Mohd Ruhaizie Riyadzi, Hamizatul Akmal Abd Hamid, Mohd Firdaus Razali, Thamil Arasu Saminathan, Tania Gayle Robert Lourdes, Tuan Mohd Amin Tuan Lah, Mohd Hazrin Hasim, Nurhaliza Zakariah, Muhammad Hairul Nizam Abd Hamid, Ahmad Firdaus Rubani, Nizam Baharom, Muhammad Fadhli Mohd Yusoff
{"title":"Prevalence and Sociodemographic Factors Associated With Tobacco Use Among Malaysia's Orang Asli: Evidence From the Orang Asli Health Survey 2022.","authors":"Mohd Ruhaizie Riyadzi, Hamizatul Akmal Abd Hamid, Mohd Firdaus Razali, Thamil Arasu Saminathan, Tania Gayle Robert Lourdes, Tuan Mohd Amin Tuan Lah, Mohd Hazrin Hasim, Nurhaliza Zakariah, Muhammad Hairul Nizam Abd Hamid, Ahmad Firdaus Rubani, Nizam Baharom, Muhammad Fadhli Mohd Yusoff","doi":"10.1177/10105395261435157","DOIUrl":"https://doi.org/10.1177/10105395261435157","url":null,"abstract":"<p><p>Tobacco use continues to pose a major public health challenge among the Orang Asli in Malaysia. This study analysed secondary data from the nationally representative cross-sectional Orang Asli Health Survey 2022, involving 10 192 Orang Asli aged 15 years and above. Tobacco use was measured using standardized modules adapted from the Global Adult Tobacco Survey and the National Health and Morbidity Survey, and associations were examined using logistic regression in IBM SPSS 28.0. Overall prevalence was 31.2%. The odds of tobacco use were significantly higher among males (adjusted odds ratio [aOR] = 12.7; 95% confidence interval [CI] 11.13, 14.49), the Proto-Malay tribe (aOR = 1.9; 95% CI [1.67, 2.13]), rural residents (aOR = 1.2; 95% CI [1.01, 1.53]), those with lower education (aOR = 1.5; 95% CI [1.33, 1.68]), employed persons (aOR = 1.8; 95% CI [1.57, 2.02]), and individuals with lower income (aOR = 1.2; 95% CI [1.07, 1.34]). These results demonstrate the disproportionate burden among specific sociodemographic groups. Targeted prevention and cessation efforts, alongside strategies addressing socioeconomic disadvantage and strengthened multisectoral collaboration, are needed to reduce tobacco use and improve health outcomes in this vulnerable population.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261435157"},"PeriodicalIF":0.9,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678896","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 Aznuddin Abd Razak, Muhamad Khairul Nazrin Khalil, Norhafizah Sahril, Muhammad Fadhli Mohd Yusoff, Noor Ani Ahmad
{"title":"Health Status of Orang Asli in Peninsular Malaysia: An Overview of Methodology and General Findings of OAHS 2022.","authors":"Mohamad Aznuddin Abd Razak, Muhamad Khairul Nazrin Khalil, Norhafizah Sahril, Muhammad Fadhli Mohd Yusoff, Noor Ani Ahmad","doi":"10.1177/10105395261437331","DOIUrl":"https://doi.org/10.1177/10105395261437331","url":null,"abstract":"<p><p>This study elaborates on the methodology and general findings of the Orang Asli Health Survey (OAHS), a nationwide cross-sectional study using stratified random sampling. Conducted in 68 villages, the survey achieved a response rate of 89.8%. Comprehensive health data were collected, with rigorous data cleaning and weighting to ensure accuracy and representativeness. Most Orang Asli resided in fringe (45.5%) and remote -(45.9%) areas, with Senoi (41.3%), Proto-Malay (33.8%), and Negrito (24.9%) as the main tribal groups. Nearly half (49.0%) of respondents aged 7 and above had no formal education, and 86.6% of employed adults held low-skilled jobs. In addition, 64.6% earned below RM1000 monthly. Major health indicators were incorporated. Lower prevalence of complete vaccination (60.7%) and child malnutrition remained concern, with 43.8% stunting, 12.3% wasting, and 6.7% overweight. Among adults, hypertension and hypercholesterolemia were the most prevalent. While the cross-sectional design limits causality, the findings highlight persistent disparities and the need for longitudinal research and culturally sensitive interventions to improve Orang Asli's health.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261437331"},"PeriodicalIF":0.9,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678812","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 Participatory Framework for Culturally Grounded Health Education With Muslim Minority Older Adults: Lessons for Pandemic Preparedness.","authors":"Sutteeporn Moolsart, Choochat Phuangsomjit, Duangkamol Pinchaleaw","doi":"10.1177/10105395261437308","DOIUrl":"https://doi.org/10.1177/10105395261437308","url":null,"abstract":"","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261437308"},"PeriodicalIF":0.9,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635422","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}
Rumiko Tsuchiya-Ito, Kumi Morishita-Suzuki, Momomi Nakamura-Uehara, Shuichiro Watanabe, Tomoaki Ishibashi
{"title":"Differences in the Association Between Working Status and Self-Rated Health According to Financial Satisfaction Among Older Adults Aged ≥75 Years: A Cohort Study of Silver Human Resources Centers in Japan.","authors":"Rumiko Tsuchiya-Ito, Kumi Morishita-Suzuki, Momomi Nakamura-Uehara, Shuichiro Watanabe, Tomoaki Ishibashi","doi":"10.1177/10105395261430808","DOIUrl":"https://doi.org/10.1177/10105395261430808","url":null,"abstract":"<p><p>This prospective cohort study examined the differences in the association between working status and self-rated health (SRH) in older adults aged ≥75 years when stratified according to financial satisfaction. The study participants answered questionnaires in 2022 and 2024. The exposures were working status factors (eg, number of working days/week), and the outcome was SRH decline over two years. Modified Poisson regression models were used to analyze these associations in all participants and according to financial satisfaction (high/low). Among all participants (n = 2230), older adults with no working days (adjusted relative risk: 0.73; 95% confidence interval = [0.53, 1.00]) or worked a high number of days (0.80; [0.65, 0.98]) had a lower risk of SRH decline than those who worked a medium number of days. These results were replicated only in the high financial satisfaction group. Policymakers should consider these differences when formulating strategies to provide job opportunities for older adults.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261430808"},"PeriodicalIF":0.9,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635444","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":"Face Mask-Wearing Behaviour Among Young Adults During and After the COVID-19 Epidemic in China.","authors":"Zhiyong Tao, Runqi Fang, Tianqi Ma, Wencai Jiang, Hui Xia, Richard Culleton, Yumeng Jiao","doi":"10.1177/10105395261433224","DOIUrl":"https://doi.org/10.1177/10105395261433224","url":null,"abstract":"<p><p>Chinese public attitudes towards face mask usage during the COVID-19 pandemic were investigated through two online surveys (2020 and 2024). There was a high level of compliance with masking policies, with 66.7% of respondents believing masks were very important in helping to prevent the spread of COVID-19. The percentage of respondents who said they intended to continue regular mask usage post-pandemic decreased significantly from 49.2% in 2020 at the beginning of the epidemic to 35.1% in 2024. Discomfort and breathing restrictions were the primary barriers to mask usage. Fear levels were higher among mask owners (82.6%) than non-owners (67.1%). Non-surgical disposable masks were the most commonly used, avoiding competition with health care needs. The findings demonstrate strong public acceptance of masking as a preventive measure and provide valuable insights for future respiratory disease response strategies.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261433224"},"PeriodicalIF":0.9,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635431","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}
Wai Kent Lai, Chean Tat Chong, Nurul Huda Ibrahim, Kuang Kuay Lim, Norhafizah Sahril, Muhamad Khairul Nazrin Khalil, Nur'Ain Ab Wahab
{"title":"Childhood Stunting: Prevalence and Associated Factors Among <i>Orang Asli</i> Communities in Malaysia.","authors":"Wai Kent Lai, Chean Tat Chong, Nurul Huda Ibrahim, Kuang Kuay Lim, Norhafizah Sahril, Muhamad Khairul Nazrin Khalil, Nur'Ain Ab Wahab","doi":"10.1177/10105395261435161","DOIUrl":"https://doi.org/10.1177/10105395261435161","url":null,"abstract":"<p><p>Indigenous populations face persistent health disparities, and the <i>Orang Asli</i> of Peninsular Malaysia are no exception, yet limited research examined malnutrition and stunting among this population. This study aimed to assess the prevalence and factors associated with stunting among <i>Orang Asli</i> children under 5. This study performed secondary data analysis on 1955 children from the <i>Orang Asli</i> Health Survey (OAHS) conducted in 2022. Multivariable analysis was employed to identify associations between stunting and sociodemographic factors, household characteristics, child morbidities, vaccination status, and other nutritional indicators. The prevalence of stunting was 43.8%. Multivariable analysis revealed that Negrito tribe (adjusted odds ratios [AOR] = 2.62, 95% CI [1.25, 5.47]), low birth weight (LBW) (AOR = 2.09, 95% CI [1.46,2.99]), and being underweight (AOR = 8.47, 95% CI [5.90,12.17]) were significantly associated with stunting. The study underscores the need for targeted nutritional interventions, including improved maternal and early childhood nutrition. Active community involvement is essential to bridge the gap between these biological drivers and local sociocultural realities, ensuring interventions are culturally acceptable, sustainable, and address unique environmental barriers. Strengthening existing programs through community-led, culturally sensitive approaches is vital to effectively reduce the burden of chronic undernutrition in this vulnerable population.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261435161"},"PeriodicalIF":0.9,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624850","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}
Noor Aliza Lodz, Mohd Hatta Abdul Mutalip, Mohd Amierul Fikri Mahmud, Norzawati Yoep, Filza Noor Asari, Chong Zhuo Lin, Asmah Razali
{"title":"Tuberculosis: Prevalence and Associated Factors Among Orang Asli Populations in Malaysia.","authors":"Noor Aliza Lodz, Mohd Hatta Abdul Mutalip, Mohd Amierul Fikri Mahmud, Norzawati Yoep, Filza Noor Asari, Chong Zhuo Lin, Asmah Razali","doi":"10.1177/10105395261437256","DOIUrl":"https://doi.org/10.1177/10105395261437256","url":null,"abstract":"<p><p>Tuberculosis (TB) remains a significant global health challenge, particularly among marginalized populations such as the Orang Asli in Malaysia. This study aimed to determine the prevalence of TB and identify associated risk factors within this community. A cross-sectional study was conducted across nine states in Peninsular Malaysia from July to September 2022, involving 10 192 respondents from 68 selected villages. Data were collected through face-to-face interviews and analysed using descriptive statistics and multiple logistic regression. The self-reported TB prevalence from prior diagnosis among Orang Asli was 3.2% [95% CI: 2.29, 4.49], with higher rates among males, rural residents, the Negrito tribe, individuals with low education levels, and those aged 70 and above. Using multiple logistic regression, age group was the only statistically significant risk factor (aOR = 9.73, 95% CI [4.41, 21.49]). These findings highlight the need for targeted interventions focusing on early detection and treatment compliance to reduce TB prevalence among the Orang Asli population.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261437256"},"PeriodicalIF":0.9,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624814","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}
Hyeongjin Shim, Bong-Seong Kim, Kyungdo Han, Hye Yeon Koo, Seonghye Kim, Dagyeong Lee, In Young Cho, Wonyoung Jung, Dong Wook Shin
{"title":"Risk of Newly Incident Diabetes Mellitus and Treatment Risk Factors in Breast Cancer Survivors: Landmark Analyses of Nationwide Data.","authors":"Hyeongjin Shim, Bong-Seong Kim, Kyungdo Han, Hye Yeon Koo, Seonghye Kim, Dagyeong Lee, In Young Cho, Wonyoung Jung, Dong Wook Shin","doi":"10.1177/10105395261433225","DOIUrl":"https://doi.org/10.1177/10105395261433225","url":null,"abstract":"<p><p>This study investigated temporal patterns and risk factors for diabetes mellitus (DM) in breast cancer survivors, stratified by age. Using a Korean database, this nationwide cohort study analyzed 65 982 breast cancer survivors and 168 214 matched controls. We assessed DM risk using multivariable Fine-Gray models with landmark analyses, stratifying by age (≤50 and >50 years). Diabetes mellitus risk peaked in the first year post-diagnosis for women ≤50 (sub-distribution hazard ratio [sHR] = 3.74; 95% confidence interval CI [3.08, 4.55] and >50 (sHR = 1.71; 95% CI [1.52, 1.93], with risk diminishing thereafter. Significant risk factors included high body mass index, smoking, hypertension, dyslipidemia, and taxane use. Tamoxifen was a specific risk factor for younger women (sHR = 1.22; 95% CI [1.06, 1.40]). Breast cancer survivors, especially younger women, have the highest DM risk within the first year post-diagnosis. Proactive monitoring is crucial for those with established clinical and treatment-related risk factors.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261433225"},"PeriodicalIF":0.9,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624827","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}
S Maria Awaluddin, Nor'Ain Abd Wahab, Norliza Shamsuddin, Nurul Haniyah Rosslan, Muhammad Azri Adam Adnan, Chong Chean Tat, Sulhariza Husni Zain, Noor Ani Ahmad
{"title":"High Coverage, Hidden Inequities: Factors Associated With Incomplete Vaccination Among Orang Asli Children in Peninsular Malaysia.","authors":"S Maria Awaluddin, Nor'Ain Abd Wahab, Norliza Shamsuddin, Nurul Haniyah Rosslan, Muhammad Azri Adam Adnan, Chong Chean Tat, Sulhariza Husni Zain, Noor Ani Ahmad","doi":"10.1177/10105395261433222","DOIUrl":"https://doi.org/10.1177/10105395261433222","url":null,"abstract":"<p><p>Childhood vaccination is a vital public health measure to prevent infectious diseases and reduce mortality among children under five. This study aimed to determine the prevalence of primary vaccination and identify factors associated with incomplete vaccination among Orang Asli children aged 12 to 59 months in Peninsular Malaysia. Data were derived from the 2022 Orang Asli Health Survey, a cross-sectional study using a complex multistage sampling design with structured questionnaires and verified immunization records. The overall prevalence of complete vaccination was 87.7%, with incomplete vaccination more common among younger children, those from the Negrito tribe, and those residing in urban and remote areas. Multivariable logistic regression showed that Negrito tribal affiliation (aOR = 3.31; 95% CI: [1.80, 6.09]) was associated with higher odds of incomplete vaccination, while older age was protective, reducing the odds with each additional month (aOR = 0.87; 95% CI: [0.84, 0.90]). The presence of respiratory symptoms was also protective, likely reflecting increased health care contact facilitating vaccination review (aOR = 0.02; 95% CI: [0.00, 0.28]). Targeted, culturally appropriate strategies, including engagement with tribal leaders and outreach, are essential to improve vaccination equity in these populations.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261433222"},"PeriodicalIF":0.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610765","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}
Sheng Yuan Hiew, Bee Yean Low, Kian Wah Liew, Wah Yun Low, Kang Nee Ting, Matthew Boyd
{"title":"Applying the Health Belief Model to Urban Medication Disposal Behaviors: Insights for Public Health Interventions.","authors":"Sheng Yuan Hiew, Bee Yean Low, Kian Wah Liew, Wah Yun Low, Kang Nee Ting, Matthew Boyd","doi":"10.1177/10105395261426650","DOIUrl":"https://doi.org/10.1177/10105395261426650","url":null,"abstract":"<p><p>Improper disposal of household pharmaceutical waste (HPW) contributes to environmental contamination and public health risks, yet safe disposal practices remain inconsistent in many communities. This study examined the behavioral intentions of urban Malaysian residents toward safe HPW disposal using the Health Belief Model (HBM). A cross-sectional survey was conducted with 450 stratified pharmacy customers across the Klang Valley. Respondents completed a self-administered digital questionnaire assessing HBM constructs on a 6-point Likert scale. Data was analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The final model explained 63.7% of the variance in behavioral intention (R<sup>2</sup> = 0.637; adjusted R<sup>2</sup> = 0.635). Cues to action and self-efficacy were identified as the strongest predictors, while perceived susceptibility and perceived benefits influenced perceived severity. Findings highlight three public health strategies: integrating disposal guidance into routine care, embedding visible cues to action in health care and community settings, and strengthening regulatory frameworks to expand accessible take-back infrastructure.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"10105395261426650"},"PeriodicalIF":0.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516665","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}