Clinical Epidemiology and Global Health最新文献

{"title":"Prevalence and determinants of time to first intimate partner violence incidents among ever-married Ethiopian women","authors":"Ashefet Agete Mengste ,&nbsp;Denekew Bitew Belay ,&nbsp;Haile Mekonnen Fenta ,&nbsp;Ding-Geng Chen","doi":"10.1016/j.cegh.2026.102300","DOIUrl":"10.1016/j.cegh.2026.102300","url":null,"abstract":"<div><h3>Background</h3><div>Intimate partner violence (IPV), including physical, emotional, and sexual abuse disproportionately affects women globally, particularly in sub-Saharan Africa.</div></div><div><h3>Objective</h3><div>This study examined the timing and determinants of first experiences of IPV among ever-married Ethiopian women.</div></div><div><h3>Participants and setting</h3><div>The study analyzed nationally representative data from 4720 ever-married women who participated in the 2016 Ethiopian Demographic and Health Survey.</div></div><div><h3>Methods</h3><div>Cox proportional hazards and parametric accelerated failure time (AFT) models were used to identify factors influencing time to first IPV. Women who had not experienced IPV by the survey date or who reported IPV occurring before marriage were treated as right-censored. Multiple AFT distributions were compared, and the best-fitting models were selected.</div></div><div><h3>Results</h3><div>Approximately 30 % of women reported experiencing at least one form IPV, most commonly emotional (22.3 %). The log-normal AFT model best fit physical and sexual violence, while the Weibull AFT model fit emotional violence. Older women (35–49 years) experienced IPV later than younger women (time ratios [TR]: 2.09 physical, 2.82 sexual, 3.00 emotional). Husband's alcohol use, controlling behavior, family violence history, and fear of the husband were associated with earlier IPV occurrence (TR &lt; 1). More children delayed physical and emotional violence (TR &gt; 1), while older age at marriage predicted earlier emotional violence (TR = 0.7).</div></div><div><h3>Conclusions</h3><div>Age, regional differences, family background, and husbands' behaviors significantly influence the timing of IPV onset among Ethiopian women. Targeted prevention programs addressing harmful partner behaviors, alcohol use, and intergenerational violence are essential to delay or prevent IPV and safeguard women's wellbeing.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102300"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079332","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":"Assessing the epidemiological and economic impact of dengue from 1990 to 2021 in Indonesia","authors":"Wahyu Pudji Nugraheni ,&nbsp;Syarifah Nuraini ,&nbsp;Triwibowo Ambar Garjito ,&nbsp;Indah Pawitaningtyas ,&nbsp;Sinta Dewi Lestyoningrum ,&nbsp;Linta Meyla Putri ,&nbsp;Afi Nursafingi ,&nbsp;Asep Kusnali ,&nbsp;Adistha Eka Noveyani ,&nbsp;P.W. Dhewantara","doi":"10.1016/j.cegh.2026.102303","DOIUrl":"10.1016/j.cegh.2026.102303","url":null,"abstract":"<div><h3>Problem considered</h3><div>Dengue fever remains a significant public health problem in Indonesia, one of the country's most severely affected in Southeast Asia. Despite ongoing control efforts, the disease continues to cause major health and economic impacts. This study aimed to evaluate the epidemiological and economic impact of dengue.</div></div><div><h3>Method</h3><div>An ecological time-trend analysis was performed using secondary data from the Global Burden of Disease (GBD) 2021 database, national health statistics, and provincial minimum wage data. Dengue incidence, mortality, and DALYs were mapped and quantified across 34 provinces, and economic losses were estimated using a human capital approach. Geospatial analyses visualized regional disparities.</div></div><div><h3>Results</h3><div>Indonesia's age-standardized dengue incidence peaked in 2015 (912.4 per 100,000 among males; 1076.7 among females). Females showed consistently higher incidence, while males experienced higher mortality; DALYs increased sharply between 2005 and 2017 before stabilizing. The highest DALYs and economic losses (&gt;IDR 6 trillion combined) were observed in West Java, East Java, and Central Java. Marked geographic disparities correlated with variations in population density, healthcare access, and vector control capacity.</div></div><div><h3>Conclusion</h3><div>Dengue imposes a heavy and sustained health and financial burden in Indonesia, with dense provinces most impacted. Interventions such as strengthened surveillance, region-specific vector control, improved urban sanitation, and expanded healthcare access are essential to limit further losses. Economic analysis highlights urgent needs for resource allocation and locally tailored responses to mitigate dengue's impact.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102303"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079251","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":"Health literacy and coronavirus guideline adherence among families in Mexico","authors":"Steven Hoffman ,&nbsp;Kaitlin Ward ,&nbsp;Dorian Huang ,&nbsp;Kyleigh Hatch ,&nbsp;Dayna Kirby ,&nbsp;Julianne Croft ,&nbsp;David Wood ,&nbsp;Flavio F. Marsiglia","doi":"10.1016/j.cegh.2026.102294","DOIUrl":"10.1016/j.cegh.2026.102294","url":null,"abstract":"<div><h3>Problem considered</h3><div>The COVID-19 pandemic severely impacted Mexico, where misinformation and limited health literacy (HL) may have influenced public adherence to preventive guidelines. Prior studies have suggested that HL plays a critical role in shaping health behaviors, yet little is known about how HL affects Coronavirus Guideline Adherence (CGA) within family units, particularly among parents and youth in Mexico.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study with 373 parent–youth pairs across all Mexican states. Participants completed online surveys measuring general HL using a validated 12-item scale and CGA through self-reported adherence to public health guidelines. We applied actor-partner interdependence modeling to assess how parents' and youths' HL influenced their own and each other's CGA. Analyses accounted for key demographic factors, including age, sex, residence type, and socioeconomic status.</div></div><div><h3>Results</h3><div>Higher HL was associated with greater personal adherence to COVID-19 guidelines for both parents and youth. Parents' HL predicted their own adherence and significantly influenced youth adherence, while youths’ HL predicted only their own adherence. Female participants reported higher adherence levels than males. No significant differences were observed by socioeconomic status or rural versus urban residence.</div></div><div><h3>Conclusion</h3><div>These findings suggest that improving HL can strengthen adherence to public health guidelines during health crises. Importantly, parental HL appears to influence not only parents’ own behaviors but also those of their children, highlighting the potential value of family-centered health promotion strategies. Culturally sensitive interventions that enhance HL may help communities, particularly in Mexico, better navigate future public health emergencies by boosting compliance with preventive measures.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102294"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189608","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":"Risk factors of overweight/obesity among children aged 48-59 Months in Wajo, South Sulawesi: A cross-sectional study","authors":"Andi Rispah Sulistianingsih ,&nbsp;Nurjazuli Nurjazuli ,&nbsp;Martha Irene Kartasurya ,&nbsp;Syamsulhuda Budi Musthofa","doi":"10.1016/j.cegh.2026.102324","DOIUrl":"10.1016/j.cegh.2026.102324","url":null,"abstract":"<div><h3>Problem considered</h3><div>Childhood obesity plays a crucial role in the emergence of chronic diseases and has become a global public health challenge. This study aims to identify the risk factors associated with overweight/obesity among children aged 48-59 months.</div></div><div><h3>Methods</h3><div>This study used a cross-sectional design involving 763 children in 9 districts. The districts were selected based on the highest number of students and demographic variation. Bivariate analysis was conducted to identify risk factors associated with overweight/obesity, followed by logistic regression to calculate adjusted odds ratios with 95% CI.</div></div><div><h3>Results</h3><div>The prevalence of overweight/obesity was 7.1%. Related factors include boys, high maternal education level, working mothers, high screen time, inadequate sleep duration, early initiation of breastfeeding, and the combined effect of delivery method and exclusively breastfed history. The final multiple regression indicated that children delivered vaginally and not exclusively breastfed had a 6.37 times (95% CI: 2.80-14.47) higher risk. Children born by cesarean section but exclusively breastfed had a 3.41 times (95% CI: 1.38-8.40) higher risk, while children born by cesarean section and not exclusively breastfed had a 5.01 times (95%CI: 2.04-12.31) higher risk of being overweight/obese. Boys had a higher risk (aOR = 2.96; 95% CI: 1.56-5.62). High maternal education level resulting in a 1.94 times (95%CI:1.08-3.50).</div></div><div><h3>Conclusions</h3><div>The combined effect of delivery method and non-exclusively breastfed was the strongest predictor for childhood overweight/obesity. Integrating postpartum breastfeeding support and visual-based educational tools into routine immunization visits can effectively mitigate obesity risks across all social groups.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102324"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147398242","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 awareness, utilization patterns, and barriers in accessing E-pharmacies for family planning in Lagos state, Nigeria","authors":"Uchenna Okafor ,&nbsp;Chinedu Okoye ,&nbsp;Mohammed Alhaji ,&nbsp;David Atama ,&nbsp;Arinze Okafor ,&nbsp;Salamatu Abdulrahman ,&nbsp;Babatunde Oyelana ,&nbsp;Bolanle Fajemirokun ,&nbsp;Kenechukwu Eruchalu","doi":"10.1016/j.cegh.2026.102306","DOIUrl":"10.1016/j.cegh.2026.102306","url":null,"abstract":"<div><h3>Problem considered</h3><div>Family planning is fundamental to gender equity and improvements in maternal and child health outcome. Nigeria has a fertility rate of 5.4 and her modern Contraceptive Prevalence Rate (mCPR) remains low at 15% and 38% among married women and sexually active unmarried women respectively. Access to family planning commodities and services continues also to be wrought with significant challenges. Digital health innovations can go a long way to address some of these challenges towards accelerating achievement of universal health coverage milestones.</div></div><div><h3>Methods</h3><div>In-Depth Interviews (IDIs) with 18 women and quantitative surveys with 1082 women were conducted. Qualitative components explored experiences and perceptions related to FP methods and digital access to FP services and products. The quantitative component utilized R (version 4.0.5) to provide descriptive and inferential analysis of the data.</div></div><div><h3>Results</h3><div>Awareness and utilization of digital platforms for FP services was low generally with barriers to digital FP access identified to include privacy concerns, lack of trust in digital platforms, and cost issues. Quantitative findings indicate that while (87%) of respondents are aware of family planning, only (16%) of these are aware of e-pharmacies/telemedicine platforms as channels for family planning service delivery. Age, education and income were statistically significant for digital FP access and awareness (P &lt; 0.00, 0.00 &amp; 0.02 respectively).</div></div><div><h3>Conclusion</h3><div>The findings from this study are useful in informing programs aimed at improving digital health service awareness and utilization as well as optimization of scalable digital models linked to e-pharmacies towards increasing access to modern contraceptives.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102306"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146190014","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":"Global burden of multiple myeloma among people aged 55 years and older: based on data from the Global Burden of Disease Study 2021","authors":"Yuyuan Hu ,&nbsp;Jieting Fu ,&nbsp;Na Tang ,&nbsp;Haihua Wang ,&nbsp;Haina Yu ,&nbsp;Yongping Liu ,&nbsp;Ying Song","doi":"10.1016/j.cegh.2026.102309","DOIUrl":"10.1016/j.cegh.2026.102309","url":null,"abstract":"<div><h3>Problem considered &amp; need for the study</h3><div>The global burden of multiple myeloma (MM) is increasing as a result of an aging population. However, a comprehensive, age-stratified analysis focusing on the most vulnerable demographic (adults ≥55 years) is lacking.</div></div><div><h3>Methods &amp; study design</h3><div>This retrospective cross-sectional analysis utilized data from the Global Burden of Disease (GBD) 2021 study. Incidence, mortality, disability-adjusted life years (DALYs), and risk factor exposure of MM at global, regional and national levels among people aged ≥55 years by age groups, genders and socio-demographic index (SDI) from 1990 to 2021 were collected. Estimated annual percentage change (EAPC) values were calculated to determine the temporal trends.</div></div><div><h3>Results</h3><div>Over the past three decades, there has been a consistent upward trend in MM morbidity and mortality worldwide, particularly affecting males and populations in high-income countries. In 2021, the United States of America had the highest cases of disease burden, with Monaco recording the highest rates. As SDI levels rose, the disease burden appeared relatively heavier. Across age groups of 65 to 79 years, incidence cases were consistently surpassed those in other age groups, notably with the 70-74 age group experiencing a relatively faster increase in 2021. Higher rates of death and DALYs are strongly associated with overweight and obesity.</div></div><div><h3>Conclusion</h3><div>This study quantifies a substantial and rising global burden of MM among adults ≥55 years, characterized by a 1.71-fold increase in incidence from 1990 to 2021, a pronounced male predominance, and the highest disease rates in high-SDI regions. The burden is growing fastest in the 70-74-year age group and is increasingly attributable to high body mass index (BMI). These findings underscore the urgent need for age-specific clinical strategies, resource allocation towards high-burden regions and demographics, and integrated public health policies targeting obesity to mitigate future risk.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102309"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147397805","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":"Psychological impact and coping experiences of Malaysian parents caring for children with rare diseases: A qualitative study","authors":"Mohamad Safwan Shukor,&nbsp;Mohd Noor Norhayati,&nbsp;Imran Ahmad","doi":"10.1016/j.cegh.2026.102332","DOIUrl":"10.1016/j.cegh.2026.102332","url":null,"abstract":"<div><h3>Background</h3><div>Rare diseases present significant healthcare challenges, burdening families considerably. Parents of affected children often face psychological distress, social isolation, and financial strain. This study explores the life experiences, psychological impacts, and coping strategies of parents of children with rare diseases in Malaysia.</div></div><div><h3>Methods</h3><div>A qualitative phenomenological approach was applied. Participants were recruited from the Malaysia Rare Disorders Society and could communicate in English or Malay. Data was collected through semi-structured interviews and the Depression Anxiety and Stress Scale (DASS-21) to assess emotional distress. The interviews were conducted online, ensuring confidentiality and reducing emotional distress. Qualitative data were thematically analysed using NVivo 15, while quantitative data were analysed descriptively using SPSS version 27.</div></div><div><h3>Results</h3><div>A total of 20 participants were interviewed, with 20% reporting moderate depression, 40% experiencing anxiety ranging from mild to moderate, and 30% experiencing mild to severe stress. Key themes identified regarding the parents’ experiences included emotional impacts (shock, distress, fear, anxiety, grief, loss, overwhelm, exhaustion), life experiences (shifted priorities, strained family relationships, social isolation, stigma, healthcare challenges, caregiving demands), and coping mechanisms (seeking information/support, emotional regulation, positive reframing, advocacy, spiritual/religious comfort).</div></div><div><h3>Conclusion</h3><div>Parents experienced significant psychological distress, including depression, anxiety, and stress. They employ various coping strategies to manage the stresses of caring for their child. There is a need for targeted emotional support, increased public awareness to reduce stigma, and improved healthcare systems that provide accessible and coordinated care for affected families.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102332"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147398238","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":"Educational intervention concerning flu-like syndromes after the Covid-19 pandemic: impacts on dental indicators using an interrupted time series analysis","authors":"Hassan Lavalier de Oliveira Lima ,&nbsp;Francenilde Silva de Sousa ,&nbsp;Isabelle Aguiar Prado ,&nbsp;Judith Rafaele Oliveira Pinho ,&nbsp;Ana Basília dos Reis Oliveira ,&nbsp;Alberto Allan Rodrigues Patrício ,&nbsp;Paulo Savio Angeiras de Goes ,&nbsp;Nilcema Figueiredo ,&nbsp;Elisa Miranda Costa ,&nbsp;Erika Barbara Abreu Fonseca Thomaz","doi":"10.1016/j.cegh.2026.102312","DOIUrl":"10.1016/j.cegh.2026.102312","url":null,"abstract":"<div><h3>Background</h3><div>In Brazil, the state of emergency and the suspension of non-essential activities and non-urgent health services have led to a decline in the supply of dental services provided by the Brazilian Unified Health System (SUS). To analyze the impact of an educational intervention concerning flu-like syndromes on indicators of the use of oral health services (UOHS) in Primary Health Care (PHC) after the Covid-19 pandemic.</div></div><div><h3>Methods</h3><div>Study based on a non-randomized community pilot trial with controlled analysis of interrupted time series conducted in four small municipalities in Northeastern Brazil. This intervention with oral health professionals and managers of PHC units lasted 12 months and was dichotomized into before (March 2020 to September 2022) and during (October 2022 to September 2023) the intervention. Three other municipalities with similar sociodemographic characteristics were used as negative controls (no intervention). Outcomes.</div></div><div><h3>Findings</h3><div>Training was associated with an increase of 1.01 in the proportion of RPCR per thousand inhabitants per month (Xreg = 1.01; p-value = 0.009) and a decrease of 1.28 in the proportion of RDEP per thousand inhabitants per month (Xreg = -1.28; p-value&lt;0.001), but it produced no significant change in the proportion of RPPP (Xreg = 1.47 p-value = 0.799). One of the municipalities in the control group showed a decrease of 4.19 in proportion of RPPP per thousand inhabitants per month (Xreg = −4.19; p-value = 0.004).</div></div><div><h3>Interpretation</h3><div>Training concerning flu-like syndromes is important for the safe return of PHC health professionals to dental clinic activities in the aftermath of the Covid-19 pandemic, helping to guarantee comprehensive and problem-solving access to health systems located in areas of social vulnerability.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102312"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147398243","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":"The prognostic value of frailty in hospitalized older adults with chronic heart failure: A short-term follow-up study in Vietnam","authors":"Tri Van Nguyen ,&nbsp;Tran To Tran Nguyen ,&nbsp;Yen Thi Bao Nguyen ,&nbsp;Tai Huy Kien Pham","doi":"10.1016/j.cegh.2026.102298","DOIUrl":"10.1016/j.cegh.2026.102298","url":null,"abstract":"<div><h3>Problem considered</h3><div>To evaluate the impact of frailty on adverse outcomes, including hospital readmissions and mortality among older patients with chronic heart failure (CHF) in Vietnam.</div></div><div><h3>Methods</h3><div>This prospective, observational study was conducted in the cardiology departments of two general hospitals in Ho Chi Minh City between July 2023 and March 2024. Frailty was assessed using the Clinical Frailty Scale (CFS). Baseline evaluations included frailty status, demographic characteristics, comorbidities, and laboratory results. Patients were followed for three months post-discharge to monitor hospital readmissions, mortality, and composite outcomes (readmission and/or death).</div></div><div><h3>Results</h3><div>A total of 214 older Vietnamese patients with CHF participated in the study. Frailty was very common, affecting 74.3 % of the group. Within three months after hospital discharge, the rates of readmission, death, and combined adverse events were 44.9 %, 2.3 %, and 46.3 %, respectively. After adjusting for potential confounders, frailty was independently associated with a significantly increased risk of both hospital readmission (adjusted hazard ratio [aHR]: 2.42; 95 % CI: 1.13–5.25; p = .026) and composite events (aHR: 2.67; 95 % CI: 1.22–5.82; p = .014). Subgroup analysis revealed that no statistically significant association was observed between frailty and adverse outcomes in patients with heart failure with preserved ejection fraction (HFpEF).</div></div><div><h3>Conclusion</h3><div>Pre-discharge frailty was independently associated with short-term adverse outcomes in older adults hospitalized with chronic heart failure. Given the three-month follow-up period, these findings underscore the potential value of routine frailty assessment in identifying individuals at high risk.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102298"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038990","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":"Global research trends on sleep quality among workers: A 20-year bibliometric analysis (2005–2024)","authors":"Junko Nishimura,&nbsp;Naoko Nishitani,&nbsp;Mayumi Mizutani","doi":"10.1016/j.cegh.2026.102314","DOIUrl":"10.1016/j.cegh.2026.102314","url":null,"abstract":"<div><h3>Problem considered</h3><div>This bibliometric analysis aimed to identify publication trends, international collaboration, influential articles, keyword bursts, and thematic structures of research on sleep quality among workers.</div></div><div><h3>Methods</h3><div>Articles published from 2005 to 2024 were retrieved from Scopus and the Web of Science. Analyses included descriptive statistics, international network analysis, keyword burst detection, and thematic mapping.</div></div><div><h3>Results</h3><div>A total of 1428 articles were analyzed. Publications increased steadily, peaking at 233 in 2022, then declined slightly to 218 in 2024. China (16.3%) and the United States (12.7%) were the most productive countries, while European countries showed higher proportions of internationally coauthored papers. Single-country publications accounted for 78.4% and multicountry publications for 21.6%. Keyword bursts indicated an increased focus on mental health, stress, and occupational issues during the COVID-19 pandemic. Thematic mapping identified two clusters: (1) basic themes comprising COVID-19, mental health, stress, and anxiety; and (2) niche themes covering sleep, shift work, and occupational health.</div></div><div><h3>Conclusions</h3><div>Research on workers’ sleep quality has increased significantly, reflecting its growing recognition as an essential component of occupational health. To advance this field, future efforts should integrate fragmented research areas and strengthen international collaboration to build a more comprehensive, globally comparable body of evidence.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"38 ","pages":"Article 102314"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146190013","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}