Clinical Epidemiology and Global Health最新文献

{"title":"Transforming Health: The role of mobile applications in lifestyle changes for hypertension","authors":"Annaram Ravali,&nbsp;D. Sunil Kumar,&nbsp;Shruddha,&nbsp;Deepika Yadav","doi":"10.1016/j.cegh.2025.102097","DOIUrl":"10.1016/j.cegh.2025.102097","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypertension is a significant worldwide health issue, especially in developing nations like India. Despite the existence of treatment options, the management of the condition typically needs to improve the desired level of effectiveness due to inadequate compliance with medication and lifestyle choices.</div></div><div><h3>Methodology</h3><div>This study lasted 6 months and was a quasi-experimental investigation that included 272 patients with hypertension. The study was conducted at an urban health centre in Mysuru, India. The participants selected were divided into an experimental group of 136 individuals who used the “BP Fit” app and received standard care and a control group of 136 individuals who only received standard care. The application incorporated functionalities for monitoring blood pressure and managing their lifestyle. The measured outcomes encompassed blood pressure and changes in lifestyle factors.</div></div><div><h3>Results</h3><div>The experimental group showed noteworthy enhancements in blood pressure regulation. App users exhibited greater compliance with the DASH diet than non-app users (63.2 % vs 29.4 %, p &lt; 0.001). Additionally, app users had lower rates of smoking (19.9 % vs 45.6 %, p &lt; 0.001) and alcohol use (23.5 % vs 47.1 %, p &lt; 0.001). No disparities were detected in the levels of physical exercise.</div></div><div><h3>Conclusion</h3><div>The “BP Fit” mobile application successfully enhanced different areas of hypertension management, such as blood pressure regulation and specific lifestyle factors. These findings validate the capability of mHealth technologies to improve hypertension care in India. Mobile health technologies have shown the potential to enhance the management of chronic diseases. However, further research is required to determine their usefulness in controlling hypertension in India.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102097"},"PeriodicalIF":2.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296850","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":"Ethnicity as a modifier of the association between breastfeeding and distal sensory polyneuropathy in postmenopausal obese women","authors":"Jiayu Li ,&nbsp;Somsook Santibenchakul ,&nbsp;Sukanya Chaikittisilpa ,&nbsp;Harnam Kaur ,&nbsp;Unnop Jaisamrarn","doi":"10.1016/j.cegh.2025.102098","DOIUrl":"10.1016/j.cegh.2025.102098","url":null,"abstract":"<div><h3>Purpose</h3><div>We aimed to examine whether ethnicity moderates the association between breastfeeding and distal sensory polyneuropathy in postmenopausal obese women in the United States.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, postmenopausal obese women aged 40 and over were included. Women with major chronic diseases, foot amputation, or insufficient health information were excluded. Distal sensory polyneuropathy was measured using a 10-g monofilament test, and self-reported breastfeeding data were collected based on responses to a brief questionnaire. Multivariable logistic regression was used to examine the association between breastfeeding and distal sensory polyneuropathy, as well as the modifying effect of ethnicity on this association.</div></div><div><h3>Results</h3><div>Among 767 eligible women, breastfeeding was a protective factor for distal sensory polyneuropathy [adjusted Odds Ratio (OR) = 0.24, 95 % confidence interval (CI) 0.08–0.78; <em>p</em> = 0.019]. Upon adjusting the significant two-way interaction of ethnicity with breastfeeding, a significant reduction in the odds was observed (adjusted OR = 0.02, 95 % CI 0.003–0.17; <em>p</em> = 0.001).</div></div><div><h3>Conclusions</h3><div>The association between breastfeeding and distal sensory polyneuropathy varied by ethnicity, with a strong protective effect observed in Hispanic women. These findings highlight the need for further research and tailored public health strategies in diverse populations.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102098"},"PeriodicalIF":2.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263789","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":"Implementation challenges of telerobotics in the infectious disease department in Iran: An integrated methodological approach","authors":"Farkhondeh Asadi ,&nbsp;Mahrokh Anvari ,&nbsp;Nahid Ramezan Ghorbani ,&nbsp;Azam Sabahi","doi":"10.1016/j.cegh.2025.102043","DOIUrl":"10.1016/j.cegh.2025.102043","url":null,"abstract":"<div><h3>Background</h3><div>The implementation of telerobotics in infectious departments of the hospitals causes successful management of diseases and prevention of the spread of infection. Therefore, the present study aimed to identify the challenges of implementing telerobotics in infectious departments in Iran.</div></div><div><h3>Methods</h3><div>The present study is applied research carried out in two phases. In the first phase, the challenges of implementing Telerobotics in infectious departments were extracted through a literature review. Then the collected data were entered into a semi-structured questionnaire.</div><div>In the second phase, data were collected by purposive sampling and semi structured interviews. A face-to-face interview was conducted with 30 medical staff working in infectious disease departments. Data analysis was conducted by conventional content analysis using MAXQDA software and descriptive using SPSS software.</div></div><div><h3>Results</h3><div>The key challenges in implementing telerobotics in infectious disease departments include technological issues such as inadequate equipment, infrastructure complexity, and data security; organizational barriers like the lack of support from hospital CEOs and the absence of training programs; cultural resistance due to negative past experiences with technology; strategic gaps, including insufficient legal support and incentives; and performance limitations, particularly the inability to establish direct visual contact with patients.</div></div><div><h3>Conclusion</h3><div>Telerobotics offers significant benefits for infectious disease departments, including improved safety and infection control. However, challenges such as technological limitations, organizational resistance, and policy gaps must be addressed to enable successful implementation. Acknowledging these challenges, policymakers can develop appropriate strategies to lay a foundation and adapt telerobotics for successful implementation on both large and local scales.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102043"},"PeriodicalIF":2.3,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254284","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":"Exploration of the beliefs and practices related to snakebite envenomation and effectiveness of multifaceted snakebite envenomation education programme on knowledge among agricultural workers: A mixed methods study","authors":"N. Dhanesh Kumar,&nbsp;E. Devakirubai,&nbsp;P. Andal","doi":"10.1016/j.cegh.2025.102092","DOIUrl":"10.1016/j.cegh.2025.102092","url":null,"abstract":"<div><h3>Background</h3><div>Snakebite envenomation (SBE) remains a significantly neglected public health issue, despite its considerable contribution to morbidity and mortality, particularly in developing countries. Although numerous reports highlights the impact of SBE on rural populations, there remains a substantial lack of awareness and preventive knowledge among agricultural workers.</div></div><div><h3>Aim</h3><div>To explore the beliefs and practices related to snakebite envenomation and to evaluate the effectiveness of a multifaceted snakebite envenomation education program (MSEEP) on knowledge regarding SBE among agricultural workers.</div></div><div><h3>Methods</h3><div>A mixed-method intervention design was adopted for the study. In Phase 1, a descriptive qualitative approach was used to identify the beliefs and practices related to snakebite envenomation. Ten participants were recruited for the qualitative strand of the study using a purposive sampling technique called intensity sampling. Qualitative data was collected by using a semi-structured interview schedule, and the data were analyzed using thematic analysis. Then, the researcher refined &amp; developed the MSEEP (Multifaceted Snakebite Envenomation Education Programme) based on the qualitative data and the expert's opinion. In Phase 2, 100 participants were selected purposively, out of which 50 were allotted to the experimental group and 50 to the control group. Quantitative data were collected using a structured knowledge questionnaire by interview method, and the data were analyzed using descriptive and inferential statistics.</div></div><div><h3>Results</h3><div>There are various beliefs about snakebites &amp; notions related to snakebite envenomation, and a range of traditional treatments were described. The study found that the mean post-test knowledge score of 18.78 was significantly higher than the pre-test score of 10.5, with the statistical difference between the experimental and control group (t = 39.6, P = 0.001∗); (t = 1.07, P = 0.28). There is a statistically significant association between pre-test knowledge scores and variables like age (P = 0.001∗), gender (P = 0.008∗), and education (P = 0.016∗).</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102092"},"PeriodicalIF":2.3,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263790","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":"Predictors of mortality in sepsis patients with Acinetobacter baumannii and Klebsiella pneumoniae bacteremia","authors":"Danavath Nagendra ,&nbsp;Vandana Kalwaje Eshwara ,&nbsp;Souvik Chaudhuri ,&nbsp;Vishal Shanbhag ,&nbsp;Thejesh Srinivas","doi":"10.1016/j.cegh.2025.102090","DOIUrl":"10.1016/j.cegh.2025.102090","url":null,"abstract":"<div><h3>Background and aim</h3><div>Sepsis with persistent bacteremia caused by <em>Acinetobacter baumannii</em> (<em>A. baumannii</em>) and <em>Klebsiella pneumoniae</em> (<em>K. pneumoniae</em>) poses a significant mortality risk in intensive care units (ICUs). The role of follow-up blood cultures (FUBCs) in predicting outcomes remains debated. This study investigates the key predictors of mortality and the importance of microbiological non-clearance (MNC) through FUBCs among these predictors in bacteremia due to <em>K. pneumoniae</em> and <em>A. baumannii</em> infections.</div></div><div><h3>Materials and methods</h3><div>We conducted a single-center, retrospective study at a tertiary teaching hospital in India involving 218 ICU patients with <em>K. pneumoniae</em> and <em>A. baumannii</em> bacteremia from October 2019 to December 2021. Blood cultures were analyzed using the BACT/ALERT VIRTUO system. Data were analyzed using logistic regression, receiver operating characteristic (ROC) curves, and an artificial neural network (ANN) model to determine the normalized importance of key predictors of mortality. Factors with a more than 50 % normalized importance were considered significant contributors to mortality.</div></div><div><h3>Results</h3><div>The overall mortality rate was 84 %, with 91 % in patients co-infected with <em>K. pneumoniae</em> and <em>A. baumannii</em>. Microbiological clearance (MC) was associated with a lower mortality rate (56.5 %) compared to MNC (97 %) or no FUBCs (84 %). Multivariable logistic regression identified the Charlson Comorbidity Index (CCI) score and MNC as independent predictors of mortality, with a predictive accuracy of 91.6 %. The ANN model confirmed the normalized importance of MNC as a key predictor, followed by CCI score, Acute Physiology and Chronic Health Evaluation II (APACHE II) scores at ICU admission, Sequential Organ Failure Assessment (SOFA) scores at ICU admission, age, SOFA score on culture-positive day, Pitts bacteremia score, and renal replacement therapy (RRT).</div></div><div><h3>Conclusion</h3><div>Persistent bacteremia involving <em>K. pneumoniae and A. baumannii</em> is associated with high mortality, particularly in co-infections. Achieving MC through FUBCs is critical for improving patient outcomes. Multivariate logistic regression analysis revealed that the CCI score, and MNC were identified as key predictors of mortality. The ANN analysis further highlighted these predictors and additional factors, including the APACHE II score at ICU admission, SOFA score at ICU admission, SOFA score on culture-positive day, Pitts bacteremia score, age, and RRT. These findings emphasize the importance of rigorous follow-up and optimal management strategies in ICU settings to improve survival outcomes.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102090"},"PeriodicalIF":2.3,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263791","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":"Level of health literacy on cervical cancer and its correlates among women of reproductive age group in an Eastern state of India","authors":"Bijaya Nanda Naik ,&nbsp;Manisha Verma ,&nbsp;Rajath Rao ,&nbsp;Santosh Kumar Nirala ,&nbsp;Sanjay Pandey ,&nbsp;Sangam Jha ,&nbsp;Anuvarshini Ramalingam ,&nbsp;Bhavna Singh","doi":"10.1016/j.cegh.2025.102091","DOIUrl":"10.1016/j.cegh.2025.102091","url":null,"abstract":"<div><h3>Background</h3><div>Poor health literacy contributes to cervical cancer being the second leading cause of morbidity and mortality among women. This study aimed to assess health literacy levels regarding cervical cancer and identify factors associated with high literacy among reproductive-age women attending the Outpatient Department at a tertiary-care health institution in Patna, Bihar.</div></div><div><h3>Materials and methods</h3><div>This study included 305 married women, selected using judgmental sampling, who had attended the obstetrics and gynaecology department of the study site for at least 6 months. A pre-tested questionnaire for general information and a modified Assessment of Health Literacy on Cervical Cancer (AHL-C) tool were used for data collection. Multivariable binomial logistic regression analysis was done to find out the correlates of health literacy.</div></div><div><h3>Results</h3><div>The level of high health literacy on cervical cancer was 9.20 % [95 % CI: 6.3–13.3]. Occupation and awareness of cervical cancer were independent predictors of high health literacy on the disease. Higher literacy scores were observed among middle-aged women, those with education beyond the 10th grade, employed women, those from Above Poverty Line (APL) families, women aware of cervical cancer and female-specific cancers, and those with a family history of female-specific cancers, compared to their counterparts.</div></div><div><h3>Conclusions</h3><div>Only one in ten women in our study had high health literacy on cervical cancer. It is important to improve the education levels of females, give them job opportunities, and create awareness of cervical cancer to improve health literacy on cervical cancer, thereby reducing the cervical cancer burden in this region of India.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102091"},"PeriodicalIF":2.3,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241487","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 risk factors of musculoskeletal symptoms among women handloom weavers in Lampang Province, Thailand","authors":"Ekarat Sombatsawat ,&nbsp;Kamphon Saeng-iam ,&nbsp;Teeraphun Kaewdok","doi":"10.1016/j.cegh.2025.102093","DOIUrl":"10.1016/j.cegh.2025.102093","url":null,"abstract":"<div><h3>Background/aim</h3><div>Handloom weaving involves highly repetitive manual operations and sustained static postures, which contribute to the onset of musculoskeletal symptoms (MSS). This study aimed to identify the risk factors associated with MSS among women handloom weavers.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional analytical study was conducted among 150 handloom weavers in Lampang Province, Thailand, selected through a convenience sampling method. Data were collected using a structured questionnaire encompassing demographic characteristics, working conditions, self-reported musculoskeletal symptoms (MSS), and the Rapid Upper Limb Assessment (RULA). Multiple logistic regression analysis was performed to identify the risk factors associated with MSS.</div></div><div><h3>Results</h3><div>The results indicated that the prevalence of MSS was 76.0 % in the past 7 days and 82.7 % in the past 12 months. The three body parts with the highest prevalence rates of MSS were the shoulder (68.0 %), knee (63.3 %), and upper arm (54.7 %). Over 44.0 % of working postures were classified as having a medium risk level. A multiple logistic regression analysis demonstrated that chronic disease, number of working days per week, and working posture were significantly associated with MSS (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>These findings emphasize the need for further study to develop targeted occupational ergonomic interventions aimed at enhancing safety and preventive health strategies for handloom weavers experiencing musculoskeletal symptoms (MSS).</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102093"},"PeriodicalIF":2.3,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263792","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":"Patient companions' knowledge and practice of infection prevention and control measures in health facilities in the city of Bobo-Dioulasso, Burkina Faso","authors":"Arsène Hema ,&nbsp;Satouro Arsène Somé ,&nbsp;Odilon Kaboré ,&nbsp;Soufiane Sanou ,&nbsp;Armel Poda ,&nbsp;Ziemlé Clément Meda ,&nbsp;Abdoul Salam Ouedraogo ,&nbsp;Léon Savadogo","doi":"10.1016/j.cegh.2025.102085","DOIUrl":"10.1016/j.cegh.2025.102085","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare in a hospital environment frequently involves patient companions who can serve as reservoirs and transmitters of infection. This study aimed to assess the knowledge and practices of patient companions regarding infection prevention and control (IPC) in healthcare settings of Bobo Dioulasso (Burkina Faso).</div></div><div><h3>Methods</h3><div>A cross-sectional and analytical study including patient companions was conducted at Sourô Sanou University Hospital (CHUSS), and the Do and Dafra district hospitals in Bobo Dioulasso (Burkina Faso), specifically. Data were collected using an anonymous questionnaire and observation grid and analyzed using Stata13® software. A multilevel linear regression model was employed to assess the associations between companion characteristics and their level of knowledge or practice. The statistical significance level was set at 5 % for all analyses.</div></div><div><h3>Results</h3><div>A total of 789 patient companions were included, with 305 from CHUSS, 244 from Do, and 240 from Dafra.The average knowledge score on IPC was 32 out of 100. The average score for IPC practices in healthcare facilities was 81.0 out of 100. Male gender (P = 0.029), urban residence (P = 0.034), widower status (P = 0.001), secondary education and above (P = 0.000), and awareness (P = 0.000) were found to be associated with a higher level of IPC knowledge. Secondary education and above (P = 0.010), awareness (P = 0.000), CHUSS and Do (P = 0.012) were factors associated with good IPC practices.</div></div><div><h3>Conclusion</h3><div>This results showed patient companions deficiency in IPC knowledge and practice. Main factors of this deficit were a paucity of education and insufficient awareness.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102085"},"PeriodicalIF":2.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241611","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":"Enhancing diagnostic accuracy of abnormal uterine bleeding classification by FIGO PALM–COEIN system and histopathological insight at a tertiary care center","authors":"Shalini Bhalla ,&nbsp;Poorvi Mathur ,&nbsp;Shivanjali Raghuvanshi ,&nbsp;Anushree Rai ,&nbsp;Amita Pandey","doi":"10.1016/j.cegh.2025.102037","DOIUrl":"10.1016/j.cegh.2025.102037","url":null,"abstract":"<div><h3>Background</h3><div>Abnormal uterine bleeding is one of the most common complaints amongst the non-pregnant females in the reproductive age group. To standardize terminology and abolish overlapping terms like menorrhagia, polymennorhoea, heavy menstrual bleeding the FIGO group introduced the PALM–COEIN system. The aim of the present study was to correlate the diagnostic accuracy of the clinical cause of abnormal uterine bleeding based on the PALM–COEIN system with the histopathological diagnosis of the resected surgical specimen.</div></div><div><h3>Material and method</h3><div>In this retrospective study, the medical records of patients with abnormal bleeding disorders over a one-year period were retrieved and classified according to the FIGO classification system; presence of structural abnormality (PALM) or its absence (COEIN group). This was correlated with histopathological diagnosis of the resected surgical specimen.</div></div><div><h3>Result</h3><div>384 abnormal uterine bleeding (AUB) patients were included in the study, 13 were myomectomy cases while rest underwent total abdominal hysterectomy. The predominant cause of AUB in the clinical PALM-COEIN classification was Leiomyoma (AUB-L 48.7 %) followed by the nonstructural causes of Ovulatory (AUB-O) and Endometrial (AUB-E) causes in 18 %. This was followed by Adenomyosis (AUB-A) in 16.9 %. The difference on the clinical and histopathological correlation was statistically significant (p = 0.03).</div></div><div><h3>Conclusion</h3><div>The histopathological examination plays a key role in the ultimate diagnosis, however classification of AUB based on the acronym PALM-COEIN provides a structured approach to identifying the underlying cause of AUB. The classification aids in standardizing the language used in AUB diagnosis. Its global application would help in better patient management.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102037"},"PeriodicalIF":2.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241613","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":"Association of socio-demographic and dietary factors for metabolic syndrome: A comparative study among tribal and non-tribal population","authors":"Jayshri R. Ghate ,&nbsp;Anshita Gulati ,&nbsp;Akanksha Mishra ,&nbsp;Rachita Nanda ,&nbsp;Vinay Pandit ,&nbsp;Sandip Kumar Chandraker ,&nbsp;Suyesh Shrivastava ,&nbsp;Ravindra Kumar","doi":"10.1016/j.cegh.2025.102087","DOIUrl":"10.1016/j.cegh.2025.102087","url":null,"abstract":"<div><h3>Background</h3><div>Metabolic syndrome is a clustering of hyperglycemia and insulin resistance, hypertension, central obesity and dyslipidemia. Recent studies shows an increasing trend of NCDs among tribal population groups. The aim of this study is to explore the presence of metabolic syndrome in tribal and non-tribal communities living in the same geographical area (Durg district) and to find the associated modifiable risk factors.</div></div><div><h3>Methods</h3><div>The present cross-sectional investigation assessed the prevalence of Metabolic Syndrome among 290 participants from Patan block, Durg district, Chhattisgarh. After taking written informed consent from the participants, socio-demographic data was recorded through structured questionnaire. Overnight fasting blood glucose, lipid profile and Homa-IR levels were measured using standard protocols. Presence of metabolic syndrome was established using NCEP- ATP III criteria.</div></div><div><h3>Results</h3><div>The study revealed that 17.7 % of non-tribal and 14.8 % of tribal had metabolic syndrome. A high prevalence of hypertension was observed for both genders. No significant difference in the prevalence of central obesity, dyslipidemia, hypertension, hyperglycemia and Homa-IR in tribal and non-tribal groups was found. Low education level, marital status and a smaller number of meal per day were significant risk factors for metabolic syndrome in tribal group, whereas general obesity (BMI&gt;25 kg/m²) and alcohol consumption were significant risk factor for metabolic syndrome among non-tribal population.</div></div><div><h3>Conclusion</h3><div>These findings provide valuable insights into metabolic syndrome distribution among tribal and non-tribal groups. Social intervention is recommended to address on alcohol dependence and health education about balanced diet to reduce the prevalence of metabolic syndrome in these groups.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102087"},"PeriodicalIF":2.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241612","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}