{"title":"Trauma Experience Related to Organ Procurement Surgery From Deceased Donors on Attitude Toward Organ Donation: Mediating Effect of Coping Flexibility.","authors":"Geonyoung Kim, Sangjin Ko","doi":"10.1177/00469580251348824","DOIUrl":"10.1177/00469580251348824","url":null,"abstract":"<p><p>To examine the mediating role of coping flexibility in the relationship between traumatic experiences and attitudes toward organ donation among healthcare workers involved in organ procurement surgery. This was a cross-sectional study. Data were collected from 170 healthcare workers with experience in organ procurement surgeries for brain-dead patients at 4 hospitals in South Korea between June 16 and September 30, 2021. The study utilized questionnaires assessing traumatic experience, coping flexibility and attitude toward organ donation. Data were analyzed using the PROCESS macro (IBM SPSS Statistics 28.0). Coping flexibility significantly mediated the relationship between traumatic experiences and attitudes toward organ donation. Traumatic experiences related to organ procurement surgery negatively influenced coping flexibility, while higher coping flexibility was associated with more positive attitudes toward organ donation. Developing educational programs to enhance coping flexibility and regularly assess psychological well-being may improve healthcare workers' attitudes toward organ donation and support their mental health after trauma exposure.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251348824"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295397","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":"Work Stress, Risk Perception, and Social Support: Structural Equation Modeling of Healthcare Staffs' Resilience.","authors":"Xinran Huo, Yunke Shi, Ning Zhang","doi":"10.1177/00469580251355827","DOIUrl":"10.1177/00469580251355827","url":null,"abstract":"<p><p>The research aims to explore the current situation of resilience building of hospital medical personnel and its influencing factors, and try to put forward countermeasures and suggestions to improve the resilience of medical personnel, to alleviate the pressure of medical personnel's work in normal times, and also to prepare for the effective enhancement of emergency treatment capacity in wartime. This study employed a cross-sectional design to survey medical staff from 2 hospital categories (infectious disease specialty hospitals and general hospitals). Using a stratified proportional sampling method, data were collected from 665 participants via scanned Wenjuanxing QR codes between January and March 2024. Data were analyzed using generalized linear models and structural equation modeling (SEM) to examine the relationships between resilience and its determinants. Significant differences in resilience levels were observed based on job position, title, income, and perceived occupational risk (<i>P</i> < .05). Social support emerged as a protective factor (<i>β</i> = .104, <i>P</i> < .001), while risk perception (<i>β</i> = -.135, <i>P</i> = .001) and work stress (<i>β</i> = -.195, <i>P</i> < .001) negatively impacted resilience. Individual factors, such as age and job tenure, moderated these effects. The work stress of medical staff in municipal hospitals is close to the imbalance threshold, and the overall level of mental toughness is good, but attention needs to be paid to their mental health. Work stress, social support and risk perception play an independent role in influencing psychological resilience, with social support playing the highest role in the pathway relationship. We should take comprehensive measures from the welfare distribution system, supportive work environment, regular health promotion, psychological intervention management, and social care system to promote timely relief of work stress and effective mental health interventions for medical staff in municipal hospitals.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251355827"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735467","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":"Factors Influencing Knowledge, Attitudes, and Practices Regarding Sickle Cell Disease Among the Tharu Community in Bardiya District, Nepal.","authors":"Sabina Sankhi, Bharati Kusumya Tharu, Narendra Chaudhary, Sabita Yadav, Rasmila Tamang, Nirmal Raj Marasine","doi":"10.1177/00469580251371877","DOIUrl":"10.1177/00469580251371877","url":null,"abstract":"<p><p>Sickle cell disease (SCD) poses a major health burden among the Tharu community in Bardiya, Nepal, where gaps in knowledge, attitudes, and practices hinder effective disease prevention and management. This study aimed to assess the factors influencing knowledge, attitudes, and practice regarding SCD among the Tharu community in Bardiya District in Nepal. A community-based cross-sectional study was conducted among 423 individuals from the Tharu community across 3 municipalities in Bardiya District, Nepal, from April to September 2024, using a multi-stage random sampling technique. Data were collected through face-to-face interviews using a semi-structured questionnaire. Pearson's chi-square test and multivariable logistic regression analysis were performed at a 5% significance level to determine the associated factors. Of the total, 74.5% of the respondents demonstrated good knowledge, 70% exhibited positive attitudes toward SCD, while 81.8% displayed poor practices. Illiteracy and occupations such as laborer, farmer, housewife, and others were significantly associated with poor knowledge, negative attitudes, and poor practices. Male gender was linked to both poor knowledge and poor practice. Belonging to lower wealth quintiles was associated with negative attitudes and poor practices. Being aged ≥30 years was associated with poor practice only. Despite good knowledge and positive attitudes, SCD-related practices were poor among the Tharu community, influenced by age, gender, education, occupation, and income. Targeted, culturally appropriate interventions including awareness campaigns, school-based education, accessible screening, and genetic counseling are essential to improve practices and reduce SCD burden in Nepal.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251371877"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12402561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978909","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}
Jordan Costa, Soledad Adrianzén McGrath, Paul Carrillo
{"title":"Defining CVI: A Critical Review of Current Conceptualizations and Their Implications for Policy, Research and Practice.","authors":"Jordan Costa, Soledad Adrianzén McGrath, Paul Carrillo","doi":"10.1177/00469580251366146","DOIUrl":"10.1177/00469580251366146","url":null,"abstract":"<p><p>Community Violence Intervention (CVI) operates at the critical intersection of public health and public safety, offering a community-driven approach to reducing violence while addressing its root causes. Grounded in principles of harm reduction, trauma-informed care, and social determinants of health, CVI reframes violence as a public health crisis rather than solely a criminal justice issue. Despite its promise and demonstrated impact, the field of CVI faces challenges that reflect broader gaps in public health policy. A lack of standardized definitions and measurement frameworks has led to fragmented policies, inconsistent funding, and difficulties in scaling evidence-informed approaches. These issues mirror struggles seen in other public health initiatives, where misalignment between research, practice, and policy weakens long-term sustainability. Without a clearly communicated conceptualization, CVI programs risk being co-opted into enforcement-driven models that dilute their public health foundation. This policy insight explores the challenges with definitional and measurement inconsistencies across the field of CVI and what they reveal about broader public health policy challenges. The authors argue that the field must adopt a unified framework that thoughtfully reflects its historical foundations, prioritizes practitioner expertise, and employs evaluation methods that fully capture its impact. By positioning CVI as a pillar of both public health and public safety, policymakers can move beyond reactionary approaches to violence and invest in long-term, community-driven strategies that promote safety and healing.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251366146"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857062","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}
Kathryn Jane Muir, Kathy S Sliwinski, Lee Ang, Kelvin Amenyedor, Antonia M Villarruel, Ann Kutney-Lee, Jacqueline Margo Brooks Carthon
{"title":"Improving Hospital Care for Patients Experiencing Communication Barriers Through Nurse-Endorsed Strategies.","authors":"Kathryn Jane Muir, Kathy S Sliwinski, Lee Ang, Kelvin Amenyedor, Antonia M Villarruel, Ann Kutney-Lee, Jacqueline Margo Brooks Carthon","doi":"10.1177/00469580251370934","DOIUrl":"10.1177/00469580251370934","url":null,"abstract":"<p><p>Patients with limited English proficiency (LEP) are more likely to experience suboptimal health care outcomes, including avoidable emergency department visits and hospital readmissions. Despite legal requirements in the United States to provide patients with LEP language access services such as certified interpreters during care encounters, gaps in these necessary care processes persist. Nurses provide the majority of direct care to patients with LEP in hospitals and oversee the implementation of necessary language access services. The objective of this qualitative study was to describe nurses' experiences providing care to patients with LEP in hospitals to inform actionable strategies for high-quality patient care for this population. A directed content and thematic analysis of 1295 open text responses from the RN4CAST-NY/IL survey of hospital nurses was conducted, informed by the Social Ecological Model. Four themes were identified: (1) Sufficient and Expert Nurse Staffing ; (2) Community-Integrated Teams and Programs; (3) Variation in Language Access Availability and Modalities; and (4) Tailored Language Access. Nurse-endorsed strategies to improve LEP patient care, informed by the themes, include: improving the adequacy and expertise of nurse staffing to include a multilingual workforce; developing community-integrated teams and programs informed by the lived experiences of LEP patients; developing hospital standards for the type of language access services patients receive in care encounters; and developing protocols to ensure that tailored services are delivered to patients depending on their unique care needs (eg, visual or hearing impairment).</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251370934"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12402610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979088","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":"Depression and Anxiety in the Saudi Population: Epidemiological Profiles from Health Surveys and Mental Health Services.","authors":"Ahmed Yahya Almakrob, Ahmed Alduais","doi":"10.1177/00469580251382027","DOIUrl":"https://doi.org/10.1177/00469580251382027","url":null,"abstract":"<p><p>Depression and anxiety are prominent contributors to the global disease burden, with significant health system implications particularly in underexamined contexts such as Saudi Arabia. While existing studies often target discrete subpopulations, few have synthesized national data to evaluate mental health prevalence alongside service utilization. This study addresses that gap by analyzing 4 national datasets-the 2024 National Health Survey, the 2024 Woman and Child Health Survey, the 2017 Disability Survey, and the Ministry of Health's mental health reports-using a framework grounded in WHO standards (ie, the Mental Health Action Plan). We operationalized 8 analytical indicators covering prevalence, symptom frequency, treatment usage, diagnostic distribution, comorbidity patterns, and health system responsiveness. Descriptive statistics and latent class analyses revealed consistently high prevalence of depression and anxiety among adults, children, individuals with disabilities, and healthcare users. Women, adolescents, and chronically ill individuals reported higher symptom severity and lower access to tailored interventions. Mental health service data emphasized diagnostic overrepresentation of psychotic disorders and under-documentation of emotional distress, indicating a systemic diagnostic skew. The findings expose critical gaps between population mental health needs and current diagnostic-service frameworks. By informing SDG 3 (promoting mental health and well-being) and SDG 4 (inclusive education and well-being for children), this study supports enhanced policy design for early identification, equity-focused care, and integration of functional assessment within Saudi Arabia's mental health system.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251382027"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304401","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}
Marte Johanne Tangeraas Hansen, Heidi Syre, Anne Marie Lunde Husebø, Marianne Storm, Ingvild Dalen
{"title":"Stability in Crisis: Nurses' Attitudes and Self-Efficacy Towards Caring for Patients With Multidrug-Resistant Bacteria During the Pandemic.","authors":"Marte Johanne Tangeraas Hansen, Heidi Syre, Anne Marie Lunde Husebø, Marianne Storm, Ingvild Dalen","doi":"10.1177/00469580251332060","DOIUrl":"10.1177/00469580251332060","url":null,"abstract":"<p><p>Multidrug-resistant bacteria (MDRB) are microorganisms with global impact that also share modes of transmission with severe acute respiratory syndrome coronavirus 2. Nurses' attitudes and self-efficacy towards caring for patients with MDRB are crucial in understanding their preventive behaviour, and a pandemic may acquire extraordinary Infection Prevention and Control (IPC) measures. To explore trends in nurses' attitudes and self-efficacy when caring for patients with MDRB. This quantitative, prospective, longitudinal study used a repeated cross-sectional design. Nurses from 5 surgical wards and 2 oncology/haematology wards were invited to participate. The data were collected via 2 instruments: the Multidrug-Resistant Bacteria Attitude Questionnaire and the General Perceived Self-Efficacy Scale. The results were summarised with descriptive statistics, and longitudinal analyses were performed with mixed linear regression. No sample size calculations were made for this study. A total of 512 responses were received, the response rates for the time points were 60% (n = 131, T1), 32% (n = 72, T2), 47% (n = 109, T3), 48% (n = 108, T4), and 41% (n = 92, T5). No significant longitudinal changes in nurses' attitudes and self-efficacy regarding infection prevention and control when caring for patients with MDRB were found. However, a small but significant negative change in nurses' professional and emotional approach to caring for such patients was observed towards the end of the study period. A small but significant change in the nurses' self-efficacy was observed between May 2020 and March 2021, indicating an increase in infection control self-efficacy during the first year of the COVID-19 pandemic. The stable knowledge, behavioural intentions and emotional responses contradict similar international studies. Nonetheless, moderate but stable emotional responses and high self-efficacy may indicate mental resilience in the nursing workforce, a pandemic preparedness resource that should be preserved.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251332060"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259416","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}
Daniel Oleas, José Alejandro Valdevila Figueira, Rocio Valdevila Santiestevan, Rodrigo Moreta-Herrera, Guido Mascialino, Jose A Rodas
{"title":"Psychometric Evaluation of the Positive and Negative Suicide Ideation Inventory in Ecuadorian Population.","authors":"Daniel Oleas, José Alejandro Valdevila Figueira, Rocio Valdevila Santiestevan, Rodrigo Moreta-Herrera, Guido Mascialino, Jose A Rodas","doi":"10.1177/00469580251337665","DOIUrl":"10.1177/00469580251337665","url":null,"abstract":"<p><p>The Positive and Negative Suicide Ideation (PANSI) inventory is a widely used measure to assess risk and protective factors associated with suicidal ideation. Despite its use in various populations, its psychometric properties have not been evaluated in Ecuador. This study examines the reliability, factorial structure, and convergent validity of the PANSI in a sample of Ecuadorian university students. A total of 702 university students completed the PANSI, the Beck Hopelessness Scale, and the Rosenberg Self-Esteem Scale. Internal consistency was assessed using Cronbach's alpha and McDonald's omega. Confirmatory factor analysis (CFA) was conducted to evaluate the factorial structure of the PANSI. Convergent validity was examined through Pearson correlations between PANSI subscales and external measures. Both subscales of the PANSI demonstrated excellent internal consistency (Negative Suicide Ideation: ω = 0.95; Positive Suicide Ideation: ω = 0.82). CFA supported the original 2-factor model, with adequate fit indices (RMSEA = 0.092, SRMR = 0.08, CFI = 0.99, TLI = 0.99). The Negative Suicide Ideation subscale correlated positively with hopelessness (<i>r</i> = .518, <i>P</i> < .001) and negatively with self-esteem (<i>r</i> = -.529, <i>P</i> < .001), while the Positive Suicide Ideation subscale correlated negatively with hopelessness (<i>r</i> = -.557, <i>P</i> < .001) and positively with self-esteem (<i>r</i> = .530, <i>P</i> < .001), supporting convergent validity. The findings indicate that the PANSI is a reliable and valid measure for assessing suicidal ideation in Ecuadorian university students, and arguably, Ecuadorian population. Its ability to capture both risk and protective factors highlights its utility in clinical and educational settings for suicide prevention efforts.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251337665"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235977","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}
Abdul Kadir, Riza Yosia Sunindijo, Baiduri Widanarko, Dadan Erwandi, Sjahrul M Nasri, Bangga Agung Satrya, Stevan Deby Anbiya Muhamad Sunarno, Hardy Atmajaya, Popy Yuniar, Tubagus Dwika Yuantoko, Lailatul Qomariyah, Cynthia Febrina Maharani
{"title":"Impact of Physical and Psychological Strain on Work-Related Musculoskeletal Disorders: A Cross-Sectional Study in the Construction Industry.","authors":"Abdul Kadir, Riza Yosia Sunindijo, Baiduri Widanarko, Dadan Erwandi, Sjahrul M Nasri, Bangga Agung Satrya, Stevan Deby Anbiya Muhamad Sunarno, Hardy Atmajaya, Popy Yuniar, Tubagus Dwika Yuantoko, Lailatul Qomariyah, Cynthia Febrina Maharani","doi":"10.1177/00469580251315348","DOIUrl":"10.1177/00469580251315348","url":null,"abstract":"<p><p>This study examined the interplay between physical workload, psychological stress, and the prevalence of work-related musculoskeletal disorders (WMSDs) among construction workers in Indonesia. This cross-sectional study used a purposive sampling technique to gather quantitative data from 409 respondents working in four construction companies through structured questionnaires. Data collection tools included the Copenhagen Psychosocial Questionnaire III (COPSOQ III), the K10 scale for psychosocial distress, and the Nordic Body Map for musculoskeletal symptoms. Independent variables encompassed demographic factors, physical work environment, and psychosocial aspects, while the dependent variable was the presence of work-related musculoskeletal disorders (WMSDs) symptoms over the past 7 days and 12 months. Descriptive statistics and logistic regression analyses were performed using IBM SPSS Statistics Grad Pack 29.0 PREMIUM. The study revealed a high prevalence of WMSDs among workers, with 36.2% reporting symptoms in the past 7 days and 31.5% in the past 12 months. These symptoms primarily affected the neck, shoulders, back, and waist. Both physical and psychosocial factors were found to the risk, with high levels of somatic stress and sleep disorders significantly increasing the likelihood of WMSDs. Psychological distress emerged as a particularly strong predictor to these disorders. The findings underscore the importance of implementing targeted interventions and safety policies to mitigate WMSDs risks and improve occupational health within the construction industry.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251315348"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069733","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}
Reinpeter Momanyi, Steve Bicko Cygu, Agnes Kiragga, Henry Owoko Odero, Maureen Ng'etich, Gershim Asiki, Tatenda Duncan Kavu
{"title":"Analyzing Demographic Grocery Purchase Patterns in Kenyan Supermarkets Through Unsupervised Learning Techniques.","authors":"Reinpeter Momanyi, Steve Bicko Cygu, Agnes Kiragga, Henry Owoko Odero, Maureen Ng'etich, Gershim Asiki, Tatenda Duncan Kavu","doi":"10.1177/00469580251319905","DOIUrl":"10.1177/00469580251319905","url":null,"abstract":"<p><p>Kenya is experiencing a significant increase in the prevalence of non-communicable diseases (NCDs) such as cardiovascular diseases, hypertension, Type 2 diabetes, and certain cancers (bowel, lung, prostate, and uterine). This case is not unique to Kenya but is common in many Low and Middle-Income Countries (LMICs) in Africa. Many NCDs, are linked to diets high in added sugars, sodium, saturated fat, and low in fiber. There is a notable lack of information regarding the demographic differences among supermarket customers and their purchasing habits of healthy versus unhealthy foods in some parts of Africa. This gap in knowledge hinders the ability to connect grocery purchase patterns to NCDs, including obesity. Supermarkets in LMICs offer valuable demographic insights through grocery data. This research utilizes NOVA classification tool, data mining and unsupervised machine learning techniques to analyze grocery purchase patterns in 10 supermarkets across 5 counties in Kenya between 2022 and 2023. The apriori algorithm was used to create association rules and an analysis was done on the association rules to find out the relationship between demography (location, gender, and age) with purchase patterns. Individual data was collected along with transaction data, since the supermarkets logged transactions done by loyalty card customers. The main aim is to provide guidance to policymakers in public health. We collected 3 934 122 unique transactions and each transaction was associated with a customer who was identified with a unique customer ID. Findings from this research demonstrate that 53% of food purchases from these transactions were mainly industrially processed food items and males above the age of 50 years were the main consumers of these food items. The findings lead to the conclusion that this purchase trend has a chance of rising NCDs in older people. Therefore we recommend that policymakers adopt our recommendations to safeguard public health.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251319905"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494969","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}