Clinical Epidemiology and Global Health最新文献

{"title":"Visual impairment and blindness among children: A literature review","authors":"Soukaina Loulidi ,&nbsp;Mohamed Loukid ,&nbsp;Samia Boussaa","doi":"10.1016/j.cegh.2025.102094","DOIUrl":"10.1016/j.cegh.2025.102094","url":null,"abstract":"<div><h3>Background</h3><div>Blindness and visual impairment in children are a serious problem that affects their daily lives. The aim of the present study was to evaluate the prevalence, causes, and risk factors of this ophthalmological problem worldwide.</div></div><div><h3>Methods</h3><div>To do this, we carried out an in-depth search on several databases such as PubMed and Scopus, using the keywords « visual impairment » OR/AND « blindness » AND « children » AND « epidemiology » AND « causes ». Thus, 696 articles covering the period 2000–2024 were consulted, and 50 of them were selected based on eligibility criteria.</div></div><div><h3>Results</h3><div>The results showed a high disease prevalence in Australia and Africa, compared to the other continents. The retina was the most affected anatomical site (26 %), followed by the lens (22 %). Moreover, cataract, corneal opacities, corneal scar were the main causes in low-income countries, while retinopathy of prematurity, cataract and refractive error were the main causes in moderate-high-income countries. Regarding risk factors the indetermined aetiology represented the highest rates in both low and moderate-high income countries (40 %, 36.84 % each) in our review. The causes of visual impairment and blindness are preventable, with rates ranging from 13.6 % to 94 %.</div></div><div><h3>Conclusion</h3><div>This study has allowed us to identify the global extent of blindness and visual impairment in children.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102094"},"PeriodicalIF":2.3,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288781","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":"End organ damage in sickle cell disease, a tertiary care hospital experience in Pakistan","authors":"Haleema Urooj ,&nbsp;Bushra Moiz","doi":"10.1016/j.cegh.2025.102104","DOIUrl":"10.1016/j.cegh.2025.102104","url":null,"abstract":"<div><h3>Background</h3><div>Sickle cell disease (SCD) is characterized by progressive end-organ damage (EOD) with significant morbidity and mortality. Certain regions of Pakistan have reported a high prevalence of SCD. Despite this, no organized data for clinical information on SCD is available. The study aimed to evaluate EOD and sickle-related complications in a tertiary care hospital.</div></div><div><h3>Methods</h3><div>The secondary aim was to associate these complications with various HbS genotypes. This was a descriptive study from a single institute in Southern Pakistan. All patients admitted to the hospital till 2022 were evaluated for demographics, clinical, and laboratory details. EOD and mortality were determined for various HbS genotypes.</div></div><div><h3>Results</h3><div>Forty-one unique patients (25 males and 16 females) were evaluated. The mean (±SD) age was 27(±15.4) years at their last follow-up. Hb S/beta thalassemia (n = 18 or 43.9 %) and homozygous Hb SS (n = 14 or 34.1 %) were identified as the most common sickle cell disorders. The management of anemia (n = 69) and pain crisis (n = 98) were the two most frequent events for hospital admissions. Overall, 33 of 41 patients (80.5 %) had 64 end-organ complications, including acute chest syndrome (n = 19), sickle cell nephropathy (n = 19), acute vascular necroses (n = 15), gallstones (n = 10), and overt stroke (n = 1). Two of 41 patients (4.8 %) died because of multiorgan failure.</div></div><div><h3>Conclusions</h3><div>Anemia, pain crisis, pulmonary complications, and bone necrosis were the main complications in patients with SCD requiring hospital admissions. A national registry and neonatal screening for SCD are needed to elucidate the disease's burden, enabling health policymakers to plan proper preventive and therapeutic strategies.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102104"},"PeriodicalIF":2.3,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144307971","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":"Effective breastfeeding practices among mothers exclusively breastfeeding infants in Ethiopia","authors":"Yonas Abebe,&nbsp;Beriso Dadi","doi":"10.1016/j.cegh.2025.102089","DOIUrl":"10.1016/j.cegh.2025.102089","url":null,"abstract":"<div><h3>Background</h3><div>Effective breastfeeding is crucial for infant well-being, yet less than half of infants globally receive recommended practices. Ethiopia faces high infant mortality linked to malnutrition and ineffective breastfeeding. This study aimed to determine the prevalence of effective breastfeeding and identify factors associated with its practice among mothers who exclusively breastfeed.</div></div><div><h3>Methods</h3><div>A facility-based, cross-sectional study design was employed. This study was conducted among 414 mothers at Dilla University Referral Hospital from July 1 to September 30, 2023. Participants were selected using systematic random sampling. Data were collected using an interviewer-administered questionnaire and an observational checklist. The collected data were entered into Epi-Data version 4.2 and exported to SPSS version 26 for analysis. Bivariate and multivariable binary logistic regression analyses were used to investigate the associations between variables.</div></div><div><h3>Result</h3><div>The prevalence of effective breastfeeding practice was 23 % (95 % CI: 18.5, 26.8). In the multivariable binary logistic analysis, postpartum counselling (AOR = 2.61; 95 % CI 1.27, 5.39), breastfeeding experience (AOR = 6.08; 95 % CI 1.34, 27.39), postpartum breastfeeding demonstration (AOR = 4.14; 95 % CI 1.13, 15.2) and attending four or more antenatal care visits (AOR = 4.41; 95 % CI 2.3, 8.35) were factors significantly associated with effective breastfeeding practice.</div></div><div><h3>Conclusion</h3><div>Effective breastfeeding is unacceptably low among study participants. To increase effective breast-feeding practice, counselling during health service utilization visit and demonstrating breastfeeding techniques before discharge from the health facility are recommended measures to be taken.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102089"},"PeriodicalIF":2.3,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279404","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":"Assessment of health-related quality of life and health-seeking behavior in female cardiac patients in rural setting of Pakistan: A comprehensive cross-sectional analysis","authors":"Amna Zeb ,&nbsp;Faizan Ali Razzaq ,&nbsp;Shahbaz Ahmad Zakki,&nbsp;Ijaz ul Haq,&nbsp;Muhammad Subhan Nazar,&nbsp;Ussama Hafeez","doi":"10.1016/j.cegh.2025.102096","DOIUrl":"10.1016/j.cegh.2025.102096","url":null,"abstract":"<div><h3>Background</h3><div>This study assessed various factors related to cardiac patients, focusing on their health-related quality of life (HRQOL), health-seeking behavior, and their association with demographic variables. The aim was to explore HRQOL and health-seeking behavior in cardiac patients.</div></div><div><h3>Methods</h3><div>The study included 403 participants aged 18–59 years. Demographic characteristics, HRQOL, and health-seeking behavior were assessed using the SF-36 V2 and HBS-16 questionnaires. Statistical analyses, including Mann-Whitney U tests and adjusted odds ratios, were performed using SPSS version 22.0 to examine the relationship between these factors and variables such as family medical history, smoking status, and demographic data.</div></div><div><h3>Results</h3><div>The findings revealed that many cardiac patients reported low HRQOL, while 76.7 % demonstrated positive health-seeking behavior. Associations were found between HRQOL and factors like family history of cardiac disease and smoking status. Those with a family history showed different health-seeking behaviors and emotional well-being. Smokers also exhibited distinct health-seeking patterns. Demographic factors like age, occupation, marital status, family history, and smoking status influenced HRQOL and health-seeking behavior.</div></div><div><h3>Conclusion</h3><div>This study highlights the complex relationship between cardiovascular disease, quality of life, and health-seeking behavior. Socioeconomic and lifestyle factors, such as smoking and inactivity, significantly impact HRQOL and health outcomes. Targeted interventions, including public health campaigns and early risk assessments, are essential to improve HRQOL and healthcare outcomes for cardiac patients, particularly those with limited access to care.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102096"},"PeriodicalIF":2.3,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288782","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":"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}