Alex Odoom, Patience B Tetteh-Quarcoo, Eric S Donkor
{"title":"Prevalence of Hospital-Acquired Infections in Low- and Middle-Income Countries: Systematic Review and Meta-Analysis.","authors":"Alex Odoom, Patience B Tetteh-Quarcoo, Eric S Donkor","doi":"10.1177/10105395251338002","DOIUrl":"https://doi.org/10.1177/10105395251338002","url":null,"abstract":"<p><p>The burden of hospital-acquired infections (HAIs) is particularly substantial in low- and middle-income countries (LMICs). However, a comprehensive understanding of their prevalence in these regions is lacking. This systematic review aimed to evaluate the prevalence of HAIs in LMICs. Major databases, including Scopus, PubMed, and Web of Science, were thoroughly searched for published studies between January 1, 2000, and July 15, 2024. The PRISMA guidelines were followed. The pooled prevalence of HAIs was estimated using a random-effects model and a 95% confidence interval. The literature search identified 87 studies reporting HAI prevalence in LMICs. The overall prevalence of HAIs across LMICs was 22% (95% CI = [17, 28]). The South-East Asian Region presented the highest prevalence at 37% (95% CI = [13, 62]). In terms of income level, low-income countries had the highest prevalence at 37% (95% CI = [23, 52]). Surgical site infections had the highest prevalence among infection types at 27% (95% CI = [23, 31]). This systematic review underscores the high prevalence of HAIs in most LMICs, emphasizing the need to facilitate the development of targeted prevention and control strategies to mitigate the impact of this critical public health issue, especially in resource-limited settings.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251338002"},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121580","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}
Xinfa Zhou, Di Li, Lu Chen, Shile Kuang, Guochun Xiang, Zhe Cheng
{"title":"URRMI Financing: Transitioning from Fixed to Rate-Based System.","authors":"Xinfa Zhou, Di Li, Lu Chen, Shile Kuang, Guochun Xiang, Zhe Cheng","doi":"10.1177/10105395251343405","DOIUrl":"https://doi.org/10.1177/10105395251343405","url":null,"abstract":"","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251343405"},"PeriodicalIF":1.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095836","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}
Nur Aisyah Abdul Rahim, Wan Yuen Choo, Halimah Awang, Noran N Hairi, Norma Mansor
{"title":"Undiagnosed Hypertension: A Silent Epidemic Among Middle-Aged and Older Adults With Elevated Blood Pressure in Malaysia.","authors":"Nur Aisyah Abdul Rahim, Wan Yuen Choo, Halimah Awang, Noran N Hairi, Norma Mansor","doi":"10.1177/10105395251340928","DOIUrl":"https://doi.org/10.1177/10105395251340928","url":null,"abstract":"<p><p>Undiagnosed hypertension is a major public health threat due to its association with premature death. This study examined the association between factors of health service utilization with undiagnosed hypertension among middle-aged (40-59 years) and older adults (≥60 years) with elevated blood pressure in Malaysia. A cross-sectional analysis of 2838 adults from the Malaysia Ageing and Retirement Survey Wave-1 revealed an undiagnosed hypertension proportion of 55.9%, higher in middle-aged (63.8%) than older adults (45.5%). Obesity, diabetes, hypercholesterolemia, and regular medical check-ups reduced the odds, while perceived good health increased the odds of undiagnosed hypertension in both age groups. Ethnicity, smoking status, and recent headaches also influenced undiagnosed hypertension in age-specific patterns. Overall, health service utilization emerged as a significant factor of undiagnosed hypertension in both age groups. Targeted health education and regular community hypertension screenings are crucial, particularly for low-risk or seemingly healthy adults, to mitigate the burden of undiagnosed hypertension.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251340928"},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082207","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":"Association Between Systemic Health Indicators and Periodontal Disease in Korean Adults: A Nationwide Cross-Sectional Study.","authors":"Eun-Seo Jung, Hae-Young Kim","doi":"10.1177/10105395251340920","DOIUrl":"https://doi.org/10.1177/10105395251340920","url":null,"abstract":"<p><p>This study investigated the association between periodontal disease and systemic health indicators in Korean adults, based on the hypothesis that shared inflammatory pathways may underlie the link between oral and systemic health. Although numerous studies have investigated the association between periodontal disease and systemic health, few have utilized nationally representative data from Korean adults. This study used data from the Korea National Health and Nutrition Examination Survey, including 1324 participants aged ≥40 years. Systemic health indicators were obtained through physical measurements and biochemical tests. Periodontal disease was evaluated using the Community Periodontal Index, and associations were examined using logistic regression analysis. The weighted prevalence of periodontal disease was 48.3% in men and 38.1% in women. Among men, fasting blood glucose (OR = 1.20; 95% CI = 1.101-1.444) and glycated hemoglobin (OR = 1.32; 95% CI = 1.150-1.514) were significantly associated with periodontal disease. In women, fasting blood glucose (OR = 1.15; 95% CI = 1.064-1.199) and glycated hemoglobin (OR = 1.21; 95% CI = 1.055-1.312) also showed significant associations. Glucose-related indicators demonstrated the most consistent associations across sexes. These findings highlight the association between glycemic control and periodontal disease, and suggest that sex-specific patterns may exist, which could be explored in future research.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251340920"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063371","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 Effect of Activity and Sound Book as Comprehensive Sexuality Education Media in Early Childhood Knowledge: A Pilot Study.","authors":"Paramytha Magdalena Sukarno Putri, Wen Ting Tong, Nadyalis Ta'mara Masajida, Chabibah Ilmiyah, Suci Puspita Ratih, Mutiara Titian Istiqomah, Wan Yuen Choo, Noran N Hairi, Nik Daliana Nik Farid, Windi Chusniah Rachmawati, Wah Yun Low","doi":"10.1177/10105395251338688","DOIUrl":"https://doi.org/10.1177/10105395251338688","url":null,"abstract":"<p><p>Sexual and reproductive health education in early childhood is still not delivered comprehensively. A pre-experimental study aims to test the effectiveness of an activity and sound book, \"Finally, I Know!\" in early childhood knowledge before and after two months of intervention. The study involved 63 purposively sample students aged four to six years from UM Laboratory Kindergarten. The book material contains eight key points adapted from UNESCO International Technical Guidance on Sexuality Education. Generalized linear model was used to analyze pre-test, post-test 1, and post-test 2. There was a significant increase in student's knowledge in pre-test and post-test 1 intervention (0.020; <i>P</i> < .05), however, no knowledge increase from pre-test and post-test 2 intervention (0.740; <i>P</i> > .05). The \"Finally I Know!\"may have the potential as comprehensive sexuality education media. It is suggested the book should be used regularly over a period of less than two months to ensure that children's knowledge continues to improve.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251338688"},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023349","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}
Wah Yun Low, Yang Zhao, Vithilingam Geetha, Suzanna A Bono
{"title":"Walter Patrick Memorial Lecture: Building Resilience in Families and Communities in Times of Crisis.","authors":"Wah Yun Low, Yang Zhao, Vithilingam Geetha, Suzanna A Bono","doi":"10.1177/10105395251340119","DOIUrl":"https://doi.org/10.1177/10105395251340119","url":null,"abstract":"<p><p>This article looks into the memorial lecture delivered by Professor Dr Wah Yun Low in memory of the late Professor Walter K. Patrick, focusing on building resilience within families and communities in the aftermath of COVID-19. This article examines resilience across sociocultural contexts, using case studies to highlight adaptation, psychological flexibility, and coping strategies post-adversity among families and communities. It explored resilience's theoretical and real-world aspects, emphasizing interdisciplinary perspectives, practical applications, sociocultural contexts, and policy implications. This article emphasized themes of unity, strength in adversity, and intergenerational resilience. It highlights the importance of interventions in three key areas-well-being, mental health, and social capital across different life stages, from childhood to adulthood. Resilience-building requires integrating individual, family, and community strategies, fostering collaboration across sectors, and focusing on long-term sustainability. Investing in resilience strengthens immediate crisis responses and lays a foundation for thriving, adaptable communities in future challenges.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251340119"},"PeriodicalIF":1.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065307","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":"Beware the Red Spots: Public Health Challenges of Measles and World Health Day.","authors":"Colin Binns, Wah Yun Low","doi":"10.1177/10105395251339950","DOIUrl":"https://doi.org/10.1177/10105395251339950","url":null,"abstract":"","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251339950"},"PeriodicalIF":1.4,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063407","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":"Maternal Factors and Breastfeeding Practices Associated With Stunting Among Indonesian Children Aged 6 to 23 Months.","authors":"Putri Cendana, So-Young Kim","doi":"10.1177/10105395251337970","DOIUrl":"https://doi.org/10.1177/10105395251337970","url":null,"abstract":"<p><p>Child stunting in Indonesia remains a major public health issue, affecting physical and cognitive development. This study examined the impact of maternal factors (sociodemographic characteristics and pregnancy history) and breastfeeding practices on stunting in children aged 6 to 23 months, using data from the 2022 Indonesian Nutritional Status Survey (SSGI) of 87 722 children. Chi-square tests were employed to examine relationships between the study variables and child stunting. Multinomial logistic regression was then used to assess the associations. Key findings highlight the importance of maternal education, adequate antenatal care, and the prevention of low birth weight in addressing child stunting. Children of mothers with no education had a 50% and 26.4% higher risk of severe and moderate stunting, respectively, than those with tertiary education. Lack of antenatal care was associated with an 82.8% and 16.0% higher risk of severe and moderate stunting, respectively, compared to those with four or more visits. Low birth weight significantly increased the odds of severe and moderate stunting by 242.3% and 125.9%, respectively. Breastfeeding practices, such as early initiation, showed no significant link to stunting. These findings emphasize the need for targeted maternal health interventions to reduce stunting, particularly by improving education, antenatal care, and birth outcomes.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251337970"},"PeriodicalIF":1.4,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059348","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}
Mohamad Zulfikrie Abas, Kezhi Li, Wan Yuen Choo, Kim Sui Wan, Noran Naqiah Hairi
{"title":"Machine Learning Models for Predicting Type 2 Diabetes Complications in Malaysia.","authors":"Mohamad Zulfikrie Abas, Kezhi Li, Wan Yuen Choo, Kim Sui Wan, Noran Naqiah Hairi","doi":"10.1177/10105395251332798","DOIUrl":"https://doi.org/10.1177/10105395251332798","url":null,"abstract":"<p><p>This study aimed to develop machine learning (ML) models to predict diabetic complications in patients with type 2 diabetes (T2D) in Malaysia. Data from the Malaysian National Diabetes Registry and Death Register were used to develop predictive models for five complications: all-cause mortality, retinopathy, nephropathy, ischemic heart disease (IHD), and cerebrovascular disease (CeVD). Accurate predictions may enable targeted preventive intervention and optimal disease management. The cohort comprised 90 933 T2D patients treated at public health clinics in southern Malaysia from 2011 to 2021. Seven ML algorithms were tested, with the Light Gradient Boosting Machine (LGBM) demonstrating the best performance. LGBM models achieved ROC-AUC scores of 0.84 for all-cause mortality, 0.71 for retinopathy, 0.71 for nephropathy, 0.66 for IHD, and 0.74 for CeVD. These findings support integrating ML models, particularly LGBM, into clinical practice for predicting diabetes complications. Further optimization and validation are necessary to enhance applicability across diverse populations.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251332798"},"PeriodicalIF":1.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057461","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":"A Scoping Review of Dietary Intake among Young Adults in Low- and Middle-Income Countries.","authors":"Zoe Pei Jing Ong, Ai Kah Ng, Hazreen Abdul Majid","doi":"10.1177/10105395251332804","DOIUrl":"https://doi.org/10.1177/10105395251332804","url":null,"abstract":"<p><p>Poor dietary intake during young adulthood can increase the risk of chronic diseases, which are rising concerns in low- and middle-income countries (LMICs). This scoping review examined dietary intake among young adults in LMICs, highlighting their energy and nutrient intakes. Ovid MEDLINE, PubMed, Scopus, Web of Science, and EBSCOhost databases were searched to identify observational studies published in English from January 1, 2014 to July 31, 2024. Rayyan.ai was used to remove duplicates and facilitate the selection process, which two researchers independently carried out. Studies that reported on the energy and nutrient intake of healthy young adults aged 18 to 30 years in LMICs were included. A total of 14 studies were included (nine from upper-middle-income countries, five from lower-middle-income countries, zero from low-income countries). Most of the studies are cross-sectional studies (71.4%). The energy intake of young adults from upper-middle-income countries ranges from 1700 to 2400 kcal/day, while young adult women in lower-middle-income countries showed trends of low-energy intake and insufficient micronutrient intake. Most of the energy intake reported came from carbohydrates, followed by fat and protein. The findings highlighted a significant gap in data from low-income countries, underscoring the need for further research to inform policies and design effective interventions.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395251332804"},"PeriodicalIF":1.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058120","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}