciplinary collaboration, specialized training for adult ICU staff, and structured transitional care for pediatric cardiac patients.</div></div><div><h3>Conclusions</h3><div>Policy adaptations are required in the German healthcare system to enhance pediatric cardiac emergency care. Implementing flexible ICU admission protocols, cross-disciplinary training, and optimizing resource allocation can bridge critical gaps. A modernized, patient-centered approach is essential to ensuring equitable and timely access to life-saving pediatric cardiac interventions.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102165"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932275","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":"Determinants of nurses’ intention to report child maltreatment: A cross-sectional study from a Middle Eastern country","authors":"Iman Al Hashmi ,&nbsp;Fatma Al Kamzari ,&nbsp;Zeinab Al Azri ,&nbsp;Jawaher Al Huseini ,&nbsp;Mathayila Al Mamari ,&nbsp;Rahma Al Sheriyani","doi":"10.1016/j.cegh.2025.102164","DOIUrl":"10.1016/j.cegh.2025.102164","url":null,"abstract":"<div><h3>Problem considered</h3><div>Child maltreatment or child abuse is prevalent globally, putting a great deal of strain on the healthcare system due to its short and long-term consequences on the child and the community as a whole. Understanding the determinants that affect nurses' decisions to report child abuse is vital to inform the development of effective training programs. Therefore, this study investigated the determinants of nurses’ intention to report child maltreatment.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, a total of 84 nurses were recruited from Sultan Qaboos University Hospital in Oman using a convenience sampling technique. The participants completed one self-administered questionnaire, including the Child Abuse Report Intention Scale. The analytical tools included descriptive statistics and fitting multiple regression.</div></div><div><h3>Results</h3><div>Descriptive statistics showed that the majority (63.10 %) of the nurses did not receive education about child maltreatment in the hospital, and the majority (78.57 %) of them had not reported any child abuse case before. Cultural factors (26.19 %), fear of litigation (21.43 %), and uncertainty about evidence (16.67 %) were the most reported barriers to reporting child abuse. Further, stepwise regression analysis showed that participants' norms (<em>t</em>_{<em>1, 82</em>} = 7.48, <em>p</em> &lt; .01) and attitudes (<em>t</em>_{<em>2,81</em>} = 2.71, <em>p</em> &lt; .01) are the only significant predictors and they explained 44.1 % of the total variation in nurses’ intention to report child maltreatment.</div></div><div><h3>Conclusion</h3><div>Nurses' intention to report child maltreatment is predicted by nurses’ norms and attitudes. Ongoing in-service training on child abuse, provision of social support, and professional guidance of staff nurses is highly recommended to assist them in making the best decision.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102164"},"PeriodicalIF":1.7,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904534","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, predictors, and short-term outcomes of neonatal bacterial meningitis in suspected sepsis: A prospective observational study","authors":"Prerna Priyadarshini,&nbsp;Arpita Bhriguwanshi,&nbsp;Shalini Tripathi,&nbsp;S.N. Singh","doi":"10.1016/j.cegh.2025.102157","DOIUrl":"10.1016/j.cegh.2025.102157","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal Meningitis is a critical illness associated with substantial morbidity and mortality. Its timely diagnosis remains challenging due to subtle clinical signs and variability in microbiological profiles, particularly in resource-limited settings. Early identification of reliable clinical and laboratory predictors is essential for improving outcomes in neonates suspected of sepsis.</div></div><div><h3>Objective</h3><div>To determine the prevalence, predictors and short-term outcomes of bacterial meningitis in neonates with suspected sepsis.</div></div><div><h3>Material and methods</h3><div>This prospective observational study included neonates admitted with clinical signs of sepsis to a tertiary care neonatal unit in Northern India from February 2020 to July 2021. Neonates with gestational age &lt;28 weeks, major congenital anomalies, or severe perinatal asphyxia were excluded. <strong>In our study, neonatal meningitis diagnosis strictly required objective criteria: A positive CSF culture, positive Gram stain, or suggestive findings on cranial ultrasound. We did not consider CSF biochemical parameters (e.g., glucose, protein, leucocyte counts) alone due to their limited specificity and high false-positive rates, especially given prior antibiotic treatment in many neonates.</strong></div></div><div><h3>Results</h3><div>Out of the 500 neonates enrolled, 90 (18 %) were diagnosed with bacterial meningitis. Logistic regression analysis identified meconium-stained amniotic fluid (Adjusted OR:3.66; 95 % CI: 1.69–7.95; p = 0.001), poor feeding (Adjusted OR:2.98; 95 % CI: 1.12–7.93; p = 0.029), abdominal distension (Adjusted OR:66.32; 95 % CI: 7.74–568.15; p &lt; 0.001), fast breathing (Adjusted OR:3.67; 95 % CI: 1.37–9.80; p = 0.010), jaundice (Adjusted OR:4.15; 95 % CI: 1.62–10.61; p = 0.003), seizures (Adjusted OR:2.76; 95 % CI: 1.12–6.82; p = 0.028), bulging fontanel (Adjusted OR:36.87; 95 % CI: 6.49–209.53; p &lt; 0.001) and positive blood culture (Adjusted OR:2.40; 95 % CI: 1.15–5.01; p = 0.020) as predictors of meningitis in neonates. Mortality in neonates with meningitis was 7.7 %, significantly associated with the requirement for vasopressors (Adjusted OR: 15.25; 95 % CI: 4.5218–51.523; p ≤ 0.001) and mechanical ventilation (Adjusted OR: 6.99; 95 % CI: 2.453–19.9437; p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Our findings indicate a high prevalence of neonatal meningitis in the context of neonatal sepsis. Clinical and laboratory predictors identified in this study could help formulate an effective scoring system for early diagnosis of neonatal meningitis, facilitating prompt and targeted management to improve outcomes in at risk neonates.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102157"},"PeriodicalIF":1.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860824","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":"Perceived healthcare quality as the predictor of patient satisfaction: Findings from a public sector tertiary care hospital in Kerala, South India","authors":"Malathi Mini ,&nbsp;Jeby Jose Olickal ,&nbsp;Antony Stanley ,&nbsp;Thekkumkara Surendran Anish ,&nbsp;Vimala Chellappan","doi":"10.1016/j.cegh.2025.102163","DOIUrl":"10.1016/j.cegh.2025.102163","url":null,"abstract":"<div><h3>Introduction</h3><div>Limited data exist on the role of patient perception of healthcare quality as a predictor of patient satisfaction within the public health system in India. Therefore, we conducted this study to identify factors predicting patient satisfaction among inpatients of a public sector tertiary care hospital in Kerala, India.</div></div><div><h3>Methods</h3><div>A cross-sectional study was done by interviewing 524 patients (mean age 48.73 years, males 47.7 %) from surgical and medical wards in the hospital. Data were collected using a validated, structured questionnaire, including a patient satisfaction questionnaire and a perceived healthcare quality questionnaire, each with a total score ranging from 1 (lowest) to 5 (highest). Statistical analyses were performed using IBM SPSS (Version 20).</div></div><div><h3>Results</h3><div>Mean (SD) overall perceived healthcare quality score was 3.01 (0.46) and general satisfaction score was 3.06 (0.63). There was a moderate positive correlation between the overall perceived healthcare quality score and the overall patient satisfaction score (r = 0.54, p &lt; 0.001). Among the perceived healthcare quality domains, the strongest correlations with general patient satisfaction score were found for doctor behavior (r = 0.44) and hospital infrastructure (r = 0.43). Linear regression analysis indicated that female sex, being single, and higher perceived healthcare quality were significantly associated with greater patient satisfaction, with perceived healthcare quality showing the strongest association (Unstandardized B = 0.632, p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Patient-perceived healthcare quality is a significant predictor of patient satisfaction in a public sector tertiary care hospital. To improve patient satisfaction and advance Universal health coverage goals, policymakers and administrators should prioritise enhancing quality domains including doctor–patient communication, staff responsiveness, and hospital infrastructure with targeted interventions during quality improvement plans.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102163"},"PeriodicalIF":1.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858180","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":"A hospital based cross-sectional analysis of knowledge, attitude and perception of vaccinations among adult patients with chronic respiratory diseases in Karnataka, South India","authors":"Aditya Ashok ,&nbsp;Preetam R. Acharya ,&nbsp;Neeraj Vinod Mohandas ,&nbsp;Adarsh Sugathan ,&nbsp;Anu Priya ,&nbsp;Vishak Acharya ,&nbsp;Thomas Antony ,&nbsp;Sindhu Kamath ,&nbsp;Akhilesh Kunoor ,&nbsp;Malavika Gopakumar","doi":"10.1016/j.cegh.2025.102162","DOIUrl":"10.1016/j.cegh.2025.102162","url":null,"abstract":"<div><h3>Background</h3><div>Chronic Respiratory Diseases (CRDs) are a significant global health burden. Respiratory viruses frequently exacerbate CRDs. Vaccination is crucial for preventing these exacerbations, yet adult immunization rates remain low due to lack of awareness and inadequate guidelines. The aim of this study was to determine the prevalence of adults with CRDs receiving adult vaccinations and to establish the independent predictors of insufficient knowledge as well as the knowledge, attitude and perception (KAP) with regards to adult vaccination.</div></div><div><h3>Methods</h3><div>A total of 185 participants were recruited for a hospital-based cross-sectional study. Data collection was facilitated through the administration of a pre-tested, structured questionnaire. Subsequently, participant responses were assigned scores. Appropriate statistical tests were used for binomial and multivariable analysis.</div></div><div><h3>Results</h3><div>The mean (±SD) age of study participants was 61.92 (±11.61) years. The prevalence of vaccination coverage (pneumococcal/influenza) among adults with CRDs was only 1.6 %. The median (IQR) KAP score among the study participants was 2.00 (1,4). The independent predictors of insufficient knowledge regarding adult vaccination were: (1) Age 61–80 years (AOR 21.98; 95 % CI 2.90–24.56) (2) Male gender (AOR 0.18; 95 % CI 0.02–0.96). The independent factors which had a negative impact on KAP scores were: (1) Age 41–60 years (B = −3.50; 95 % CI -4.79 to −2.20) (2) Age 61–80 years (B = −3.39; 95 % CI -4.63 to −2.14) (3) Age &gt;80 years (B = −3.25; 95 % CI -5.07 to −1.42).</div></div><div><h3>Conclusion</h3><div>Factors like older age and male gender predict insufficient knowledge and age itself was found to be a negative predictor of KAP scores in this study. This necessitates a policy shift towards integrated care models that prioritize comprehensive vaccination education among high-risk patients.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102162"},"PeriodicalIF":1.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144852587","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 and socio-demographic predictors of smoking, e-cigarette use, and nicotine dependence among college students in Chittoor district, Andhra Pradesh: A cross-sectional study”","authors":"Dinesh Panati ,&nbsp;Swetha Puthalapattu ,&nbsp;Madarapu Yethi Raju","doi":"10.1016/j.cegh.2025.102149","DOIUrl":"10.1016/j.cegh.2025.102149","url":null,"abstract":"<div><h3>Objectives</h3><div>To estimate the prevalence of smoking, with a focus on e-cigarette use and nicotine dependence, among college-going students in Chittoor district, Andhra Pradesh. Additionally, it identified socio-demographic predictors of smoking, e-cigarette use, and nicotine dependence.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among undergraduate students from seven randomly selected colleges in Chittoor district, Andhra Pradesh, between January 2023 and June 2024. A multi-stage sampling method was used to recruit 694 participants. Data were collected using a structured, pre-tested, self-administered questionnaire. Risk was assessed by adjusted odds ratio (aOR) with 95 % confidence interval (CI). Nicotine dependence was assessed using the Fagerström Nicotine Dependence Scale.</div></div><div><h3>Results</h3><div>The mean age of participants was 21.6 years (SD 2.3), with 39.5 % (95 % CI: 35.8–43.2) reporting any form of smoking in the preceding month. E-cigarette use was reported by 16.4 % (95 % CI: 13.6–19.2), while 31.1 % (95 % CI: 27.6–34.6) engaged in traditional smoking. Male gender (aOR: 7.4), age ≥20 years (aOR: 3.0), higher family income (aOR: 5.5), and family history of smoking (aOR: 319.4) were significant predictors of e-cigarette use. Nicotine dependence was observed in 14.2 % of smokers, with family history of smoking being a major risk factor (OR: 2.5).</div></div><div><h3>Conclusion</h3><div>Smoking prevalence, including e-cigarette use, is alarmingly high among college students in Chittoor district. Male students from affluent backgrounds and those with a family history of smoking are at higher risk. Colleges could be potential places for targeted public health interventions to mitigate nicotine dependence and its associated risks among the young populations.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102149"},"PeriodicalIF":1.7,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144842859","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":"Rural-urban and sex-specific disparities in the prevalence of modifiable and metabolic risk factors associated with NCDs including cancer in Northeast India","authors":"Anita Nath ,&nbsp;Vaitheeswaran Kulothungan ,&nbsp;Thilagavathi Ramamoorthy ,&nbsp;Vinay Urs K S ,&nbsp;Debabrata Barmon ,&nbsp;Jaganath Sharma ,&nbsp;Anita Bhutia ,&nbsp;Tseten Bhutia ,&nbsp;Madhubala Devi ,&nbsp;Sushma Khuraijam ,&nbsp;Kaling Jerang ,&nbsp;Ravi Kannan ,&nbsp;Gautam Majumdar ,&nbsp;Projnan Saikia ,&nbsp;Adity Sharma ,&nbsp;Shah Alam Sheikh ,&nbsp;Sopai Tawsik ,&nbsp;Vinotsole Khamo ,&nbsp;W.B. Langstieh ,&nbsp;Eric Zomawia ,&nbsp;Prashant Mathur","doi":"10.1016/j.cegh.2025.102141","DOIUrl":"10.1016/j.cegh.2025.102141","url":null,"abstract":"<div><h3>Problem considered</h3><div>Cancer is the second leading cause of death globally and in India, following cardiovascular diseases, with most cases linked to modifiable risk factors. This study aimed to determine the prevalence of cancer-related modifiable and metabolic risk factors and assess disparities by rural-urban status and gender in Northeast India.</div></div><div><h3>Methods</h3><div>A population-based cross sectional study was conducted from 2019 to 2021 in 12 Population-Based Cancer Registries across eight northeastern states, involving 23,040 adults aged &gt;18. Data on socio-demographics, lifestyle, anthropometric, and biochemical parameters were analysed using weighted sampling and SPSS software. Results were reported as means and proportions with 95 % confidence intervals.</div></div><div><h3>Results</h3><div>A total of 21321 respondents completed the survey, indicating a response rate of 92.5 %. Tobacco use was reported by 48.6 %, significantly higher in rural men (64.2 %) than in urban men (58.3 %) (p &lt; 0.001). Smokeless tobacco use was significantly more in women (30.7 %) than men (22.9 %) (p &lt; 0.001). Ever consumption of alcohol consumption was significantly higher among men (47.2 %) and rural residents (33.1 %) (p &lt; 0.001). Women (91.7 %) and rural residents (93.3 %) were more physically active than men (88.2 %) and urban residents (85.7 %) (p &lt; 0.001). Hypertension (stages 1 and 2) affected more men (29.1 %) and urban residents (28.9 %) (p &lt; 0.001). Overweight affected 22.4 %, obesity 5.2 %, with significantly higher obesity rates in women (6.3 %) and urban residents (7 %) (p &lt; 0.001). Clustering of more than three risk factors was observed in 31.3 % of participants, significantly higher among men (37.1 %) and urban participants (37.3 %) (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The higher prevalence of risk factors compared to national estimates may contribute to elevated cancer incidence rates in Northeast India. Understanding these burdens highlights opportunities for cancer prevention and control. Findings underscore the importance of sustained cancer risk factor surveillance in cancer registry areas.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102141"},"PeriodicalIF":1.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780645","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":"Exploring the health dynamics: A comprehensive assessment of malnutrition among tribal children through anthropometric and laboratory evaluations in southern Karnataka","authors":"Sowmya Pujari ,&nbsp;Girish Thunga ,&nbsp;K. Vijayanarayana ,&nbsp;Ranjitha S. Shetty ,&nbsp;Suneel C. Mundkur ,&nbsp;Elsa Sanatombi Devi ,&nbsp;B. Unnikrishnan ,&nbsp;Sreedharan Nair","doi":"10.1016/j.cegh.2025.102159","DOIUrl":"10.1016/j.cegh.2025.102159","url":null,"abstract":"<div><h3>Background</h3><div>Malnutrition continues to be a public health issue majorly affecting the marginalized tribal communities in India. This study aimed to assess the nutritional status of children aged 5–10 years from the Koraga community, a Particularly Vulnerable Tribal Group (PVTG), using anthropometric and laboratory investigations.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among 137 children from 122 Koraga tribal households in rural villages of Udupi District. Malnutrition was assessed through anthropometric measurements, including height and weight assessments of the children. Height-for-age (HAZ), Weight-for-age (WAZ) and BMI-for-age (BAZ) Z-scores were calculated using WHO growth standards 2007. Anaemia was evaluated by measuring haemoglobin levels, and stool samples were examined microscopically for worm infestation.</div></div><div><h3>Results</h3><div>Based on the Z-scores, the prevalence rate of underweight, stunting and thinness was found to be 35.7 %, 16.7 % and 23.3 % respectively. Most (84.6 %) of the children were anaemic with 3.6 %, 69.3 % and 11.7 % having severe, moderate and mild anaemia. However, no worm infestation was detected in any of the stool samples.</div></div><div><h3>Conclusions</h3><div>This study indicate that malnutrition is a significant public health concern among Koraga tribal children, with a considerable proportion being underweight, stunted and thin. Most children also suffer from anaemia, further worsening their health conditions. These findings emphasize the urgent need for targeted interventional programs to address the nutritional challenges faced by this vulnerable group and to promote better health outcomes.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102159"},"PeriodicalIF":1.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780646","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":"Addressing the intersecting crises of fertility decline, diabetes, obesity and erectile dysfunction: A call for integrated policy action","authors":"ArunKumar R. Pande,&nbsp;Ashish Awasthi,&nbsp;Rajender Singh","doi":"10.1016/j.cegh.2025.102158","DOIUrl":"10.1016/j.cegh.2025.102158","url":null,"abstract":"","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"35 ","pages":"Article 102158"},"PeriodicalIF":1.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771108","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}