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":"10.1177/10105395251340119","url":null,"abstract":"<p><p>This article looked 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 examined 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 highlighted 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":"361-365"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","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}
Vinay Menon, Miika Coppard, Samuel McEwen, Lorena Romero, Elissa Kennedy, Peter Azzopardi
{"title":"Evaluated Interventions Targeting the Mental Health and Psychosocial Wellbeing of Children and Adolescents: A Scoping Review Focused on Low- and Middle-Income Countries in East Asia and the Pacific.","authors":"Vinay Menon, Miika Coppard, Samuel McEwen, Lorena Romero, Elissa Kennedy, Peter Azzopardi","doi":"10.1177/10105395241313154","DOIUrl":"10.1177/10105395241313154","url":null,"abstract":"<p><p>Child and adolescent mental health in low- and middle-income countries (LMICs) is a growing focus of global health policy, yet the evidence for effective intervention remains unclear. We undertook a scoping review of LMICs in the East Asia and Pacific region. We searched four databases between 2010 and 2021 for evaluated interventions targeting child and adolescent mental health. We mapped intervention studies by location, evaluation method, and target of intervention: mental health <i>promotion, prevention</i>, or <i>response</i>. We included 69 unique studies from 12 countries: 32 RCTs, 31 before-after studies, and 6 post-intervention evaluations. There were several promising intervention studies, although these had methodological limitations. Three studies addressed mental health <i>promotion</i>, 46 addressed <i>prevention</i>, and 23 addressed <i>response.</i> There was a disproportionate focus on \"individual capacity\" <i>prevention</i> and \"clinical management\" <i>response</i>. There were few studies in mental health <i>promotion</i> (through communities, policies, or legislation), <i>prevention</i> beyond the individual (via parents, peers, or schools), or in longer-term <i>response</i>. Most (62) of these interventions were undertaken in China and four South-East Asian nations. There were few studies in smaller, less wealthy nations, and only three in Pacific nations. Effective progress in global child and adolescent mental health will require greater attention and investment in these programmatic gaps and geographic areas.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"332-346"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383300","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":"Altitude Differences in Changes in Physical Activity and Weight Gain.","authors":"Qian Deng, Jianzhong Yin, Jie Peng, Zierdi Yeerkenaili, Xianlan Li, Ziyun Wang, Deji Quzong, Xianbin Ding, Jinjie Xia, Yufei Wang, Xing Zhao, Junmin Zhou","doi":"10.1177/10105395251325620","DOIUrl":"10.1177/10105395251325620","url":null,"abstract":"<p><p>Previous studies speculated that physical activity (PA) at high altitude represents greater actual exercise than when performed at lower altitude. Efforts are needed to validate or reject such speculation. This study explored the relationships between PA changes and weight/body mass index changes in low and high altitudes. According to a previous study and the altitude distribution of our participants, we classified the participants into low altitude (<2500 m) and high altitude (≥2500 m). The relationships between changes in PA and weight/body mass index were assessed through multivariable linear regression. Furthermore, the stratified analyses were conducted to detect whether there was heterogeneity in relationships between PA changes and weight/body mass index changes across low altitude and high altitude. A total of 10 000 individuals were included (9122 in low altitude, 878 in high altitude). PA increases, per MET-h/d, were inversely associated with weight changes in low altitude with a mean change of -0.009 kg (95% CI [-0.015, -0.002] kg), and in high altitude with a mean change of -0.032 kg (95% CI [-0.056, -0.009] kg). The inverse relationship between changes in PA and weight was significantly modified by altitude (<i>P</i> = .016), and it was stronger among participants residing at high altitude. It suggests that future guidelines and interventions should differentiate populations in low and high altitudes. Specifically, PA recommendations for people living at high altitude should be lower than those for people living at low altitude.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"371-378"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659514","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":"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":"394-401"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","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":"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":"347-360"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","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}
Raheema Abdul Raheem, Aminath Huda, Fathimath Shamah, Mariyam Murushidha, Neena Mohamed, Ibrahim Nishan Ahmed, Nazla Rafeeg, Aminath Aroosha, Sarah Jamal, Ali Nazeem, Thaalooth Rasheed, Sumita Taneja, Bitra George, John Macom
{"title":"Effectiveness of COVID-19 Vaccines Against Delta Variant: The Case of the Maldives.","authors":"Raheema Abdul Raheem, Aminath Huda, Fathimath Shamah, Mariyam Murushidha, Neena Mohamed, Ibrahim Nishan Ahmed, Nazla Rafeeg, Aminath Aroosha, Sarah Jamal, Ali Nazeem, Thaalooth Rasheed, Sumita Taneja, Bitra George, John Macom","doi":"10.1177/10105395251325627","DOIUrl":"10.1177/10105395251325627","url":null,"abstract":"<p><p>Drawing on previous research, this study aimed to assess the impact of COVID-19 vaccines on the Delta variant within the context of the Maldives. Using a retrospective design, the study analyzed comprehensive COVID-19 case data from multiple sources, including the Health Protection Agency (HPA), covering the initial reported cases until the end of December 2021. Notably, the data revealed a surge in Delta variant cases three months after administering the first vaccine dose to more than two-thirds of the population, suggesting a single dose was insufficient against Delta variant. However, following the administration of the second dose and additional restrictions, a gradual decline in COVID-19 cases was observed. These findings underscore the importance of implementing the World Health Organization (WHO)-recommended preventive measures in conjunction with vaccination, particularly when cases begin to rise, as supported by studies from other countries.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"366-370"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053509","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":"10.1177/10105395251339950","url":null,"abstract":"","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"329-331"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","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":"Association Between Short-term Ambient Air Pollution and Psoriasis: A Time-Stratified Case-Crossover Study.","authors":"Yu-Tsung Chen, Yu-Ling Li, Chih-Yi Wu, Li-Ying Chen, Hung-Yi Chiou","doi":"10.1177/10105395251328405","DOIUrl":"10.1177/10105395251328405","url":null,"abstract":"<p><p>This time-stratified case-crossover study evaluated the association between short-term exposure to ambient air pollution and psoriasis. A total of 107 462 psoriasis cases between 2002 and 2016 were retrieved from Taiwan's National Health Insurance Research Database. Conditional logistic regression was used to estimate the association between air pollutants (O<sub>3</sub>, CO, NO<sub>2</sub>, SO<sub>2</sub>, PM<sub>2.5</sub>, and PM<sub>10</sub>) and psoriasis with each interquartile range (IQR) increase. Consistent associations for psoriasis for each IQR increase in NO<sub>2</sub> and CO exposure were noted at lag 0 both in single-pollutant and multiple-pollutant model. Exposure on lag 0 had the highest odds ratio (OR), decreasing consecutively from lag 1 to lag 3. Both NO<sub>2</sub> and CO had a stronger influence among men, older patients (>60 years old), and patients with chronic disease. Short-term NO<sub>2</sub> and CO exposure was associated with psoriasis. This link might provide insights into how air pollution, at least in part, affects the epidemiology and pathogenesis of psoriasis.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"386-393"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744511","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":"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 highlighted 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":"402-410"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","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}
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":"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":"418-428"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","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}