International Health最新文献_第4页

Effect of prenatal alcohol consumption on maternal anemia among pregnant women in Gondar town, Northwest Ethiopia: a retrospective cohort study.

IF 2.3 4区医学

International Health Pub Date : 2025-02-08 DOI: 10.1093/inthealth/ihaf010

Alemu Earsido Addila, Telake Azale, Mezgebu Yitayal

{"title":"Effect of prenatal alcohol consumption on maternal anemia among pregnant women in Gondar town, Northwest Ethiopia: a retrospective cohort study.","authors":"Alemu Earsido Addila, Telake Azale, Mezgebu Yitayal","doi":"10.1093/inthealth/ihaf010","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf010","url":null,"abstract":"Background: Alcohol consumption during pregnancy can lead to multiple health, social and behavioral problems for both the mother and the offspring. Anemia is one of the major public health concerns and causes of morbidity and mortality among pregnant women with poor maternal and fetal outcomes in developing countries. This study aimed to identify the link between prenatal alcohol consumption and anemia among pregnant women in Gondar town, Northwest Ethiopia.Methods: A facility-based retrospective cohort study was conducted among 1669 pregnant women who were booked in for antenatal care in Gondar town. We used a two-stage random sampling technique to recruit and include study participants in the cohort. Data were collected using an interviewer-administered questionnaire. Multivariable analysis was performed to examine the association between reported prenatal alcohol exposure (non-hazardous and hazardous) and anemia in pregnancy using log-binomial regression modeling. The burden of anemia in pregnancy was reported using the adjusted risk ratio (ARR) and population-attributable risk.Results: The prevalence of anemia during pregnancy was 14.86% (95% CI 13.23 to 16.65%). Hazardous alcohol consumption during pregnancy was significantly associated with anemia in pregnancy (ARR=2.24; 95% CI 1.60, 3.15). The adjusted population-attributable risk of anemia in pregnancy related to hazardous alcohol consumption during pregnancy was 7.68%.Conclusions: This study revealed that anemia during pregnancy continues to be a public health concern. Regardless of timing, there is a clear association between prenatal alcohol consumption and anemia during pregnancy that suggests a need for targeted prenatal alcohol use screening, and ongoing intervention for alcoholic pregnant women.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mortality risk stratification based on comorbidity status among cervical cancer patients in Lagos, Nigeria.

IF 2.3 4区医学

International Health Pub Date : 2025-02-08 DOI: 10.1093/inthealth/ihaf008

Idris O Ola, Adeyemi A Okunowo, Muhammad Y Habeebu

{"title":"Mortality risk stratification based on comorbidity status among cervical cancer patients in Lagos, Nigeria.","authors":"Idris O Ola, Adeyemi A Okunowo, Muhammad Y Habeebu","doi":"10.1093/inthealth/ihaf008","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf008","url":null,"abstract":"Background: Comorbidity amplifies mortality risk by approximately sixfold in cancer patients and affects about 26% of cervical cancer (CC) patients in Nigeria. However, its impact on CC outcomes has yet to be fully explored.Methods: We analysed data from the Lagos University Teaching Hospital and the NSIA-LUTH Cancer Center in Lagos, Nigeria, between January 2015 and December 2021. Based on the hypertension-augmented Charlson comorbidity index (hCCI), the hazard ratios (HRs) associated with CC mortality were estimated using Cox proportional hazards model.Results: Our results showed a mortality rate of 30.1/100 women-years with a mean age at death of 59.8 years. Women with hCCI 2-6 had a significant increase in mortality risk in unadjusted (HR 1.68 [95% confidence interval {CI} 1.10 to 2.57]) and age-adjusted models (adjusted HR 1.57 [95% CI 1.02 to 2.42]) compared with those with hCCI 0. When CC stage was considered, the mortality risk gradient by hCCI was pronounced for late-metastatic CC with hCCI 2-6 (HR 2.32 [95% CI 1.23 to 4.39], increasing to 4.15 (95% CI 1.69 to 10.18) in the adjusted model compared with hCCI 0.Conclusions: Cervical cancer mortality risk increases with an increasing comorbidity score. Routine incorporation of comorbidity scoring in the clinical assessment of CC patients as well as the use of multidisciplinary cancer care teams may positively impact their clinical and psychosocial management.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Co-designing the FOotpaths foR Adolescent MAternal Mental HeAlth (FOR MAMA) intervention for pregnant teens in Malawi.

IF 2.3 4区医学

International Health Pub Date : 2025-02-06 DOI: 10.1093/inthealth/ihaf007

Wezi Mhango, Daniel Michelson, Darya Gaysina

{"title":"Co-designing the FOotpaths foR Adolescent MAternal Mental HeAlth (FOR MAMA) intervention for pregnant teens in Malawi.","authors":"Wezi Mhango, Daniel Michelson, Darya Gaysina","doi":"10.1093/inthealth/ihaf007","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf007","url":null,"abstract":"Background: This study aimed to gain insights into stakeholders' priorities and preferences for a scalable intervention for common mental problems among perinatal adolescents in Malawi.Methods: Participatory stakeholder workshops (n=9) were conducted iteratively according to the principles of the Person-Based Approach. Three stakeholder groups were recruited from one urban and one rural primary health centre in Zomba district, Malawi: perinatal adolescents (n=10), their family members (n=8) and healthcare workers (n=10). Framework analysis was conducted using intervention descriptors from the Template for Intervention Description and Replication checklist.Results: Participants emphasized the need for information on causes and symptoms of common mental problems and for developing coping strategies: a) those focused on external stressors-problem-solving, financial literacy and interpersonal skills-and b) emotion-focused approach behaviours-behavioural activation, relaxation and anger management. There was a strong preference for healthcare workers as intervention providers. Participants agreed on a brief antenatal intervention delivered weekly using both group and individual formats. There were positive views on both self-help and guided formats. All stakeholder groups felt there was a need for follow-up to ensure that adolescents correctly engaged with the intervention material.Conclusions: Findings informed the design of a brief multicomponent guided intervention for adolescents in the antenatal period.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A commentary: what do Rebecca Cheptegei and Gisèle Pelicot have in common?

IF 2.3 4区医学

International Health Pub Date : 2025-02-05 DOI: 10.1093/inthealth/ihaf004

Safieh Shah

引用次数: 0

Intimate partner violence and maternal antenatal care utilization: is there a dose-response relationship? Findings from the Ethiopian National Demographic and Health Survey.

IF 2.3 4区医学

International Health Pub Date : 2025-02-05 DOI: 10.1093/inthealth/ihaf003

Bazie Mekonnen, Abebe Gebremariam, Negussie Deyessa, John N Cranmer

{"title":"Intimate partner violence and maternal antenatal care utilization: is there a dose-response relationship? Findings from the Ethiopian National Demographic and Health Survey.","authors":"Bazie Mekonnen, Abebe Gebremariam, Negussie Deyessa, John N Cranmer","doi":"10.1093/inthealth/ihaf003","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf003","url":null,"abstract":"Background: Maternal mortality in sub-Saharan Africa (SSA) is an enduring public health challenge. Adequate utilization of antenatal care (ANC) services is one strategy to mitigate the problem by identifying and managing pregnancy risks early. Yet, in SSA, uptake of ANC remains low. Intimate partner violence (IPV) may be a deterrent to ANC uptake. We measured the dose-response relationship between IPV and adequate ANC utilization (defined as four or more visits [ANC-4]) using data from the Ethiopia Demographic and Health Survey (EDHS) 2016.Methods: We used complex sample logistic regression to measure the impact of three IPV subscales (emotional, sexual and physical) on ANC-4 while controlling for sociodemographic, obstetric and women empowerment factors.Results: A total of 2599 (weighted) currently married or in-union women were included. There was a significant dose-response relationship between IPV and ANC utilization. Emotional (adjusted odds ratio [aOR] 0.78 [confidence interval {CI} 0.64 to 0.97]) and sexual (aOR 0.68 [CI 0.50 to 0.92]) violence decreased ANC-4 uptake while controlling for the covariates.Conclusions: IPV is common, yet often invisible, in Ethiopia. Health workers may begin directly screening pregnant women for IPV in order to increase targeted support of ANC uptake. This is the first known study to confirm IPV has a dose-response relationship with ANC-4 uptake.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Global trends and projections of high BMI burden and its independent impact on atrial fibrillation and flutter.

IF 2.3 4区医学

International Health Pub Date : 2025-02-04 DOI: 10.1093/inthealth/ihaf005

YuBin He, YaPing Ren, YaYun Zhang, Zixiong Zhu, Xuewen Li

{"title":"Global trends and projections of high BMI burden and its independent impact on atrial fibrillation and flutter.","authors":"YuBin He, YaPing Ren, YaYun Zhang, Zixiong Zhu, Xuewen Li","doi":"10.1093/inthealth/ihaf005","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf005","url":null,"abstract":"Background: This study evaluates changes in the burden of high body mass index (BMI) and its impact on atrial fibrillation and flutter (AF/AFL) using the 2021 Global Burden of Disease database.Methods: Mortality and disability-adjusted life years rates were analysed globally, considering age, sex, geography and the Socio-demographic Index (SDI). Decomposition and frontier analyses assessed the impact of epidemiological drivers and SDI on the burden. The nordpred model validated the predictions.Results: The burden of high BMI is now 2.5 times greater than 30 y ago and will continue to increase over the next 20 y, heavily impacting cardiovascular and metabolic diseases. High BMI-related AF/AFL also poses a significant burden, especially in developed regions. Men's burden grows faster than women's. Decomposition analysis shows epidemiological changes mainly drive burden increases, while in women, population growth is more significant. Frontier analysis indicates that the gap between actual burden and theoretical optimal value has widened with increasing SDI, except in countries such as Bulgaria and the Czech Republic.Conclusions: Over the past 30 y, the overall burden of high BMI and its impact on AF/AFL have increased significantly, highlighting the need for targeted public health strategies.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on 'COVID-19 vaccine wastage in private and public healthcare facilities in KwaZulu-Natal, South Africa'.

IF 2.3 4区医学

International Health Pub Date : 2025-01-31 DOI: 10.1093/inthealth/ihaf009

Amnuay Kleebayoon, Viroj Wiwanitkit

引用次数: 0

Direct economic costs related to antimicrobial resistance in bloodstream infections isolated from newborns in a perinatal hospital in Peru.

IF 2.3 4区医学

International Health Pub Date : 2025-01-30 DOI: 10.1093/inthealth/ihaf006

Maria J Pons, Antonio M Quispe, Miguel Tirado, Gabriela Soza, Joaquim Ruiz

{"title":"Direct economic costs related to antimicrobial resistance in bloodstream infections isolated from newborns in a perinatal hospital in Peru.","authors":"Maria J Pons, Antonio M Quispe, Miguel Tirado, Gabriela Soza, Joaquim Ruiz","doi":"10.1093/inthealth/ihaf006","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf006","url":null,"abstract":"Background: Antimicrobial resistance (AMR) has emerged as a priority for both public health and the global economy. Moreover, information on AMR is scarce, particularly in low/middle-income countries. We evaluated the direct economic cost of microorganisms and AMR.Methods: We performed a cross-sectional study to assess the economic costs of neonatal cases diagnosed with bacteremia at the Instituto Nacional Materno Perinatal in Lima, Peru, from January 2017 to June 2018. We used cost invoices calculated by the micro-costing bottom-up approach, as well as the strain identification and antimicrobial susceptibility data, to estimate the direct costs.Results: The average costs of bacteremia were US$349 (SD 403) for multidrug-resistant (MDR) strains and US$276 (SD 349) for non-MDR strains. Costs were higher for microorganisms associated with late-onset sepsis (LOS). We found that LOS, multidrug resistance and age were significantly associated with bloodstream infection (BSI) costs. Also, all microorganism groups were associated with increased costs, with the highest average costs for Acinetobacter, followed by Pseudomonas.Conclusions: In Peru, BSI costs are strongly associated with AMR. Furthermore, costs increase significantly with LOS, multidrug resistance and the patient's age. We urge health authorities to strengthen measures and strategies against the pressing threat of AMR.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary schools' readiness for SARS-CoV-2 preventive measures in Maputo City, Mozambique: a cross-sectional study.

IF 2.3 4区医学

International Health Pub Date : 2025-01-27 DOI: 10.1093/inthealth/ihaf001

Adilson Fernando Loforte Bauhofer, Ramígio Pololo, Assucênio Chissaque, Fernanda Campos, Édio Ussivane, Luciana António, Fátima Iahaia, Emerson Miranda, Aline Gatambire, Luzia Gonçalves, Nilsa de Deus, Osvaldo Inlamea

{"title":"Primary schools' readiness for SARS-CoV-2 preventive measures in Maputo City, Mozambique: a cross-sectional study.","authors":"Adilson Fernando Loforte Bauhofer, Ramígio Pololo, Assucênio Chissaque, Fernanda Campos, Édio Ussivane, Luciana António, Fátima Iahaia, Emerson Miranda, Aline Gatambire, Luzia Gonçalves, Nilsa de Deus, Osvaldo Inlamea","doi":"10.1093/inthealth/ihaf001","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf001","url":null,"abstract":"Background: To reduce the spread and transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), schools implemented a series of non-pharmacological interventions such as handwashing stations and cleaning protocols. A baseline assessment of the available interventions and readiness scores for SARS-CoV-2 prevention was conducted in primary schools in Maputo City, Mozambique.Methods: A cross-sectional study was conducted between August and October 2023. Data were collected using a semi-structured questionnaire that assessed the availability of preventive measures. Readiness scores were calculated, based on the relative frequency of available preventive measures against SARS-CoV-2, recommended by the government. Schools with readiness scores of 100% were considered ready.Results: Of the enrolled schools, 60.6% (66/109) were from the public sector. The median readiness score for preventive measures against SARS-CoV-2 implemented in schools was 70%. Water was the most frequent available measure, with 98.2% (107/109). Ash/soap for handwashing (47.7% [52/109]) and functioning thermometers (31.2% [34/109]) were the least available measures. Private schools showed significantly higher readiness scores compared with public schools (p<0.001).Conclusions: Private compared with public schools had higher readiness scores for preventive measures against SARS-CoV-2 in Maputo City, Mozambique. These findings suggest a need for targeted interventions to improve readiness in public schools.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Schistosomiasis treatment in young children: a welcome step towards deployment of the paediatric praziquantel formulation.

IF 2.3 4区医学

International Health Pub Date : 2025-01-24 DOI: 10.1093/inthealth/ihae094

J Russell Stothard

引用次数: 0