International Health最新文献

{"title":"The magnitude of intimate partner violence during pregnancy and associated factors in rural Ethiopia.","authors":"Zeleke Dutamo Agde, Nega Assefa, Muluemebet Abera Wordofa","doi":"10.1093/inthealth/ihaf043","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf043","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) during pregnancy is a global public health issue associated with adverse maternal and newborn health outcomes. The aim of this study was to assess the magnitude of IPV during pregnancy and associated factors in rural Ethiopia.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 432 pregnant women in the rural Hadiya Zone, Central Ethiopia, in July 2023, using structured interview questionnaires. Multivariable logistic regression was performed and the results were reported using adjusted ORs (AORs) with 95% CIs.</p><p><strong>Results: </strong>The overall prevalence of IPV during recent pregnancy was 38.37% (95% CI 33.82 to 43.18%). Among the specific forms of IPV, psychological, physical and sexual violence were 28.84% (95% CI 24.62 to 33.43%), 22.09% (95% CI 18.29 to 26.31%) and 20.70% (95% CI 17.02 to 24.84%), respectively. Key factors significantly associated with IPV during pregnancy included early marriage (before the age of 20 y), being uneducated, lower autonomy among women, husbands' cigarette smoking and alcohol consumption, poor knowledge of IPV among husbands and husbands' involvement in antenatal care (ANC). IPV during pregnancy was notably high in the study setting.</p><p><strong>Conclusions: </strong>Empowering women with low literacy, addressing male substance abuse, raising IPV awareness, promoting women's autonomy and encouraging male involvement in ANC visits are critical for reducing IPV.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004317","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}

{"title":"Determinants of the use of insecticide-treated nets and intermittent preventive treatment of malaria among pregnant women in Angola.","authors":"Ai Aoki, Makoto Saito, Olukunmi O Balogun, Hirotsugu Aiga, Ketha R Francisco, Kenji Takehara","doi":"10.1093/inthealth/ihaf033","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf033","url":null,"abstract":"<p><strong>Background: </strong>The determinants of insecticide-treated nets (ITNs) use and uptake of three doses or more of intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp 3+) among pregnant women can vary between regions and is not well studied in Angola.</p><p><strong>Methods: </strong>This study analysed secondary data of a cluster-randomized controlled trial that evaluated the impact of the Maternal and Child Health Handbook (MCH-HB) on the continuum of care among pregnant women and mothers in Angola from 2019 to 2020. Those who received antenatal care (ANC) were analysed. Multivariable logistic regression analyses were performed to assess factors associated with ITN use and IPTp 3+ uptake.</p><p><strong>Results: </strong>Among 8336 participants, 62.7% used ITNs and 48.7% achieved IPTp 3+. Only 31.7% achieved both. Single women were less likely to use ITNs. Women who completed secondary education, were wealthier and achieved IPTp 3+ were more likely to use ITNs. Teenagers, multiparous mothers, rural area residents and those who attended ANC later were less likely to achieve IPTp 3+. Those who completed secondary education, were wealthier, had longer travel times to health facilities and were in the MCH-HB group were more likely to achieve IPTp 3+.</p><p><strong>Conclusions: </strong>The identified risk groups can be targeted for interventions to improve coverage.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005239","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}

{"title":"Medical alliances and diabetes-related distress in China: role of self-efficacy as a partial mediator.","authors":"Chenyu Zhou, Elizabeth Maitland, Stephen Nicholas, Xiaoyu Tian, Rugang Liu","doi":"10.1093/inthealth/ihaf040","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf040","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of diabetes-related distress is high among diabetes mellitus patients, causing physical, psychological and economic burdens. China's general medical alliances and compact general alliances provide treatment for patients with type 2 diabetes mellitus (T2DM). This study aims to analyse the influence of medical alliances on diabetes-related distress and verified the mediating role of self-efficacy among T2DM patients.</p><p><strong>Methods: </strong>From one general and one compact medical alliance, data on 2156 T2DM adults >45 y of age were investigated through a questionnaire survey conducted in China. Diabetes-related distress, medical alliance data, self-efficacy information and control variables were collected. Hierarchical linear regression mediation analysis was used to analyse the influence of compact medical alliances and general medical alliances on diabetes-related distress and to verify self-efficacy as a mediator between medical alliances and diabetes-related distress.</p><p><strong>Results: </strong>Most patients (94.57%) with T2DM were suffering from diabetes-related distress, with an average score of diabetes-related distress (11.77±7.65). The respondents from compact medical alliances had lower diabetes-related distress (11.08±8.64) than from general medical alliances (12.38±6.61). Self-efficacy mediated the association between the type of medical alliance and diabetes-related distress (p<0.05). Higher income, lower health expenditure, lower education level, less sleep time, low physical exercise and low diabetes cognition were significant risk factors of diabetes-related distress (p<0.05).</p><p><strong>Conclusions: </strong>Compact medical alliances reduced diabetic patients' diabetes-related distress significantly more than general medical alliances. Self-efficacy was a mediator between medical alliances and diabetes-related distress. Accelerating the transformation of the compact medical alliances can decrease diabetes-related distress and provide an integrated program of education, diabetes cognition and optimal sleep and exercise regimens to reduce diabetes-related distress.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044859","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}

{"title":"Programmes for pathology: improving health outcomes for low- and middle-income countries in the artificial intelligence paradigm.","authors":"William Matupi","doi":"10.1093/inthealth/ihaf036","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf036","url":null,"abstract":"","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024020","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}

{"title":"Beyond business as usual for lymphatic filariasis mass drug administration in hotspot districts.","authors":"Dziedzom K de Souza, Jeffrey G Sumboh, Nii A Laryea, Odame Asiedu, Bright Alomatu, Sedzro K Mensah, Joseph Otchere, Joseph Larbi Opare, Collins S Ahorlu","doi":"10.1093/inthealth/ihaf039","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf039","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to validate the 'Engage & Treat' (E&T) and 'Test & Treat' (T&T) strategies to treat individuals who seldom or never participate in lymphatic filariasis mass drug administration (LF MDA).</p><p><strong>Methods: </strong>The study was conducted in a hotspot district of Ghana, with 20 years of MDA. Treatment registers documenting participation were used to identify non-participating individuals. Individuals willingly accepting treatment were given the drugs (E&T). Those who refused treatment were offered testing using the filaria test strip (FTS) and further engaged to receive treatment if positive (T&T). A portion of the E&T participants were also tested.</p><p><strong>Results: </strong>Overall, 25 068 individuals who missed the last MDA were identified; 93.13% accepted the drugs; 9958 people were tested, revealing an overall prevalence of 7.26% (95% CI 6.76 to 7.79%). Positivity was higher in T&T (12.10%; 95% CI 10.43 to 13.92%) than in the E&T group (6.47%; 95% CI 5.96 to 7.01%). The odds of testing positive were higher (OR=1.99; 95% CI 1.66 to 2.39; p<0.0001) among the T&T population and missing three consecutive MDAs (OR=2.22; 95% CI 1.86 to 2.64; p<0.0001).</p><p><strong>Conclusions: </strong>The study confirms the validity of the strategies in addressing the challenges with non-treatment during LF MDA. Their implementation in areas of persistent transmission can support elimination in these settings.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041643","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}

{"title":"The time to care is now: a multidisciplinary call to action for addressing paediatric burn injuries globally.","authors":"Kajsa Vlasic, Theresia Mwakyembe, Irma Fleming, Giavonni Lewis, Sudha Jayaraman, Catherine A Staton, Melissa H Watt, Blandina T Mmbaga, Elizabeth M Keating","doi":"10.1093/inthealth/ihaf035","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf035","url":null,"abstract":"","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065082","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}

{"title":"Malawi newborn and child health national clinical practice guidelines: a landscape analysis.","authors":"Roselyn Chipojola, Gertrude Kunje, Suzgika Lakudzala, Mashudu Mthethwa, Nyanyiwe Masingi Mbeye","doi":"10.1093/inthealth/ihaf029","DOIUrl":"10.1093/inthealth/ihaf029","url":null,"abstract":"<p><strong>Background: </strong>Clinical practice guidelines (CPGs) are essential for standardizing healthcare, but their adoption, updating and adaptation remain inconsistent in Malawi. This review evaluated publicly available newborn and child health CPGs from 2017 to 2022, identifying relevant guidelines and assessing their quality using the Appraisal of Guidelines, Research and Evaluation (AGREE) II tool. Key gaps were found in stakeholder involvement and accessibility, highlighting the need to strengthen CPG development and dissemination to improve health outcomes.</p><p><strong>Methods: </strong>A total of 322 records were identified through Google Scholar, Google, the Ministry of Health (MOH) website and MOH offices using predetermined search terms. Hand searches were also conducted. The quality of reporting was appraised using the AGREE II tool.</p><p><strong>Results: </strong>Six CPGs met the eligibility criteria, five covering child health from the perinatal period onwards. CPGs targeted healthcare providers (n=6), program managers (n=2) and researchers (n=2). Topics included prevention, management and treatment. Reporting quality was generally poor, particularly regarding methodological rigour and editorial independence.</p><p><strong>Conclusions: </strong>A collaborative effort including the MOH, non-governmental organizations, professional associations and researchers in developing and adapting newborn and child health CPGs could yield large benefits in improving the quality of care of children in Malawi.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7617649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The state of wildfire and health research: emerging trends, challenges and gaps.","authors":"Ana Raquel Nunes","doi":"10.1093/inthealth/ihaf032","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf032","url":null,"abstract":"<p><strong>Background: </strong>The increasing frequency and severity of wildfires, exacerbated by climate change, population growth and land use changes, have escalated public health risks. These events are associated with respiratory and cardiovascular diseases and adverse mental health outcomes. Vulnerable populations, including children, older people and those with pre-existing health conditions, face particularly high risks.</p><p><strong>Methods: </strong>This study evaluates the existing literature on wildfire-related health impacts. Key variables include publication frequency, geographic distribution, collaborative networks and funding patterns.</p><p><strong>Results: </strong>Findings reveal a concentration of research in high-income regions, particularly North America and Europe, with limited studies from wildfire-prone but under-represented areas such as Latin America, Oceania, Africa and the Caribbean. This geographical disparity restricts comprehensive understanding and effective public health responses to wildfire impacts. The analysis also underscores the need for interdisciplinary approaches.</p><p><strong>Conclusions: </strong>Wildfires continue to pose significant global public health challenges. There is a critical need for more inclusive research efforts, enhanced international collaboration and a stronger focus on health-specific outcomes, especially in under-represented regions. Expanding research in these areas is essential to inform effective public health policies and interventions that address the health risks posed by wildfires worldwide.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804450","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}

{"title":"Unveiling the hidden health challenges: malaria, helminths, STIs and other pathologies among street children, adolescents and young adults in Cameroon.","authors":"Valerie Makoge, Derick Ntale, Rodrigue Roman D Nana, Gervais T Kamga, Jean-Patrick Molu, Vanessa O A Tangueu, Wilfred F Mbacham","doi":"10.1093/inthealth/ihaf031","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf031","url":null,"abstract":"<p><strong>Background: </strong>The phenomenon of street children, adolescents and young adults (SCAYA) is a growing global challenge. In Africa, >10 million children reside in the streets, driven by poverty, abuse and family instability. In Cameroon, this phenomenon is particularly evident in major cities. Being on the street exposes SCAYA to unsanitary living conditions, sexual exploitation, drugs and health challenges. Despite significant health challenges faced by SCAYA, there are few studies on their health status.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in Yaoundé, Cameroon, from March to July 2022. A total of 147 male street children, adolescents and young adults were enrolled through convenience sampling and voluntary consent. Data collection included semi-structured questionnaires, medical examinations and the collection of blood and stool samples for screening infectious diseases. Fisher's exact test and binomial logistic regression were used to assess associations between participant characteristics and health conditions, including malaria, helminth infections, human immunodeficiency virus (HIV) and hepatitis B virus (HBV).</p><p><strong>Results: </strong>Our results revealed a prevalence of malaria parasitaemia of 34.3% (47/137) among mostly asymptomatic participants. Helminth infections accounted 10.9% (16/147), HIV 3.6% (5/138) and HBV 8.7% (12/138). Other pathologies noted were scabies, ringworms, rhinobronchitis, oral infections, wounds and fractures. The logistic regression analysis did not show any statistically significant association between the presence of infectious diseases and the sociodemographic characteristics of SCAYA.</p><p><strong>Conclusion: </strong>Our study is one of the first to shed light on the health status and prevalence of infectious diseases among SCAYA in Cameroon. The absence of significant associations with participant characteristics suggests multifactorial influences on the health of these individuals. Targeted healthcare and social interventions are essential to address SCAYA vulnerabilities and improve health outcomes.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796720","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}

{"title":"Assessment of the burden of Giardia infection and its associated risk factors among children resident in internally displaced persons camps in Mogadishu, Somalia: a cross-sectional study.","authors":"Bashiru Garba, Najib Isse Dirie, Yushau Umar, Abdikani Omar Salah, Ahmed Abdirahim Hussien, Ikram Abdirahman Mohamud Alasow, Hodo Aideed Asowe, Fartun Abdullahi Hassan Orey, Jihaan Hassan, Jamal Hassan Mohamoud, Mohamed Hussein Adam, Mohamed Adam Mahamud, Ibrahim Abdullahi Mohamed, Abdullahi Abdirahman Omar, Mohamed Mustaf Ahmed","doi":"10.1093/inthealth/ihaf034","DOIUrl":"https://doi.org/10.1093/inthealth/ihaf034","url":null,"abstract":"<p><strong>Background: </strong>This study was conducted to determine the prevalence of Giardia duodenalis infection and identify potential risk factors in a healthy population of children living in internally displaced persons (IDP) camps, in Mogadishu, Somalia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among children living in Deyniile and Kahda IDP settlements, Mogadishu. A total of 334 children were randomly selected for stool sample collection and a questionnaire was administered. Giardia infection was diagnosed by antigen detection using a rapid detection kit.</p><p><strong>Results: </strong>The results showed that 32 of the 334 children were positive, giving an overall prevalence of 9.6%. We also found that 196 (58.7%) of the children did not wear footwear, and that a majority of the members of the household (308; 92.2%) practiced open defecation. The regression analysis revealed that children aged <5 y (p=0.002), households in the Kahda IDP camp (p=0.019) and families with >5 members in their households (p=0.034) all have a significantly higher risk of becoming infected with Giardia.</p><p><strong>Conclusion: </strong>The study found that giardiasis persists in the IDP camps. Many of the risk factors were associated with giardiasis, highlighting the significance of parents' education and sanitation conditions in the children's well-being.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796719","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}