International Health最新文献_第4页

Left behind no more: ensuring equitable vaccine access to curb mpox in Africa. 不再掉队：确保公平获得疫苗以遏制非洲的麻疹。

IF 2.3 4区医学

International Health Pub Date : 2025-07-01 DOI: 10.1093/inthealth/ihaf018

Obasanjo Bolarinwa, Aliu Mohammed, Yusuff Adebayo Adebisi, Oluwaseun Oyewo

引用次数: 0

Use effectiveness of the symptothermal method to ameliorate unmet need for family planning in Kisumu County, Kenya. 利用对症热法的有效性改善肯尼亚基苏木县未满足的计划生育需求。

IF 2.3 4区医学

International Health Pub Date : 2025-06-30 DOI: 10.1093/inthealth/ihaf072

Catherine E Igben-Pender, Peter Omemo, Gideon Ng'wena

{"title":"Use effectiveness of the symptothermal method to ameliorate unmet need for family planning in Kisumu County, Kenya.","authors":"Catherine E Igben-Pender, Peter Omemo, Gideon Ng'wena","doi":"10.1093/inthealth/ihaf072","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf072","url":null,"abstract":"Background: This study assessed the use effectiveness of the symptothermal method (STM) to ameliorate the unmet need for family planning.Methods: The study adopted a quasi-experimental design. A total of 260 women, comprising 136 STM users (interventional group) and 124 oral contraceptive pill (OCP) users (control group), were recruited. Intervention was conducted for 3 months with longitudinal monitoring for 12 months. Questionnaires, cycle charts and thermometers were used for data collection and data were analysed using SPSS version 23 (IBM, Armonk, NY, USA). To estimate the use effectiveness of STM vs OCPs, survival analysis of the Life table and Kaplan-Meier with log rank, was performed at 95% confidence interval (CI). To estimate the hazard ratio based on the effects of its covariates, a Cox proportional hazards model with 95% CI was applied. The Cox proportional hazards assumption was checked and four categorical covariates were adjusted for in the Cox model analysis.Results: In the STM group, no pregnancy occurred. Use effectiveness of STM for 12 months was 100%. For OCPs, three pregnancies occurred. The use effectiveness was 97-99% with failure of 1-2%. The Cox proportional hazards model had a hazard ratio of 0.01 (p=0.058), indicating that the risk of unintended pregnancy was lowered by 99% in STM users compared with OCP users. A p-value >0.05 indicated no significant difference between the two groups.Conclusions: Our study demonstrated that STM, when used correctly, is very effective in ameliorating the unmet need for family planning based on the World Health Organization's algorithm on STM effectiveness as an alternative to artificial contraceptive methods.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530633","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, regional and national burden of skin and subcutaneous diseases: a systematic analysis of the Global Burden of Disease Study 2021. 全球、区域和国家皮肤和皮下疾病负担：对《2021年全球疾病负担研究》的系统分析

IF 2.3 4区医学

International Health Pub Date : 2025-06-28 DOI: 10.1093/inthealth/ihaf070

Deng Li, Siqi Fan, Haochen Zhao, Jiayi Song, Wei Li, Xuewen Xu

{"title":"Global, regional and national burden of skin and subcutaneous diseases: a systematic analysis of the Global Burden of Disease Study 2021.","authors":"Deng Li, Siqi Fan, Haochen Zhao, Jiayi Song, Wei Li, Xuewen Xu","doi":"10.1093/inthealth/ihaf070","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf070","url":null,"abstract":"Background: Skin and subcutaneous diseases (SSDs) represent a growing global health burden. This study aims to assess global, regional and national trends in the incidence, prevalence, mortality and disability-adjusted life years (DALYs) associated with 15 specific SSDs from 1990 to 2021, providing a comprehensive stratification by age, sex, sociodemographic index (SDI) and region.Methods: Data from the Global Burden of Disease (GBD) Study 2021, covering 204 countries, were analysed for age-standardized rates of incidence, prevalence, mortality and DALYs. Temporal trends were assessed using annual percentage change, age-period-cohort modelling and compositional analysis by SDI and GBD region.Results: In 2021, SSDs accounted for 4.7 billion incident cases, 2.0 billion prevalent cases, 119 129 deaths and 41.9 million DALYs globally. Incidence and prevalence have increased by >35% since 1990, with a higher burden among females and older adults. Immune-mediated and inflammatory SSDs have overtaken infectious conditions in high- and middle-SDI regions, while infections still dominate in low-SDI regions. Sub-Saharan Africa and tropical Latin America had the highest incidence and mortality burdens, respectively. A marked epidemiological shift was observed across most regions, with notable compositional transitions in SSD types over time.Conclusions: SSDs are increasing globally, with significant regional and socio-economic disparities. Targeted interventions and improved access to dermatologic care are critical for addressing the growing burden, especially in resource-limited regions.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530630","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

Is equitable access to health and social care possible for Vietnamese older adults? Care providers' perspectives. 越南老年人是否有可能公平获得保健和社会护理？护理提供者的观点。

IF 2.3 4区医学

International Health Pub Date : 2025-06-25 DOI: 10.1093/inthealth/ihaf066

Man Thi Hue Vo, Keiko Nakamura, Dai Tri Han Tran, T J Robinson T Moncatar

{"title":"Is equitable access to health and social care possible for Vietnamese older adults? Care providers' perspectives.","authors":"Man Thi Hue Vo, Keiko Nakamura, Dai Tri Han Tran, T J Robinson T Moncatar","doi":"10.1093/inthealth/ihaf066","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf066","url":null,"abstract":"Background: Despite growing initiatives to support older adults, disparities in accessing health and social care services persist in developing countries such as Vietnam. Insufficient evidence exists on how to improve equitable access to these services. This study aimed to determine care workers' perceptions of disparities in service accessibility and potential solutions in facilitating equal access for older adults.Methods: A qualitative study included 27 focus group discussions and in-depth interviews conducted using a semi-structured questionnaire with 171 health and social care workers in Thua Thien Hue Province, Vietnam in 2019. Inductive thematic analysis was used to identify the perceived disparities and solutions.Results: Three main themes emerged concerning these disparities: socio-economic and geographic barriers, cultural stigma and access gaps for disadvantaged communities. To facilitate equitable access, it was perceived crucial to enhance social protection coverage and benefits, empower community-based care and localized programs and implement targeted interventions.Conclusions: The findings indicate persistent disparities. However, effective implementation of social health protection, fostering community engagement and targeted interventions can be beneficial in narrowing these gaps. The findings suggest that achieving equitable access for Vietnam's aging population is within reach through a more comprehensive social protection system.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486764","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

Microbial foodborne outbreaks in Africa: a systematic review. 非洲微生物食源性暴发：系统回顾。

IF 2.3 4区医学

International Health Pub Date : 2025-06-24 DOI: 10.1093/inthealth/ihaf058

Famous K Sosah, Eric S Donkor

{"title":"Microbial foodborne outbreaks in Africa: a systematic review.","authors":"Famous K Sosah, Eric S Donkor","doi":"10.1093/inthealth/ihaf058","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf058","url":null,"abstract":"Microbial foodborne outbreaks are a severe public health challenge in Africa, which bears the highest global burden due to systemic vulnerabilities. Common microbial pathogens contaminate various foods, particularly raw and processed meats, leading to significant morbidity, mortality and economic losses. In this review, data from 31 studies encompassing 42 microbial foodborne outbreaks in Africa were synthesized, analyzed and visualized. Overall, 877 067 of infections and intoxications occurred, with 2064 hospitalizations and 2061 deaths. Salmonella enterica accounted for the most of infections and intoxication (53.6%), while Staphylococcus aureus caused the highest rate of outbreaks (21.4%). Clostridium botulinum was associated with the highest fatality (46.154%), followed by Listeria monocytogenes (20.323%). The implicated food vehicles in the outbreaks included processed meats (38.1%), cereals, legumes and tuber (21.43%), vegetables (9.52%) and seafood (7.14%). The key contributing factors were poor hygiene, inadequate food storage and limited compliance with food safety practices. Addressing critical deficiencies in food safety infrastructure, public awareness and hygiene practices requires enhanced surveillance systems, stricter regulatory frameworks, investment in infrastructure and public education campaigns. Efforts should prioritize the control of prevalent pathogens to mitigate the health and socioeconomic impacts of foodborne illnesses across the continent.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530632","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

'I struggle to feel normal': phenomenological analysis of experience with living in crises resettlement camps in Nigeria. “我挣扎着感觉正常”：对尼日利亚危机安置营生活经历的现象学分析。

IF 2.3 4区医学

International Health Pub Date : 2025-06-24 DOI: 10.1093/inthealth/ihaf065

Promise Nmesomachi Timothy, Uchenna Frank Imo, Chimankpam Kingsley Ogbonna, Abuo James, Temidayo Akinreni, Mfonobong Akpandem, Miracle Nwadiche, Precious Azubuike

{"title":"'I struggle to feel normal': phenomenological analysis of experience with living in crises resettlement camps in Nigeria.","authors":"Promise Nmesomachi Timothy, Uchenna Frank Imo, Chimankpam Kingsley Ogbonna, Abuo James, Temidayo Akinreni, Mfonobong Akpandem, Miracle Nwadiche, Precious Azubuike","doi":"10.1093/inthealth/ihaf065","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf065","url":null,"abstract":"Background: Nigeria has experienced several humanitarian crises and displacement over the years. The physical and psychological impact of these crises has been severe, with many experiencing trauma and stress-related disorders within internally displaced persons camps. To develop interventions that address the needs of settlers in camps, a comprehensive understanding of their experiences is essential.Methods: Our qualitative study employed phenomenological analysis to explore the lived experiences of victims of humanitarian crises within internally displaced persons camps. Purposive sampling was used to recruit participants for the focus group discussions, and we employed snowballing to recruit participants for the in-depth interviews.Results: Four themes and 10 subthemes emerged from the analysis. Participants' experiences were laced with harsh physical living conditions, including deteriorated and leaking roofs in camps, inadequate water, sanitation and hygiene facilities and limited autonomy and self-sustenance. The inability to connect with relatives outside the camps fostered feelings of isolation, hopelessness and anxiety.Conclusions: Our study emphasizes the importance of establishing livable conditions for displaced persons living in camps and other resettlement settings, while fostering social connections with external communities. This connection may enhance their hopes for a normal life, build resilience and facilitate their social integration back into society.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530631","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

Challenges in sustaining the elimination of visceral leishmaniasis in India. 在印度持续消除内脏利什曼病的挑战。

IF 2.3 4区医学

International Health Pub Date : 2025-06-18 DOI: 10.1093/inthealth/ihaf063

Mitali Chatterjee, Syamal Roy, Simon L Croft

引用次数: 0

Does climate change influence the spread of malaria in Benin? Insights from ecological niche modeling for surveillance efforts. 气候变化是否影响贝宁疟疾的传播？从监测工作的生态位模型中获得的见解。

IF 2.3 4区医学

International Health Pub Date : 2025-06-09 DOI: 10.1093/inthealth/ihaf064

Donald Romaric Yehouenou Tessi, Eben-Ezer Apelete, Sunday Berlioz Kakpo, Romeo Thierry Yehouenou Tessi, Aysel Çağlan Günal

{"title":"Does climate change influence the spread of malaria in Benin? Insights from ecological niche modeling for surveillance efforts.","authors":"Donald Romaric Yehouenou Tessi, Eben-Ezer Apelete, Sunday Berlioz Kakpo, Romeo Thierry Yehouenou Tessi, Aysel Çağlan Günal","doi":"10.1093/inthealth/ihaf064","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf064","url":null,"abstract":"Background: Malaria is a severe and endemic disease, remaining one of the most prevalent tropical illnesses and a leading cause of death among children aged <5 y. Anopheles gambiae, the primary vector of malaria in Benin, plays a critical role in its transmission. This study aims to contribute to the health protection of populations in Benin by assessing the risk of vector-borne diseases, particularly malaria, in the context of climate change.Methods: Using the Maxent algorithm for ecological niche modeling, we mapped the distribution of A. gambiae, a highly effective vector of Plasmodium parasites.Results: Our findings revealed that high-risk areas for malaria cover nearly all departments of Benin, with the majority of southern departments-Mono, Littoral, Couffo, Ouémé, Plateau and Zou-identified as high-risk zones. Projections for 2055 under Representative Concentration Pathway (RCP) 4.5 and RCP 8.5 climate scenarios indicate a significant expansion of high-risk areas, extending to Collines and parts of Donga, Borgou and Atacora.Conclusions: Climate change is expected to exacerbate the spread of A. gambiae, increasing the disease risk across the country. These results are crucial for guiding policymakers in Benin to mitigate the current impact of malaria and implement preventative measures to address future risks.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250484","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

Women empowerment and healthcare utilization for childhood illnesses: evidence from Ethiopia. 妇女赋权和儿童疾病保健利用：来自埃塞俄比亚的证据。

IF 2.3 4区医学

International Health Pub Date : 2025-05-31 DOI: 10.1093/inthealth/ihaf062

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

{"title":"Women empowerment and healthcare utilization for childhood illnesses: evidence from Ethiopia.","authors":"Bazie Mekonnen, Abebe Gebremariam, Negussie Deyessa, John N Cranmer","doi":"10.1093/inthealth/ihaf062","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf062","url":null,"abstract":"Background: Five million children <5 y of age died globally in 2021, the majority (56%) in sub-Saharan Africa (SSA). Many of the deaths in children <5 y of age could be prevented through early detection and treatment. However, healthcare utilization for childhood illnesses remains low in the region. The aim of this study was to assess the relationship between women empowerment and healthcare utilization for childhood illnesses.Methods: The main predictor variable for this study was women's empowerment and the outcome variable was healthcare utilization for childhood illnesses. The data source for the study was the 2016 Ethiopia Demographic and Health Survey dataset. Complex sample ordinal regression analysis was employed, controlling for confounders. Adjusted cumulative odds ratios (cuORs) and 95% confidence intervals were computed to estimate effect size.Results: A total of 2101 (weighted) cases of children <5 y of age were included in this study. Children whose mothers were empowered with a wife-beating attitude were 59% more likely to get healthcare for all illnesses in children <5 y of age (β=0.46, cuOR 1.59, p<0.01). Children whose mothers had no problems with healthcare access were also more likely to receive health services for all illnesses in children <5 y of age (β=0.42, cuOR 1.52, p=0.01).Conclusions: Women's empowerment has a significant effect on healthcare utilization for illnesses in children <5 y of age. The finding indicates empowering women, sooner or later, is empowering the family.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192424","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

Opportunities and challenges in China's CDC system reform: a grassroots perspective. 基层视角下中国疾控体制改革的机遇与挑战。

IF 2.3 4区医学

International Health Pub Date : 2025-05-30 DOI: 10.1093/inthealth/ihaf061

Yanqing Zhang, Yongtao Zheng, Chunmei Ye, Biao Li

引用次数: 0