Medicine, Conflict and Survival最新文献_第3页

Food as a weapon: the systematic starvation of Gaza's children amidst conflict in 2025. 作为武器的食物：2025年冲突中加沙儿童的系统性饥饿。

Medicine, Conflict and Survival Pub Date : 2026-08-10 DOI: 10.1080/13623699.2026.2703362

Muhammad Haseeb, Muhammad Usman Ali, Areeba Younas

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Effect of exposure to conflicts on childhood mortality: analyses of pooled cross-sectional data from 105 surveys from 52 countries. 接触冲突对儿童死亡率的影响：对52个国家105项调查的汇总横断面数据的分析。

Medicine, Conflict and Survival Pub Date : 2026-08-05 DOI: 10.1080/13623699.2026.2673302

Srinivas Goli, Nandeen Bhattacharyya, Shalem Balla, Harchand Ram

{"title":"Effect of exposure to conflicts on childhood mortality: analyses of pooled cross-sectional data from 105 surveys from 52 countries.","authors":"Srinivas Goli, Nandeen Bhattacharyya, Shalem Balla, Harchand Ram","doi":"10.1080/13623699.2026.2673302","DOIUrl":"https://doi.org/10.1080/13623699.2026.2673302","url":null,"abstract":"This study examines the relationship between armed conflict exposure and child mortality using a large-scale, multi-country dataset. We pool cross-sectional data from 105 Demographic and Health Surveys across 52 countries between 1998 and 2018, linking georeferenced conflict events from the Uppsala Conflict Data Program (UCDP) with individual-level records for 943,139 preschool-age children. A Cox proportional hazards model is used to estimate the association between conflict exposure and under-five mortality, controlling for socio-economic, demographic, and provincial-level characteristics. Results show a significant and robust association between conflict exposure and excess child mortality. In the baseline model, exposed children face a higher log hazard of death (β = 0.186, p < 0.01), corresponding to roughly a 20% increase in mortality hazard. The association holds regionally, with a 24% higher hazard in Asia and a 14% increase in Africa, and remains significant in fully adjusted specifications. Mediation analyses reveal that conflict exposure reduces maternal healthcare utilization (4+ ANC visits: β = -0.202, p < 0.01) and institutional delivery (β = -0.188, p < 0.01). Findings are robust across alternative conflict measures, geo-coded sub-samples, and non-migrant populations. The evidence highlights the urgent need to protect maternal and child health services in conflict-affected settings.","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"1-34"},"PeriodicalIF":0.0,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674699","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}

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When global conflicts hit home: moral injury in the UK healthcare workforce. 当全球冲突冲击国内：英国医疗工作者的道德伤害。

Medicine, Conflict and Survival Pub Date : 2026-08-03 DOI: 10.1080/13623699.2026.2710574

Mahira Syed, Hina J Shahid, Shahid Latif

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Influence of armed conflict-intensity on maternal health outcomes: the case of antenatal care visits in Colombia. 武装冲突强度对孕产妇健康结果的影响：以哥伦比亚产前保健检查为例。

Medicine, Conflict and Survival Pub Date : 2026-07-17 DOI: 10.1080/13623699.2026.2679934

Ernesto Cardenas, Ana María Osorio, Gustavo Alfonso Romero Olmedo, David Rodriguez-Barco

{"title":"Influence of armed conflict-intensity on maternal health outcomes: the case of antenatal care visits in Colombia.","authors":"Ernesto Cardenas, Ana María Osorio, Gustavo Alfonso Romero Olmedo, David Rodriguez-Barco","doi":"10.1080/13623699.2026.2679934","DOIUrl":"https://doi.org/10.1080/13623699.2026.2679934","url":null,"abstract":"This study assesses the effect of armed conflict intensity, measured by the frequency and severity of violent incidents at the departmental level, on women's uptake of antenatal care in Colombia. We conducted a cross-sectional analysis using the 2015 Colombian Demographic and Health Survey linked to data from the National Center for Historical Memory for 1985-2015. Multilevel logistic regression models were fitted to estimate the association between departmental conflict intensity and the probability of attending four or more antenatal visits, adjusting for individual-, household-, and area-level covariates. After adjustment, residing in departments with high conflict intensity was associated with lower odds of attending ≥4 antenatal visits compared with low-intensity departments (OR = 0.63, 95% CI 0.42-0.95, p < 0.005). Household wealth moderated this association. Independently, higher maternal wealth, autonomy, and education increased the likelihood of attending ≥4 visits, whereas shorter birth intervals, a greater number of children under five in the household, and urban residence reduced that likelihood. High intensity armed conflict is independently associated with reduced uptake of recommended antenatal care in Colombia. Maternal socioeconomic resources modify this relationship. Maternal health strategies tailored to the constraints of high conflict settings are needed to improve antenatal care coverage and equity.","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"1-22"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474143","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}

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Actualizing the right to health: from aspiration to a domestic enforceable duty. 实现健康权：从愿望到国内可执行义务。

Medicine, Conflict and Survival Pub Date : 2026-06-02 DOI: 10.1080/13623699.2026.2679931

Bilal Irfan, Tlaleng Mofokeng, Letlhogonolo Mokgoroane

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Mental health impact of exposure to armed conflict in Colombia. 哥伦比亚武装冲突对心理健康的影响。

Medicine, Conflict and Survival Pub Date : 2026-06-01 Epub Date: 2026-02-10 DOI: 10.1080/13623699.2026.2620123

Marie Louise Drivsholm Østergaard, Diego Mauricio Aponte-Canencio, Maria Fernanda Bohórquez, Shennya Ruiz-Parra, Marie Brasholt, Jens Modvig

{"title":"Mental health impact of exposure to armed conflict in Colombia.","authors":"Marie Louise Drivsholm Østergaard, Diego Mauricio Aponte-Canencio, Maria Fernanda Bohórquez, Shennya Ruiz-Parra, Marie Brasholt, Jens Modvig","doi":"10.1080/13623699.2026.2620123","DOIUrl":"10.1080/13623699.2026.2620123","url":null,"abstract":"With the view to addressing the mental health needs of the Colombian population, exposed to many decades of armed conflict, an interview-based cross-sectional survey study was implemented in five departments (regions) of Colombia. The survey instrument measured, inter alia, exposure to armed conflict (LEC-5 and victim status) and health outcome (SCL-25 and self-reported health). 4480 interviews were conducted by trained interviewers. The results showed no association between prevalence of mental health symptoms and resident area exposure to armed conflict. However, a clear association between both number of events reported and victim status on the one hand and depression and anxiety as well as self-reported health on the other was found. Exposure to one and two or more events were associated with relative risk of depression or anxiety or both of 1.8 (CI 1.4-2.6) and 4.2 (CI 3.5-14.8) compared to no exposure. The other indicators used showed similar gradients. In conclusion, this survey study showed a strong association between exposure to armed conflict and health, including mental health, impact.","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"307-326"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151216","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}

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Correction. 修正。

Medicine, Conflict and Survival Pub Date : 2026-06-01 Epub Date: 2026-03-05 DOI: 10.1080/13623699.2026.2642032

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Medical education in Gaza: navigating disruption during the 2023-2025 Israeli military assault and beyond. 加沙的医学教育：应对2023-2025年以色列军事袭击期间及以后的中断。

Medicine, Conflict and Survival Pub Date : 2026-06-01 Epub Date: 2026-02-24 DOI: 10.1080/13623699.2025.2605928

Abdulwhhab Abu Alamrain, Bilal Irfan, Khansa Irfan, Ahmad Ibsais, Maria Leister, Minahil Raheel, Elham Khateeb, Shameq Sayeed, Ismail Kalla, Izzeddin S F Lulu, Mohammed Halimy, Othman Alagha, Mohammed Alhabil, Ali S Alghaliz, Abd Al-Karim Sammour, Abdullah Ghali, Muhammad Sultan, Osaid Alser, Mohammed Zughbur

{"title":"Medical education in Gaza: navigating disruption during the 2023-2025 Israeli military assault and beyond.","authors":"Abdulwhhab Abu Alamrain, Bilal Irfan, Khansa Irfan, Ahmad Ibsais, Maria Leister, Minahil Raheel, Elham Khateeb, Shameq Sayeed, Ismail Kalla, Izzeddin S F Lulu, Mohammed Halimy, Othman Alagha, Mohammed Alhabil, Ali S Alghaliz, Abd Al-Karim Sammour, Abdullah Ghali, Muhammad Sultan, Osaid Alser, Mohammed Zughbur","doi":"10.1080/13623699.2025.2605928","DOIUrl":"10.1080/13623699.2025.2605928","url":null,"abstract":"Before October 2023, Gaza's medical education, offered by Al-Azhar University and the Islamic University, enrolled around 2500 students and played a vital role in training local physicians despite the blockade-related challenges. The ongoing military assault has since devastated both the educational and healthcare infrastructure. Medical schools and hospitals have been damaged, destroyed, or militarized, while students and faculty have faced displacement, resources scarcity, and severe psychological distress. Education has been further disrupted by power outages, internet restrictions, unsafe travel and harsh living conditions. Despite these obstacles, students and faculty continue to adapt. Many have completed courses online, relocated abroad, or even managed to fulfill graduation requirements. Yet credentialing barriers and mental health burdens persist. Urgent global collaboration is needed to restore Gaza's medical education. Key priorities include expanding online programs, offering diverse training opportunities, creating safe learning environments, and supporting mental health. Recognizing Gazan medical students' frontline volunteering experience is also essential. This paper documents the state of medical education in Gaza before and during the 2023-2025 assault, examines its disruptions, and outlines recovery strategies drawing from available reports and academic literature.","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"278-306"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286140","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}

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Correction. 修正。

Medicine, Conflict and Survival Pub Date : 2026-06-01 Epub Date: 2026-03-16 DOI: 10.1080/13623699.2026.2646707

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Bridging the gap: strengthening maternal and child health systems in Nigeria's conflict-affected and stable states. 弥合差距：加强尼日利亚受冲突影响和稳定国家的妇幼卫生系统。

Medicine, Conflict and Survival Pub Date : 2026-06-01 Epub Date: 2026-02-16 DOI: 10.1080/13623699.2026.2619988

Abdullahi Tunde Aborode, Oche Joseph Otorkpa, Sodiq Fakorede, Chioma Ezeajughi, Azeezat Modesola Abereijo, Victor Ifechukwude Agboli, Kenechukwu Obumneme Samuel Nwosu, Abdulkareem Olakilekun Abdullateef, Iyanuoluwa Oyedeji Oyetunji, Oluwadotun Catherine Balogun, Sharmistha Roy, Oluwafunto Adepeju Aladekomo, Barakat Olajumoke Kolawole, Meghna Lama, Ogochukwu Ruth Abasilim, Odinakachukwu Ogechi Dimgba, Joel J Komakech, Josephine Moshe Ibu

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