Clinical Epidemiology and Global Health最新文献

{"title":"Cardiologists' attitudes towards medical devices sales representatives and marketing tools in Saudi Arabia","authors":"Nouf Alanazi","doi":"10.1016/j.cegh.2025.101968","DOIUrl":"10.1016/j.cegh.2025.101968","url":null,"abstract":"<div><h3>Problem</h3><div>The dynamics of the physician-industry relationship, marketing tools utilized by sales representatives and its subsequent impact on clinical practices and patient welfare have gained significant attention over the past few years. The understanding of these interactions can guide the development of regulatory guidelines that can maximize patient benefit and safety. This study aimed to assess the standard marketing tools that are currently utilized by medical device industry sales representatives across Saudi Arabia, the attitude of the cardiologists towards these tools and the frequency of interaction between the sales representative and the cardiologists.</div></div><div><h3>Methods</h3><div>The research study employed a quantitative approach and a cross-sectional design to evaluate the data collected from a self-administered questionnaire distributed to a cross-section of cardiologists practising in Saudi Arabia. The study included a sample of 105 cardiologists from different institutes across Saudi Arabia. Statistical analysis was performed using SPSS with a significance threshold of p &lt; 0.05, followed by principal component analysis.</div></div><div><h3>Results</h3><div>The prevalence of interaction between sales representatives from medical device companies and cardiologists was (96 %). The interaction frequency varied by the participant's gender and speciality. The highest frequencies of physician-sale representative interactions were detected among interventional cardiologists (46.7 %), %) and male cardiologists (92.4 %).</div><div>Furthermore, cardiologists had mixed attitudes towards the marketing techniques and the sales representatives. Most participants agreed on the utility of the representatives as a source of helpful information on medical devices, for creating awareness, and for providing persuasive information.</div></div><div><h3>Conclusion</h3><div>This study found a high prevalence of interactions between Saudi cardiologists and medical device sales representatives. Variation in interaction frequency was observed across different specialities, practice sectors, and gender. The study underscores the need for an enhanced understanding of physician-industry interactions. It emphasizes the importance of awareness and adherence to physician-industry relationship regulations to ensure ethical and transparent interactions within the healthcare systems. Furthermore, this study provides valuable insights into the physician-sales representatives' relationship that can guide future training and inform regulations.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 101968"},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679146","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":"Distribution and risk factors for childhood visual deficiency in Morocco: Case – control study","authors":"Loulidi Soukaina ,&nbsp;Loukid Mohamed ,&nbsp;Boussaa Samia","doi":"10.1016/j.cegh.2025.101969","DOIUrl":"10.1016/j.cegh.2025.101969","url":null,"abstract":"<div><h3>Background</h3><div>Visual impairment and blindness in children are a public health issue that needs to be addressed by health and government authorities. Our research aimed to identify the risk factors for childhood blindness and visual impairment in a region of Morocco.</div></div><div><h3>Methods</h3><div>A case-control study was conducted in Marrakech-Safi region, in central Morocco, at the ophthalmology department of Errazi Hospital and in the diagnostic centre of Mohammed VI University Hospital Centre, as well as at the Abou El Abbas Sebti Institute for the Education of the Blind. 144 cases of visually impaired or blind children and 218 sighted control children from the same age group participated in the survey, which was carried out between November 2021 and October 2022 using the WHO/PBL questionnaire and analysed by SPSS 16.0.</div></div><div><h3>Results</h3><div>The results showed the predominance of cataracts (43 %), followed by refractive error (26.4 %) and glaucoma (23.6 %). In youngsters, the primary cause of vision impairment is 63.2 % heredity. Thus, 50 % of children have a three-degree family history, with first-degree dominance accounting for 77.8 % of the total, and a significant association was detected for this variable (OR = 1.795, 95 % CI: 1.170–2.754). 60.4 % of children have ocular diseases from birth, and 24.3 % of parents were consanguineous marriages, however there was no significant association.</div></div><div><h3>Conclusion</h3><div>Preventing visual abnormalities in children requires addressing the hereditary factor. Being the first of its kind in the area, our study's findings offer a valuable database for improved tracking of strategies used to prevent early blindness and visual impairment.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101969"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549886","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":"Mindfulness-based interventions for enhancing adolescent mental health and well-being: A scoping review","authors":"Jobin K ,&nbsp;Ravichandran Nair K ,&nbsp;Lena Ashok ,&nbsp;M. Manjula ,&nbsp;Teddy Andrews J J ,&nbsp;Edlin Glane Mathias ,&nbsp;Priyanka Krishnan","doi":"10.1016/j.cegh.2025.101961","DOIUrl":"10.1016/j.cegh.2025.101961","url":null,"abstract":"<div><h3>Background</h3><div>Mindfulness practices have gained popularity and acceptance worldwide in recent decades. Integrating mindfulness-based practices in the school setting has shown promising potential in improving adolescent's mental health and overall well-being.</div></div><div><h3>Objective</h3><div>To identify mindfulness-based interventions in school settings that have improved adolescent mental health and well-being.</div></div><div><h3>Methods</h3><div>We used the Arskey and O'Malley scoping review technique as the basis for the review. The databases used in the search are – MEDLINE PubMed (NCBI), Web of Science (Clarivate), and Scopus (Elsevier). Keywords used for the search were mindfulness or mindfulness-based intervention in addition to schools, children, and adolescents. The evaluation was documented in line with the (PRISMA- ScR). The TiDER checklist was followed to collect intervention data.</div></div><div><h3>Results</h3><div>This review comprised a total of eleven research studies. Out of eleven studies, three examined the effectiveness of MBI on adolescents' well-being, seven focused on the mental health benefits of MBI, and one looked at how adolescents perceived MBI. Five studies were randomized control trials; two were quasi-experimental, one was an explorative study, one was a longitudinal study, and the other two were qualitative.</div></div><div><h3>Conclusion</h3><div>Studies on mindfulness conducted among the adolescent age group showed promising results in overall well-being and mental health.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101961"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579684","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":"The education role on institutional delivery among teenage mothers in Indonesia: A national wide survey","authors":"Ratna Dwi Wulandari ,&nbsp;Agung Dwi Laksono ,&nbsp;Yuly Astuti","doi":"10.1016/j.cegh.2025.101970","DOIUrl":"10.1016/j.cegh.2025.101970","url":null,"abstract":"<div><h3>Objectives</h3><div>Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR) in Indonesia are still high. The government encourages institutional births to reduce these numbers. Meanwhile, early marriage is still a problem in Indonesia. The study examines the role of education level on institutional delivery among teenage mothers in Indonesia.</div></div><div><h3>Methods</h3><div>The secondary analysis of the 2023 Indonesian Health Survey involved a sample of 609 teenage moms. We analyzed the relationship between institutional delivery and education level and seven control variables: residence, age, marital status, work status, wealth, insurance, antenatal care (ANC), and parity. The study employed binary logistic regression for the final stage.</div></div><div><h3>Results</h3><div>The result showed that only 49.7 % of adolescent mothers in Indonesia deliver their babies in institutional settings. Regarding education, teenage mothers in primary school are 2.268 times more likely than those without education to perform institutional delivery (95%CI 2.185–2.355). Adolescent mothers with junior high school are 4.545 times more likely to achieve institutional delivery than those without education (95%CI 4.380–4.716). Moreover, teenage mothers with senior high school are 5.040 times more likely to childbirth in institutional settings than those without education (95%CI 4.837–5.252). The findings indicated that higher education correlates with an increased likelihood of institutional delivery.</div></div><div><h3>Conclusions</h3><div>Education levels were associated with institutional delivery among teenage mothers. The better the education level, the higher the possibility of performing institutional delivery. The study implies that improving education levels among adolescent mothers in Indonesia could increase the likelihood of institutional delivery, potentially reducing MMR and IMR.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101970"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549885","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":"Empowering women for improved dietary diversification during pregnancy: Longitudinal study in Ethiopia","authors":"Yonas Abebe ,&nbsp;Tolasa Yadate ,&nbsp;Lenco Kajela ,&nbsp;Bariso Dadi","doi":"10.1016/j.cegh.2025.101964","DOIUrl":"10.1016/j.cegh.2025.101964","url":null,"abstract":"<div><h3>Background</h3><div>Dietary diversification, the consumption of various food groups, is essential to meet the increased nutritional demands of pregnant women. However, inadequate dietary diversification is a prevalent concern in developing countries, including Ethiopia, with studies showing low levels of dietary diversification among pregnant women, mainly because of low socioeconomic empowerment. Therefore, this study aimed to assess the minimum dietary diversification and associated factors among pregnant women in the city of Jimma, Ethiopia.</div></div><div><h3>Methods</h3><div>A facility-based longitudinal study was conducted among pregnant women attending antenatal care follow-up at Jimma City public health facilities. Data were collected from January 2023 to January 2024, using an interviewer-administered questionnaire. The collected data were entered in to Epi-Data Manager version 4.2 and exported to SPSS version 26 for analysis. Bivariate and multivariable binary logistic regression analyzes were used.</div></div><div><h3>Result</h3><div>420 pregnant women participated in the study consistently with a response rate of 99.05 %. The prevalence of minimum dietary diversification was 37.9 %. Factors associated with achieving adequate dietary diversification among pregnant women include higher income, participation in household decision making (AOR = 1.84; 95 % CI: 1.16–2.89) and higher levels of education. Conversely, pregnant women who accepted being beaten by their intimate partner were 59 % less likely to meet the minimum dietary diversification standard.</div></div><div><h3>Conclusion</h3><div>The study found that most pregnant women did not meet the minimum dietary diversification standard. The empowerment of women's socio-economic status—through education, increased income, reduced acceptance of intimate partner violence, and participation in household decision-making—was significantly associated with dietary diversification among pregnant women. Therefore, any program aiming to intervene in maternal nutrition should consider these factors.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101964"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510789","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":"Development and validation of uterine fibroid quality of life and health-related lifestyle (UF-QLHRL) questionnaire in an Indian population","authors":"Vineetha K K ,&nbsp;Rajeshwari G. Bhat ,&nbsp;Archana P. R ,&nbsp;Preetha Ramachandra ,&nbsp;Vani Lakshmi R ,&nbsp;Bhamini Krishna Rao","doi":"10.1016/j.cegh.2025.101963","DOIUrl":"10.1016/j.cegh.2025.101963","url":null,"abstract":"<div><h3>Purpose</h3><div>Uterine fibroid (UF) significantly impacts quality of life (QL). Adopting a healthy lifestyle reduces the risk of fibroid development. We aim to develop and validate the UF Quality of Life and Health-related Lifestyle (UF-QLHRL) questionnaire to understand the QL and health-related lifestyle (HRL) of women with UF.</div></div><div><h3>Method</h3><div>A quantitative research design approach was used in the study. A thirty-two-item questionnaire with two sections was developed after extensive literature reviews and expert panel discussions. Further, content validation with eight experts was carried out, and the domains were subsequently validated. The questionnaire was then translated and pretested. Data from 364 women with UF were collected using purposive sampling. The reliability was tested using Cronbach's alpha, and construct validity was assessed using confirmatory factor analysis.</div></div><div><h3>Results</h3><div>Item-level content validity indexes (I-CVI) ranged between 0.85 and 1, while the scale-level content validity index (S-CVI) was 0.96. The Cronbach's alpha was 0.76, which indicated good internal consistency. Adequate model fit indices were obtained after considering the removal of poorly loaded indicators. Finally, the UF-QLHRL questionnaire was developed with 25 questions spanning seven domains.</div></div><div><h3>Conclusion</h3><div>The UF-QLHRL obtained reliable validity indices and can be used to assess the quality of life and health-related lifestyle of women with uterine fibroids. Therefore, the results imply that the questionnaire's content is valid.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101963"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562115","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":"Prevalence of depressive symptoms in middle-aged and elderly outpatient patients with chronic pain in three cities and provinces of China","authors":"Chengxin Du ,&nbsp;Weiwei Zhang ,&nbsp;Liyuan Xu ,&nbsp;Bifa Fan ,&nbsp;Jianqun Dong ,&nbsp;Liuxia Yan ,&nbsp;Yingying Jiang","doi":"10.1016/j.cegh.2025.101955","DOIUrl":"10.1016/j.cegh.2025.101955","url":null,"abstract":"<div><h3>Background</h3><div>Chronic pain and depression are closely related, significantly impacting patients' quality of life. Notably, large-scale cross-sectional studies on chronic pain patients are scarce in China. This study examined depressive symptoms' prevalence and factors in three provinces/cities' outpatient patients, aiming to support psychological intervention and diagnostic/treatment services.</div></div><div><h3>Methods</h3><div>Middle-aged and elderly patients with chronic pain in outpatient clinics in China (n = 4151) completed valid questionnaires on demographic characteristics, pain status, and depression in a cross-sectional study design. The chi-square test was used for comparison between groups, and multivariate logistic regression was used to analyze the influencing factors of depression in middle-aged and elderly patients with chronic pain.</div></div><div><h3>Results</h3><div>Among 4151 patients with chronic pain, 9.1 % had depression symptoms. The prevalence of depressive symptoms in patients with severe pain was 24.2 %. As the severity of pain increased, the detection rate of depressive symptoms showed an upward trend (trend test x² = 165.156, P &lt; 0.001). Past medical history (OR = 1.83, 95%CI: 1.28–2.62), insomnia (OR = 2.58, 95%CI: 2.03–3.29), number of pain sites ≥2 (OR = 1.60, 95%CI: 1.27–2.03), and severe pain (OR = 3.54, 95%CI: 2.28–5.51), dissatisfaction pain treatment (OR = 2.50, 95%CI: 1.83–3.42) were risk factors for depressive symptoms.</div></div><div><h3>Conclusions</h3><div>As the severity of pain increased, the detection rate of depressive symptoms showed an upward trend. Psychological health prevention and intervention should be actively implemented in key populations of chronic pain patients to improve the effectiveness and satisfaction of pain treatment.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101955"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510790","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":"Epidemiological investigation of depressive disorders in healthcare workers throughout 12 years in the governorate of Sousse, Tunisia","authors":"Marwa Bouhoula ,&nbsp;Amen Moussa ,&nbsp;Asma Chouchane ,&nbsp;Amal Ghenim ,&nbsp;Rania Elghezal ,&nbsp;Asma Gaddour ,&nbsp;Narjes Belhadj ,&nbsp;Sonia Kammoun ,&nbsp;Asma Aloui ,&nbsp;Imène Kacem ,&nbsp;Maher Maoua ,&nbsp;Houda Kalboussi ,&nbsp;Olfa Elmaalel ,&nbsp;Souheil Chatti ,&nbsp;Aicha Brahem","doi":"10.1016/j.cegh.2025.101967","DOIUrl":"10.1016/j.cegh.2025.101967","url":null,"abstract":"<div><h3>Background</h3><div>Depressive disorders are a major global health challenge and are projected to become a leading cause of disability by 2030.</div></div><div><h3>Aims</h3><div>Examine the epidemiological characteristics of depressive disorders among healthcare workers and identify key associated risk factors.</div></div><div><h3>Methods</h3><div>A retrospective descriptive study was conducted at the Regional Health Directorate of Sousse, focusing on healthcare workers on long-term sick leave (LTSL) due to depressive disorders from 2010 to 2021. Data were collected from medical and administrative records and a questionnaire covering socio-professional and medical information. Diagnoses were based on DSM-5 criteria. Statistical analysis was conducted using SPSS version 26.</div></div><div><h3>Results</h3><div>Among 650 healthcare workers studied, 12.8 % were diagnosed with depressive disorders. Of these, 13 % reported work-related conflicts, 3.5 % had exposure to severe infectious diseases before COVID-19, and 17 % had direct contact with COVID-19 patients. Additionally, 71.4 % of participants with depressive disorders presented with anxiety, and 50 % had moderate depression. Significant associations (p &lt; 0.05) were found between disorder severity and occupational exposures, medical history, and the impact of COVID-19.</div></div><div><h3>Conclusion</h3><div>Depressive disorders among healthcare workers are a pressing public health issue, with occupational factors like work-related conflicts and exposure to infectious diseases identified as key risk factors. Addressing these issues through psychological support programs and workplace interventions is essential to safeguard the mental well-being of healthcare workers and ensure the sustainability of healthcare services.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101967"},"PeriodicalIF":2.3,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487062","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":"Spatiotemporal dynamics of dengue hotspots in an urbanizing landscape: A five-year analysis in Selangor, Malaysia","authors":"Nur Athen Mohd Hardy Abdullah ,&nbsp;Nazri Che Dom ,&nbsp;Siti Aekbal Salleh ,&nbsp;Hasber Salim ,&nbsp;Nopadol Precha ,&nbsp;Rahmat Dapari","doi":"10.1016/j.cegh.2025.101966","DOIUrl":"10.1016/j.cegh.2025.101966","url":null,"abstract":"<div><h3>Introduction</h3><div>Spatial analysis plays a crucial role in vector control by assessing disease dynamics and identifying risk areas. While numerous studies have examined dengue incidence in Malaysia, few have specifically investigated prolonged localized dengue epidemics lasting more than 30 days. This study aims to analyze the distribution and patterns of dengue hotspots in Selangor from 2017 to 2021.</div></div><div><h3>Methods</h3><div>Dengue hotspot coordinates were obtained from Google Maps and mapped using ArcGIS. Heat maps were generated to visualize temporal and spatial hotspot patterns across epidemiological weeks and districts. Hotspot analysis was conducted to identify areas with a high frequency of dengue cases.</div></div><div><h3>Results</h3><div>Over 400 dengue hotspots were identified, primarily concentrated in Gombak, Hulu Langat, Klang, and Petaling districts characterized by high population densities exceeding 1000 individuals per km². Peak dengue hotspot occurrences (≥70 per week) were observed during three seasonal periods: January–March, June–September, and October–December.</div></div><div><h3>Conclusion</h3><div>This study provides new insights into the spatial-temporal distribution of prolonged dengue outbreaks in Selangor. The findings can inform targeted vector control strategies and policy interventions in high-risk areas.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101966"},"PeriodicalIF":2.3,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487063","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":"Determine the promotion target of exclusive breastfeeding among poor families in Indonesia","authors":"Mizna Sabilla ,&nbsp;Agung Dwi Laksono ,&nbsp;Hario Megatsari","doi":"10.1016/j.cegh.2025.101960","DOIUrl":"10.1016/j.cegh.2025.101960","url":null,"abstract":"<div><h3>Background</h3><div>Promoting exclusive breastfeeding (EBF) for poor families is expected to have a big impact on children's future development. The study analyzed the promotion target to increase EBF among poor families in Indonesia.</div></div><div><h3>Methods</h3><div>It was a cross-sectional study that looked at 48,995 children. We examined EBF practice as a dependent variable. We included eight characteristics as independent variables (residence, maternal age, marital, education, employment, wealth, antenatal care (ANC), and early initiation of breastfeeding (EIBF). Finally, we did a binary logistic regression test.</div></div><div><h3>Results</h3><div>The data reveals that the percentage of exclusive breastfeeding (EBF) among impoverished households in Indonesia is 39.9 %. The outcome showed that mothers in rural areas were 1.235 times more likely than those in urban areas to perform EBF (95 % CI 1.229–1.241). According to maternal age, all ages were more likely to achieve EBF than &lt;20. Moreover, based on marital status, married mothers were 1.055 times more likely than divorced/widowed mothers to perform EBF (95 % CI 1.034–1.076). Mothers with all education levels were more likely than those without education to achieve EBF. Mothers with ANC were 1.430 times more likely to achieve EBF than those without (95 % CI 1.416–1.444). Mothers who perform EIBF were 1.624 times more likely than those who did not perform EIBF to achieve EBF (95 % CI 1.616–1.632).</div></div><div><h3>Conclusion</h3><div>Six mother characteristics were the specific promotion target among poor families to increase EBF in Indonesia: living in urban areas, being young, having divorced/widowed status, having a poor education, and not performing ANC and EIBF.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101960"},"PeriodicalIF":2.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454994","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}