Dialogues in health最新文献

{"title":"Intersectional identity, risk behaviors, and adolescent mental health in South Korea: who suffers the most in the loneliness epidemic?","authors":"Eun-Young Lee ,&nbsp;Heejun Lim","doi":"10.1016/j.dialog.2025.100262","DOIUrl":"10.1016/j.dialog.2025.100262","url":null,"abstract":"<div><h3>Purpose</h3><div>Intersectionality is a theoretical framework that allows researchers to examine how multiple, overlapping social identities such as gender and socioeconomic status (SES) interact to shape individuals' experiences and contribute to inequalities. This study examined the associations between intersectional identity and mental health among South Korean adolescents and whether risk behaviors modify these associations.</div></div><div><h3>Methods</h3><div>The 2023 Korea Youth Behavior Web-Based Survey (n=52,880; 12–18 years) was used. Gender and family SES served as intersectional identities. Outcome included stress, depression, and loneliness. Alcohol, tobacco, and smartphone use were considered as potential effect modifiers. Decision tree models, logistic regressions, and moderation analyses were performed.</div></div><div><h3>Results</h3><div>Overall, girls reported poorer mental health than boys. When SES was considered, gender X SES was associated with loneliness only, and not with stress or depression. Among boys, the odds of reporting loneliness were higher with lower SES, and this association was further compounded by alcohol or tobacco use within each SES level. Girls reported higher odds of loneliness across all SES levels compared to boys, with low-SES girls experiencing the greatest burden. Alcohol and tobacco use further exacerbated the associations between intersectional identity and loneliness across all groups, particularly in girls. Smartphone use did not modify these associations.</div></div><div><h3>Conclusions</h3><div>Interventions targeting alcohol and tobacco use may be important to prevent loneliness for adolescents with intersectional identities. Loneliness may be shaped by both structural and behavioral factors, supporting the intersectionality as a useful analytical framework to better understand mental health disparities among adolescents.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100262"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145697847","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}

{"title":"Altitude of area of residence as a risk factor for stunting in children aged 0–60 months: A systematic review and meta-analysis","authors":"Dina Fitriana Rosyada ,&nbsp;Toto Sudargo ,&nbsp;Indah Kartika Murni","doi":"10.1016/j.dialog.2025.100268","DOIUrl":"10.1016/j.dialog.2025.100268","url":null,"abstract":"<div><h3>Background</h3><div>Altitude has not been a factor considered in stunting incidence. Several studies have found that higher elevations increase a child's risk of stunting. However, many cases of stunting also occur in lowland areas. Accurate evidence is needed to justify the influence of altitude on stunting incidence globally, so that policies and interventions can be more specific.</div></div><div><h3>Purpose</h3><div>This study aims to evaluate existing evidence regarding the effect of altitude on stunting cases in children 0–60 month.</div></div><div><h3>Methods</h3><div>This design was a meta-analysis. We search for relevant articles from 2014 to 2024 from Pubmed, Science Direct, Sage Journal, Scopus, and Oxford academic. Two independent reviewers extracted data from the selected studies, including baseline information, strategies, screening processes, inclusion and exclusion criteria, data extraction, study quality evaluation, and statistical analysis. The Joanna Briggs Institute conducted the critical appraisal. All data analyses were performed using RevMan 5.3 with multiple logistic regression analysis.</div></div><div><h3>Results</h3><div>The electronic search yielded a total of 805 articles, and 5 articles met the inclusion criteria for meta-analysis. Children living in highland areas have a 2.91 times higher risk of stunting compared to those living in lowland areas (OR = 2.91; 95 % CI: 2.44–3.48). Highland areas face challenges in limited access to health care, low education, less diverse food, and poverty.</div></div><div><h3>Conclusions</h3><div>This study provides suggestions for increasing the number of health workers and health services, premarital education for childcare, and the provision of nutritional supplements for children.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100268"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926208","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}

{"title":"Institutional mechanisms excluding rehabilitation from medical education in Central Africa: A mixed-methods case study from Cameroon with implications for WHO regional strategy implementation","authors":"Ibrahim Npochinto Moumeni ,&nbsp;France Mourey ,&nbsp;Faustin Atemkeng Tsatedem ,&nbsp;Kossi Oyene ,&nbsp;Yacouba Njankouo Mapoure","doi":"10.1016/j.dialog.2025.100274","DOIUrl":"10.1016/j.dialog.2025.100274","url":null,"abstract":"<div><h3>Background</h3><div>Access to rehabilitation services in sub-Saharan Africa is severely limited, with the WHO reporting that more than 63 % of people in the region do not receive needed rehabilitation services. This study analyzes how the exclusion of rehabilitation from medical curricula in Cameroon affects care access and evaluates implications for implementing the WHO Regional Strategy to Strengthen Rehabilitation in Health Systems 2025–2035.</div></div><div><h3>Methods</h3><div>We employed a sequential mixed-methods design comprising: (1) qualitative interviews with medical education leaders (<em>n</em> = 12) from 7 medical schools, analyzed using reflexive thematic analysis; and (2) clinical observation of 847 consecutive rehabilitation consultations over 24 months at Bafoussam Regional Hospital, evaluating referral patterns, prescription quality, and geographic patient distribution. We implemeted and assessed a 4 h rehabilitation education module for 2 promotions (year five) medical students.</div></div><div><h3>Results</h3><div>Interviews revealed three mechanisms maintaining rehabilitation's exclusion from medical education: coercive (all 12 interviewees noted absence from accreditation requirements), normative (10/12 cited professional hierarchies that devalue rehabilitation), and mimetic (8/12 described uncritical curriculum replication from other schools). Analysis of 847 rehabilitation consultations showed that only 4.8 % of prescriptions included adequate clinical context; nearly half of patients (47 %) traveled over 100 km to access care. Physician specialty (OR = 3.7, 95 % CI: 2.1–6.4), recent graduation (OR = 1.9, 95 % CI: 1.1–3.2), and personal rehabilitation experience (OR = 4.3, 95 % CI: 2.5–7.6) predicted higher-quality referrals. The 4-h educational intervention at University of Dschang improved students' rehabilitation knowledge from 41.3 % to 78.7 % (<em>p</em> &lt; 0.001) and referral confidence from 23 % to 87 % (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The exclusion of rehabilitation from medical curricula in Cameroon is associated with widespread “Single Practitioner Syndrome”—a phenomenon where care becomes centralized around rare practitioners, creating systemic inefficiencies and access barriers. Even minimal educational interventions show potential for significant improvement in knowledge and referral practices. Implementation of the WHO Regional Strategy will require addressing these foundational educational barriers while acknowledging resource constraints in Central African health systems.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100274"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926308","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}

{"title":"Global epidemiology and evolutionary dynamics of arboviruses: A systematic review of surveillance, control strategies, and emerging threats","authors":"Ebrahim Abbasi","doi":"10.1016/j.dialog.2026.100280","DOIUrl":"10.1016/j.dialog.2026.100280","url":null,"abstract":"<div><div>Arboviral diseases, transmitted primarily by <em>Aedes</em> mosquitoes, represent a growing global health challenge. The spread of dengue, Zika, chikungunya, and yellow fever has been associated with factors such as climate change, urbanization, and increased global mobility. We conducted a systematic review of the literature published between January 2000 and December 2024, screening 487 studies, of which 11 met predefined inclusion criteria and were included in the final synthesis (PROSPERO registration: CRD42021231605). The review integrates evidence from epidemiological reports, molecular surveillance studies, and evaluations of control strategies across endemic and emerging regions. Findings indicate a marked geographic expansion of major arboviruses beyond traditional endemic zones, with multiple studies reporting substantial increases in incidence in temperate regions over the past two decades. Molecular analyses consistently demonstrate high genetic diversity and ongoing viral evolution, reflecting adaptation to environmental and host pressures. The review also highlights persistent challenges in disease control, including widespread insecticide resistance, uneven surveillance capacity, and limitations in vaccine deployment. Emerging interventions such as Wolbachia-based vector control, genetically modified mosquitoes, and newer dengue and chikungunya vaccines show promise but require integration within broader surveillance, health-system, and governance frameworks. Overall, the findings underscore the need for coordinated, multisectoral approaches to strengthen early detection, improve control strategies, and mitigate the growing global burden of arboviral diseases.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100280"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078082","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}

{"title":"How the One Health approach can make effective the World Health Organization’s recommendations on integrated management of childhood illnesses: Case of community-based home management of malaria in the Ferlo of Matam, Senegal","authors":"Jean Standeur Nabi Kaly ,&nbsp;Ibrahima Mamby Keita ,&nbsp;Elhadji Doucoure ,&nbsp;Fatoumata Binetou Sall ,&nbsp;Abdoulaye Mamadou BA ,&nbsp;Abdoulaye Alfred Mango ,&nbsp;Birama Louis Gomis ,&nbsp;Mor Talla Dieng ,&nbsp;Mohamadou Ndao ,&nbsp;Seydou Mamadou Diallo ,&nbsp;Aida Diop ,&nbsp;Khalifa Ababacar Fall ,&nbsp;Omar Coly ,&nbsp;Ousseynou Cisse ,&nbsp;Moustapha Faye ,&nbsp;Ibrahima Diallo ,&nbsp;Aliou Thiongane","doi":"10.1016/j.dialog.2026.100276","DOIUrl":"10.1016/j.dialog.2026.100276","url":null,"abstract":"<div><h3>Background</h3><div>Malaria remains a major cause of illness and death among children under five in Senegal, particularly in remote areas inhabited by transhumant herders who have limited access to health services. To address these gaps, the National Malaria Control Program implemented a community-based home management (CBHM) strategy in the <em>Ferlo</em> region of Matam, integrating One Health principles to engage animal and environmental health actors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was carried out describing the said CBHM-<em>Ferlo</em> strategy. Data were collected by document review and activity report exploitation on the DHIS2 platform. It focused on the IMCI target group (children under five) living in a mobile (transhumance) mode. The community-based home care providers (CBHCPs) were selected within and by their own transhumant herder's community to early detect and care of childhood illness (diarrhea, respiratory infection, malaria, etc.) on the one hand; and to reinforce vitamin A supplementation, deworming and immunization coverage on the other hand.</div></div><div><h3>Results</h3><div>The strategy's principle was “<em>Making the home, the first ‘hospital’ of communities</em>” with a total of 2307 cases seen by CBHCPs including 1464 cases of fever. The malaria testing rate of 98.9 % with a positivity rate of 21.1 %, 96.4 % of which were on artemisinin-based combination therapies. Regarding diarrhea, 209 cases were detected with 67.9 % of treatment rate based on oral rehydration solution and zinc. In terms of respiratory infections, cough/cold occurred in 96.5 % of cases, and pneumonia cases were treated 55.6 % of cases with amoxicillin. Finally, 1156 children were supplemented with vitamin A, while 443 children were dewormed, and 129 children were raised awareness and referred for immunization.</div></div><div><h3>Conclusion</h3><div>Thus, CBHM-<em>Ferlo</em> strategy improved the care of childhood illness in Matam in 2024, and above all highlights the added value of One Health and transdisciplinary approaches.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100276"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926309","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}

{"title":"Strengthening mobile diagnostic resilience in emergencies in the WHO Eastern Mediterranean Region","authors":"Rana Abu Salbi ,&nbsp;Jessica Yazbek ,&nbsp;Deesse Tabet ,&nbsp;Wasiq Mehmood Khan ,&nbsp;Ghazi Kayali","doi":"10.1016/j.dialog.2025.100269","DOIUrl":"10.1016/j.dialog.2025.100269","url":null,"abstract":"<div><h3>Purpose</h3><div>The Eastern Mediterranean Region faces persistent challenges in laboratory capacity, exacerbated by conflicts, natural disasters, and recurrent public health emergencies. The COVID-19 pandemic further exposed these deficiencies, underscoring the urgent need for scalable and rapid diagnostic solutions. Rapid Response Mobile Laboratories (RRMLs), self-contained mobile diagnostic units that can be rapidly deployed to affected areas, offer flexible and efficient tools to address diagnostic and logistical gaps in fragile healthcare systems.</div></div><div><h3>Methods</h3><div>We used document review and deliberative expert consultation, as this paper draws on the work of the Global Outbreak Alert and Response Network (GOARN) Strategic Group for Diagnostic Surge Capacity, and insights from the WHO-convened expert meeting in Cairo (October 2024). Regional needs and priorities were reviewed to outline RRML deployment in conflict-affected and resource-limited countries of the Eastern Mediterranean Region (EMR).</div></div><div><h3>Results</h3><div>Key priorities identified include developing standard operating procedures for biosafety, logistics, and data management; establishing a regional funding mechanism to ensure sustainability and fostering inter-country agreements for rapid deployment and resource sharing. The twinning strategy was emphasized as a pivotal approach for knowledge transfer and strengthening local capacity.</div></div><div><h3>Conclusion</h3><div>A regional mobile laboratory network tailored to local needs is essential to build diagnostic resilience. Standardized training, simulation drills, and integrated data-sharing frameworks will optimize the efficiency of RRMLs. Mobilizing resources and expertise for these laboratories will enhance outbreak preparedness and support public health responses in high-risk zones.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100269"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926202","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}

{"title":"Functions and challenges of a government-run animal bite treatment center in the delivery of rabies post-exposure prophylaxis services in Iloilo City, Philippines: A 6-year descriptive study, 2018–2023","authors":"Anna-Lee B. Bandoy ,&nbsp;Neil Marc S. Dasas ,&nbsp;Alpha Issa Christianne P. Abegonia ,&nbsp;John Piox J. Badiang ,&nbsp;Chester Lloyd S. Berdan ,&nbsp;Maria Lucille M. Magallanes ,&nbsp;Jes Ivan D. Sian ,&nbsp;Therese A. Sumague ,&nbsp;Patricia Kei P. Tulio ,&nbsp;Addy Mae P. Binoya ,&nbsp;Ma. Cristina L. Erum ,&nbsp;Alfredo A. Hinay Jr","doi":"10.1016/j.dialog.2025.100266","DOIUrl":"10.1016/j.dialog.2025.100266","url":null,"abstract":"<div><h3>Background</h3><div>Animal bite injuries are a serious public health concern due to the risk of rabies infection. In March 2024, the Department of Health (DOH) reported 84 rabies cases with six fatalities from Iloilo City. The most crucial management of animal bite injuries includes immediate wound care and rabies post-exposure prophylaxis (PEP), typically administered at an Animal Bite Treatment Center (ABTC). In 2007, the Philippines established the Republic Act No. 9482, also known as the Anti-Rabies Act, which created the National Rabies Prevention and Control Program (NRPCP) to control and eliminate rabies. This study aimed to describe the functions and challenges faced by one of these government-run ABTCs in Iloilo City, specifically a) provision of rabies PEP for animal bite cases, b) instructions for proper wound care, c) documentation of animal bite cases, and d) conduct of health promotion activities.</div></div><div><h3>Materials and methods</h3><div>This mixed-methods study was conducted at an ABTC in Iloilo City between January and March 2024. The first phase of the study collected secondary data from the official registry from January 1, 2018, to December 31, 2023. In the second phase, data were collected through direct observation of practices during a site visit in February 2024. A validated checklist based on the DOH Manual of Operations and WHO health system framework was developed and used for objective points of observation. Descriptive analyses of frequencies and percentages were conducted using Microsoft Excel and compared with the NRPCP guidelines. Also, Mann-Kendall test was conducted to evaluate the temporal trends in bite incidence proportions.</div></div><div><h3>Results</h3><div>The non-hospital-based government ABTC operated under the Iloilo City Health Office provided a.) rabies PEP and wound care for animal bite cases, b.) documentation of animal bite cases, and c.) awareness campaigns. A total of 20,134 animal bite cases were documented from 2018 to 2023. Three types of vaccines were delivered to the center: Purified Vero Cell Rabies (PVRV) and Purified Chicken Embryo Cell (PCEC) for active immunization, and Equine Rabies Immunoglobulin (ERIG) for passive immunization. In 2023, the lowest number of category III ERIG recipients was 42.65 % (<em>n</em> = 534). Despite COVID-19 restrictions from 2020 to the middle of 2022, all patients completed their TCV vaccination between 2020 and 2023. Challenges, such as vaccine shortages, record inconsistencies, and referral issues, persist.</div></div><div><h3>Conclusion</h3><div>The non-hospital-based government-run ABTC has maintained rabies PEP services in Iloilo City from 2018 to 2023, despite challenges. Collaboration with the Local Government Unit (LGU) and DOH, increased campaigns, and lay lectures on the prevention of animal bites and rabies infection, along with increased healthcare funding, are needed for sustainable solutions.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100266"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791740","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}

{"title":"Integrating education-based interventions and machine learning for stunting prevention: A case study in East Lombok, Indonesia","authors":"Mhd. Lailan Arqam ,&nbsp;Asno Azzawagama Firdaus ,&nbsp;Ahmad Muslih Atmojo ,&nbsp;Ginanjar Zukhruf Saputri ,&nbsp;Furizal ,&nbsp;Palahuddin ,&nbsp;Retno Sirnopati","doi":"10.1016/j.dialog.2025.100264","DOIUrl":"10.1016/j.dialog.2025.100264","url":null,"abstract":"<div><div>One of the regions in Indonesia that has the highest prevalence of stunting cases is West Nusa Tenggara, with a percentage of cases almost reaching 12.7 %, even though this province is a priority target for stunting reduction by 2022. Specifically in the East Lombok region, this study took this location point because of the high number of stunting cases in West Nusa Tenggara. Puskesmas Denggen was the target of the study, covering six working areas namely Denggen, East Dengen, Majidi, Rakam, Sekarteja, and Pancor, with a total of 3416 under-five data. The data were obtained through two measurements: the initial in February 2024 and the final in August 2024. This research integrates a multidisciplinary approach, encompassing health and nutrition science, psychology, education, and religion, to create comprehensive interventions for stunting prevention and employs machine learning models to predict future cases. The interventions include Motivation, Hygiene, Nutrition, Mental Health, and Infant Health, which are designed to cover all the essential needs of children in the growth and development process. The results of the six villages measured showed that significant changes in data were obtained in Denggen Village when compared before and after the intervention. The results of measuring the effectiveness of the anti-stunting educational interventions were also found to be effective across the five key aspects, with several showing dominant and statistically significant improvements. The machine learning algorithms used also achieved very high accuracy using Decision Tree and Gaussian Naive Bayes. This anti-stunting education model can be applied to the same case in a wider scope by paying attention to several aspects as an evaluation.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100264"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738558","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}

{"title":"Stroke caregiving in Asia: A scoping review of caregiver burden","authors":"Junaedi Yunding ,&nbsp;Lalu Muhammad Saleh ,&nbsp;Takdir Tahir ,&nbsp;Atjo Wahyu ,&nbsp;Andi Indahwaty Sidin ,&nbsp;Muhammad Arsyad ,&nbsp;Saldy Yusuf ,&nbsp;Nurmulia Wunaini Ngkolu","doi":"10.1016/j.dialog.2026.100281","DOIUrl":"10.1016/j.dialog.2026.100281","url":null,"abstract":"<div><h3>Background</h3><div>Caregiver burden in stroke care is a major issue in Asia, influenced by cultural norms, socioeconomic disparities, and variations in healthcare systems.</div></div><div><h3>Objective</h3><div>This scoping review aimed to map and synthesize evidence on the levels and domains of caregiver burden among stroke caregivers in Asian countries.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in PubMed, SCOPUS, ProQuest, and ScienceDirect for full-text English-language articles published between 2020 and 2025. This review followed the PRISMA-ScR framework. Studies were screened using predefined criteria, and data were extracted using a standardized data extraction form. Thematic analysis was applied to identify burden domains and cross-country variations.</div></div><div><h3>Results</h3><div>Fifteen studies from China, Iran, India, South Korea, Thailand, Singapore, Turkey, and Pakistan were included. Eight burden domains were identified, with physical and emotional burden being the most predominant. Variations between countries were associated with cultural expectations, gender roles, socioeconomic conditions, and healthcare infrastructure. Countries with stronger health systems report a more manageable burden, while those with weaker systems experience higher financial and emotional stress.</div></div><div><h3>Conclusion</h3><div>This scoping review underscores the urgent need for health policies that prioritize caregiver support through financial assistance, psychoeducation, mental health services, and digital innovation. Community-based strategies tailored to the sociocultural context are crucial for improving caregiver well-being and optimizing post-stroke recovery.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100281"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078083","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}

{"title":"Intersectionality-informed eating pathology research: A scoping review","authors":"Mikyung Lee ,&nbsp;Eun Jung ,&nbsp;Bridgett Chau ,&nbsp;Eun-Young Lee","doi":"10.1016/j.dialog.2026.100286","DOIUrl":"10.1016/j.dialog.2026.100286","url":null,"abstract":"<div><h3>Objectives</h3><div>This scoping review aimed to synthesize findings from intersectionality-informed eating pathology (EP) research and documented how intersectionality has been operationalized in this body of literature.</div></div><div><h3>Methods</h3><div>Systematic literature searches were conducted in October 2022 and updated in May 2025 across six databases. Articles meeting the following criteria were included: 1) written in English, 2) published in peer-reviewed journals, 3) acknowledged and/or employed intersectionality as a study rationale, 4) employed intersectional investigations, and 5) addressed EP as an outcome.</div></div><div><h3>Results</h3><div>A total of 42 articles were included, comprising 27 quantitative, 14 qualitative, and one mixed-methods study. Limited engagement with intersectionality was evident, with 21 quantitative and 11 qualitative findings citing foundational authors and 11 quantitative and 8 qualitative findings providing a definition or explanation of intersectionality. While all qualitative articles addressed the concept of power by considering both social identities and systems of oppression, less than half of the quantitative articles did so (<em>n</em> = 13). Sex/gender and race/ethnicity were the most frequently employed exposures in exploring EP, while other social identities (e.g., sexual orientation) were relatively overlooked. The most commonly investigated intersection was sex/gender × race/ethnicity, followed by sex/gender × race/ethnicity × sexism × racism. Body image was the most common EP outcome examined.</div></div><div><h3>Conclusion</h3><div>Most EP research is limited in its engagement with intersectionality. This review highlights the underrepresentation of diverse social identities and associated systems of oppression, as well as prevalent patterns of gender binarism. Based on these gaps, recommendations for future research were provided.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100286"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173503","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}