Clinical Epidemiology and Global Health最新文献

{"title":"Short-term adverse events after COVAXIN vaccination in adolescents (15–18 Years) in Northern India: Frequency, predictors, and reporting behavior","authors":"Sujoy Bose ,&nbsp;Arpita Bhriguvanshi ,&nbsp;Mehul Saxena","doi":"10.1016/j.cegh.2025.102082","DOIUrl":"10.1016/j.cegh.2025.102082","url":null,"abstract":"<div><h3>Background</h3><div>India initiated COVID-19 vaccination for adolescents (aged 15–18 years) on January 3, 2022, exclusively using COVAXIN. Adolescent-specific safety data remain limited, and adverse event following immunization (AEFI) reporting is notably low. This study evaluated the frequency, characteristics, and predictors of adolescents' short-term, self-reported AEFI post-COVAXIN vaccination and assessed their awareness and practices regarding official AEFI reporting mechanisms.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted between May and September 2022 among 411 adolescents vaccinated with at least one dose of COVAXIN across schools in urban and rural Lucknow, Northern India. Data on demographics, vaccine doses, AEFI symptoms, onset, duration, management, prior SARS-CoV-2 infection, and awareness and reporting behaviors were collected via a validated questionnaire through face-to-face interviews.</div></div><div><h3>Results</h3><div>65.45 % reported AEFI after the first dose and 56 % after the second. The most common reactions included injection-site pain, fever, and headache, predominantly occurring within 12 h and resolving within three days. Females reported significantly higher AEFI frequency (Adjusted OR = 3.0; 95 %CI:1.23–7.37), and the first dose was associated with greater reactogenicity (Adjusted OR = 1.55; 95 %CI:1.14–2.09). Prior SARS-CoV-2 infections significantly influenced AEFI occurrence. Despite frequent mild, self-limiting symptoms, awareness of official AEFI reporting mechanisms was low (18 %), with only 1.2 % formally reporting their symptoms.</div></div><div><h3>Conclusion</h3><div>COVAXIN vaccination in adolescents demonstrated a favorable short-term safety profile with predominantly mild, transient reactions. However, critically low awareness and negligible formal reporting highlight an urgent need to strengthen vaccine safety monitoring and public education on reporting practices.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102082"},"PeriodicalIF":2.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203952","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":"Traditional remedies from Aceh for diabetes mellitus treatment: Patterns of use in rural-urban areas in Aceh","authors":"Fauzul Husna ,&nbsp;Marisa Marisa ,&nbsp;Suryawati Suryawati ,&nbsp;Frans D. Suyatna ,&nbsp;Husnah Husnah ,&nbsp;Rani Wardani Hakim ,&nbsp;Muhammad Imam Aulia ,&nbsp;Efan Andriansyah Dasopang","doi":"10.1016/j.cegh.2025.102079","DOIUrl":"10.1016/j.cegh.2025.102079","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes Mellitus (DM) is a metabolic disease characterized by hyperglycemia due to a decrease in the function of the insulin hormone in lowering blood sugar levels or insulin resistance. In Aceh, Indonesia, traditional medicine remains integral to the healthcare practices of its communities, including for managing DM.</div></div><div><h3>Objective</h3><div>This research aims to analyze the prevalence of medicinal plant use, identify the underlying reasons for their utilization, and determine the most commonly used traditional plants in managing DM in the Acehnese community in urban and rural areas. <strong>Materials and Methods</strong>: A cross-sectional study involving 164 DM patients was conducted in two community health centers in Banda Aceh using a questionnaire-assisted face-to-face interview.</div></div><div><h3>Results</h3><div>The findings revealed that 47 % of respondents used medicinal plants, with women (p = 0.007, OR = 2.85) and patients with comorbidities (p = 0.002, OR = 2.81) considerably more likely to take herbal medicines. 85.71 % of respondent expressed satisfaction with herbal therapies, and the primary reasons for use were trust in their effectiveness (67.53 %) and accessibility (23.37 %).</div></div><div><h3>Conclusion</h3><div>The most commonly used plant materials are <em>Moringa oleifera</em> (19.48 %), <em>Syzygium polyanthum</em> (18.18 %), and <em>Annona muricata</em> (12.98 %). However, 37.66 % of participants did not consult healthcare professionals about their herbal use. Traditional medicine plays a crucial role in DM management among Acehnese communities, driven by cultural norms.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102079"},"PeriodicalIF":2.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189764","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":"Validation of RDT kit for screening anaemia among women of reproductive age at the field level in comparison with the gold standard in rural areas of coastal Karnataka, India","authors":"K. Jayaprakash Shetty ,&nbsp;S. Nanjesh Kumar ,&nbsp;K. Shrisharath","doi":"10.1016/j.cegh.2025.102077","DOIUrl":"10.1016/j.cegh.2025.102077","url":null,"abstract":"<div><h3>Background</h3><div>Anaemia in women of reproductive age is still a problem for public health worldwide. As per NFHS-5 data anaemia among reproductive age group is about 57 %. Anaemia is indicative of poor nutrition and health. The most common type of anaemia is due to nutritional factors.</div></div><div><h3>Objective</h3><div>To validate the Rapid Diagnostic Test (RDT) kit used for screening anaemia among women of child bearing age group at the field level in comparing with gold standard test.</div></div><div><h3>Methodology</h3><div>A community-based cross-sectional study done among women in reproductive age group using RDT kit in the rural area of Coastal Karnataka. Villages were selected from Udupi and Dakshina Kannada Districts of Coastal Karnataka.</div></div><div><h3>Results</h3><div>A total of 1443 subjects consented and were screened for anaemia using RDT kit in comparison with gold standard method. 43 % individuals were classified as anaemic by both methods. Sensitivity = 78.90 %, Specificity = 94.04 %, Positive predictive value (PPV) = 90.91 %. Negative predictive value (NPV) = 85.51 %, The accuracy of RDT kit at 95 % CI was 87.53 % (85.71 %, 89.19 %). With a specificity of 94.04 % and an accuracy of 87.53 %.</div></div><div><h3>Conclusion</h3><div>The use of RDT kit at the field level can be used as a tool for screening and monitoring of anaemia at the field level. The RDT kit can be used in areas where access to healthcare facilities is limited and at the field level for haemoglobin estimation by grassroots healthcare workers. The RDT kit results are reliable.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102077"},"PeriodicalIF":2.3,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166541","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":"Catastrophic costs of Tuberculosis in patients registered under the National Tuberculosis Elimination Programme in South-East Delhi, India","authors":"Tazean Zahoor Malik ,&nbsp;Faheem Ahmed ,&nbsp;Sushovan Roy ,&nbsp;Rashmi Agarwalla ,&nbsp;Rambha Pathak","doi":"10.1016/j.cegh.2025.102075","DOIUrl":"10.1016/j.cegh.2025.102075","url":null,"abstract":"<div><h3>Background</h3><div>Tuberculosis (TB) is one of the leading causes of death from an infectious agent. Tuberculosis patients often fall into a “poverty medical trap” due to the cost of treatment. The present study aimed to estimate the economic burden of TB in registered patients undergoing treatment under the national programme.</div></div><div><h3>Methodology</h3><div>The study was a mixed-method study conducted in various DOTS centres of South-East Delhi. Quantitative data collection was done using a validated questionnaire, while focus group discussions helped triangulate data generated by quantitative methods. Data on socio-demographics, disease-specific characteristics, and costs were gathered. Descriptive statistics delineated sample characteristics. Univariate analysis helped understand the factors influencing the catastrophic costs.</div></div><div><h3>Results</h3><div>A total of 439 Tuberculosis patients in the Intensive phase of treatment were approached, out of which 416 consented to participate in the study. The mean (±S.D) total costs were Rs. 5923 ± 1243.2 while the mean direct and indirect costs were Rs. 4553.6 ± 623.2 and Rs. 2475.4 ± 540.1, respectively. The total costs were significantly associated (p &lt; 0.05) with the type of TB in the patient (more in EPTB patients), the type of health facility first visited (private more than government) and the employment status (highest cost in those who had employment of some kind). The catastrophic costs were experienced by 24.27 % of households.</div></div><div><h3>Conclusion</h3><div>Despite the free diagnosis and treatment of tuberculosis in the country, patients still experienced direct and indirect costs in the present study. More robust mechanisms and strategies are needed to reach the WHO End TB strategy target of ‘Zero Catastrophic Costs’.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102075"},"PeriodicalIF":2.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal mortality at Souissi Maternity Hospital in Rabat, 2018–2021","authors":"Fatima Elhassouni ,&nbsp;Rim Laaboudi ,&nbsp;Ismail Belhaouz ,&nbsp;Rachid Razine ,&nbsp;Majdouline Obtel ,&nbsp;Yahaya Maijimaa Tourey ,&nbsp;Sabah Amrani ,&nbsp;Zaki Hanchi ,&nbsp;Mounia El Yousfi ,&nbsp;Nada Bennani Mechita","doi":"10.1016/j.cegh.2025.102064","DOIUrl":"10.1016/j.cegh.2025.102064","url":null,"abstract":"<div><h3>Backgroung</h3><div>Maternal deaths are a major public health issue and serve as a crucial indicator for assessing a country's level of health development. The aim of this study is to describe the epidemiological characteristics of maternal deaths occurring at the Souissi Maternity Hospital in Rabat between 2018 and 2021.</div></div><div><h3>Methods</h3><div>This is a retrospective descriptive study. All cases of maternal death occurring at the Souissi Maternity Hospital in Rabat between January 2018 and December 2021 were included in this study. Data were collected from medical records. We divided the study into two phases (2018–2019 and 2020–2021), to be able to compare the mortality rate before and after COVID-19. Causes of death were also compared between these two phases using Khi² test or fisher's exact test.</div></div><div><h3>Results</h3><div>During the entire study period (2018–2021), the Maternal Mortality Rate was 156.03 deaths per 100,000 live births. This rate rose from 88.84 to 261.49 per 100,000 live births between the two study phases (p &lt; 0.001). Sixty-eight cases were linked to a direct cause (73.9 %). Preeclampsia and eclampsia was the leading cause of maternal mortality by direct cause (30.9 %), and hemorrhage was the second leading cause (25.0 %).</div></div><div><h3>Conclusion</h3><div>The study identified preeclampsia and postpartum hemorrhage as the leading causes of death, both of which are highly preventable. Recognizing risk factors through a case-control study is essential, and targeted interventions could help reduce maternal mortality.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102064"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123607","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":"Epidemiological trends and patterns of gastric cancer in the Kashmir Valley, India","authors":"Shaista Mushtaq ,&nbsp;Nisar Ahmad Syed ,&nbsp;G.M. Rather ,&nbsp;Shahid Saleem ,&nbsp;Athar Yousuf Rather ,&nbsp;Shaheena Parveen","doi":"10.1016/j.cegh.2025.102057","DOIUrl":"10.1016/j.cegh.2025.102057","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate the incidence, demographic characteristics, and distribution of stomach cancer across the Kashmir Valley, with a focus on regional variations.</div></div><div><h3>Methods</h3><div>This study employed a combination of hotspot analysis, spatial clustering, and trend analysis to examine stomach cancer incidence data from 2014 to 2023 across districts in the Kashmir Valley. Data were collected from hospital records, cancer registries, and health databases, encompassing a total of 5554 cases. The study analyzed regional variations in stomach cancer incidence and demographic factors. Hotspot analysis was conducted to identify high-risk areas, while clustering techniques were applied to detect spatial patterns in disease distribution. Trend analysis was performed to assess the changes in stomach cancer cases over the study period.</div></div><div><h3>Results</h3><div>The analysis revealed a significant increase in stomach cancer incidence across all districts of the Kashmir Valley, with the highest rates observed in South Kashmir. Hotspot analysis identified areas with a high concentration of cases in urban areas, particularly in districts such as Anantnag, Pulwama, and Srinagar. Clustering methods highlighted specific regions with persistent high incidence. Trend analysis indicated a steady rise in cases, with a notable peak in 2023. The majority of cases were male, with the highest incidence observed in individuals aged 60–79 years.</div></div><div><h3>Conclusion</h3><div>Stomach cancer incidence in the Kashmir Valley is on the rise, with significant regional variations identified through spatial analysis. The use of hotspot and clustering methods has provided valuable insights into high-risk areas, highlighting the need for targeted public health interventions. Further research into local environmental, dietary, and genetic factors is essential to better understand the increasing burden of stomach cancer in the region.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102057"},"PeriodicalIF":2.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108269","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 for asthma among adults in Tanzania","authors":"Mwanga Hussein Hassan ,&nbsp;Mamuya Simon Henry David ,&nbsp;Moen Bente Elisabeth ,&nbsp;Svanes Cecilie","doi":"10.1016/j.cegh.2025.102065","DOIUrl":"10.1016/j.cegh.2025.102065","url":null,"abstract":"<div><h3>Background</h3><div>Limited information exists on the magnitude of asthma and associated factors in Africa. In Tanzania, very few studies have conducted epidemiological investigation of adult asthma. This study investigated the prevalence and risk factors for asthma in Tanzania.</div></div><div><h3>Methods</h3><div>A cross-sectional study of 968 adults was conducted. An interviewer-administered European Community Respiratory Health Survey questionnaire was used. Current asthma was defined as having had an asthma attack, current use of asthma medication or being woken up by an attack of shortness of breath, in the past 12 months. Asthma outcomes were analysed using multivariate regression models.</div></div><div><h3>Results</h3><div>The median age was 43 years and 50 % were females. The prevalence of current asthma was 10 %, while 4 % reported doctor-diagnosed asthma and 10 % reported ≥2 asthma symptoms. The prevalence of hay fever was 10 %, and 9 % reported family history of allergy. Risk factors associated with ≥2 asthma symptoms included hay fever (OR = 4.94; 95 %CI: 2.85–8.58), eczema (3.28; 1.51–7.11), family history of allergy (2.34; 1.23–4.47), repeated childhood chest infections (7.98; 3.70–17.24), having no food to eat (3.83; 1.86–7.87) and exposure to biomass fuels-use of wood for cooking/heating (6.52; 3.16–13.48). Nonallergic current asthma was strongly associated with low socioeconomic status (5.66; 1.16–27.71).</div></div><div><h3>Conclusions</h3><div>Asthma was relatively common with a prevalence of 10 %. Limited food availability, exposure to biomass fuels, allergy and childhood respiratory infections, were identified as important risk factors for asthma. These findings underscore the need to identify the specific aspects of low socioeconomic status that can be targeted to reduce the asthma risk.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102065"},"PeriodicalIF":2.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089431","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":"Tobacco Troubles: Unraveling Tobacco's role in TB positivity among presumptive patients attending a taluka hospital in Karnataka, India","authors":"Ankeeta Menona Jacob ,&nbsp;Jeni Jacob ,&nbsp;Avinash K. Shetty","doi":"10.1016/j.cegh.2025.102059","DOIUrl":"10.1016/j.cegh.2025.102059","url":null,"abstract":"<div><h3>Background</h3><div>Tobacco dependence among patients with Tuberculosis (TB)(confirmed through microbiological tests) can have detrimental effects on treatment outcomes and immune responses. The study is aimed at assessing the prevalence of self-reported tobacco use and dependence cases among presumptive and microbiologically tested and confirmed patients with Tuberculosis.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted at the Government Taluk Hospital, Karkala, Karnataka, from November 2022 to December 2022, on 292 people presumed to have TB. Data was collected using a pre-structured questionnaire including key questions from the WHO tobacco questionnaire, Global Adult Tobacco Survey, and Fagerstrom's test for Nicotine dependence on smoked and non-smoked tobacco. Statistical analysis was done using SPSS version 29.0<strong>.</strong></div></div><div><h3>Results</h3><div>Among 292 presumptive TB patients, 63 patients (21.5 %) confirmed tobacco use of which 17(5.8 %) only smoked tobacco, 44(15.1 %) used smokeless tobacco, and 2(0.7 %) used both forms of tobacco. Of the 292 presumptive patients with TB tested, 31(10.6 %) patients were microbiologically confirmed to have TB. Varying degrees of nicotine dependence were noted in 2(100 %) tobacco-smoking patients and 3(66.7 %) smokeless tobacco users; and 1 (100 %) using both had significant nicotine dependence.</div></div><div><h3>Conclusion</h3><div>Nearly one-fourth of the study population had self-reported tobacco consumption. Significant dependence on tobacco was found among patients where TB was microbiologically confirmed<strong>.</strong></div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102059"},"PeriodicalIF":2.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084603","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":"Perception and predictors of antenatal services utilization by left-behind wives of marginal solo outmigrants-empirical evidence from India","authors":"Fahad Afzal ,&nbsp;Arindam Das ,&nbsp;Rupinder Sahota","doi":"10.1016/j.cegh.2025.102062","DOIUrl":"10.1016/j.cegh.2025.102062","url":null,"abstract":"<div><h3>Background</h3><div>Although antenatal care (ANC) services are offered free of charge at public healthcare facilities in India, Bihar state has a low ANC utilization rate due to service quality gaps. This study examines these gaps from the perspective of Left-Behind Wives (LBWs) residing in urban low socioeconomic environments in the absence of husbands. The research also aims to identify the predictors for efficient use of ANC services at government health centres and the effect of source of information on perception towards ANC services.</div></div><div><h3>Method</h3><div>A cross-sectional survey was carried out to capture responses from 165 respondents residing in low socioeconomic regions of two administrative blocks of the Patna district of India. Effective utilization was measured as a binary variable, based on antenatal check-ups, iron-folic acid consumption, institutional delivery, and tetanus vaccination. Regression analysis was used to assess the predictors of utilization of ANC services. Analysis of Variance (ANOVA) was used to analyze the effect of source of information on perception towards ANC services.</div></div><div><h3>Results</h3><div>The most significant aspect that predicts the efficient use of ANC services at government health centres was ‘human resource’ (AOR = 3.35, R² = 0.80), followed by ‘counselling service’ (AOR = 2.41) and ‘infrastructure and equipment condition’ (AOR = 1.76). There was no significant effect of source of information on perception (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>This study reveals reasons for underutilization, perception, and opportunities related to ANC services at government centres. It also provides vital insights for policymakers for the development of maternal healthcare in underperforming states of India, ultimately contributing to the health empowerment of LBWs.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102062"},"PeriodicalIF":2.3,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070655","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 relationships of Metabolic Syndrome with sociodemographic factors, weight status, dietary and lifestyle behaviors in Moroccan adults","authors":"Daoud Daoudi ,&nbsp;Abderrahmane Moufid ,&nbsp;Nouriya Elghoulam ,&nbsp;Aichetou Bouh ,&nbsp;Khalid El Kari ,&nbsp;Baha Rabi ,&nbsp;Houda El Hsaini ,&nbsp;Souad Benaich ,&nbsp;Saber Boutayeb ,&nbsp;Hassan Aguenaou ,&nbsp;Slimane Mehdad","doi":"10.1016/j.cegh.2025.102058","DOIUrl":"10.1016/j.cegh.2025.102058","url":null,"abstract":"<div><h3>Background and aim</h3><div>Metabolic syndrome (MetS) is a significant risk factor for cardiovascular diseases, type 2 diabetes, and other health complications. Its prevalence is rising globally, particularly in low- and middle-income countries. This study aimed to estimate the prevalence of MetS and identify its associated risk factors among adults from the Fez-Meknes and Beni Mellal-Khenifra regions of Morocco.</div></div><div><h3>Methods</h3><div>We used data from the 2017 Morocco STEPS survey on risk factors for non-communicable diseases. Data collection was based on the WHO STEPwise approach to surveillance (STEPS). A total of 1048 adults aged ≥18 years were included in our analysis. MetS was classified using the International Diabetes Federation criteria.</div></div><div><h3>Results</h3><div>The prevalence of MetS was 39.5 %. Men, residents of the Beni Mellal-Khenifra region, individuals under 31 years of age, and those with primary education or more had significantly lower odds of MetS than women, residents of the Fes-Meknes region, and individuals aged 31 years or older, respectively. Overweight/obese individuals and low consumers of fruit/vegetables were significantly more likely to have MetS compared to non-overweight peers and consumers of recommended amounts of fruits/vegetables (AOR = 17.8, 95 %CI: 10.7–29.5, and AOR = 1.48, 95 %CI: 1.07–2.04, respectively). Moreover, current smokers and alcohol drinkers had a lower likelihood of MetS than never-smokers and non-drinkers, respectively.</div></div><div><h3>Conclusion</h3><div>The high prevalence of MetS among Moroccan adults highlights its public health significance. Female sex, older age, lower education, overweight/obesity, and insufficient fruit/vegetable intake were key predictors. Region-specific strategies are urgently needed to prevent and manage MetS, focusing on vulnerable populations.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102058"},"PeriodicalIF":2.3,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942635","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}