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":"Impact of physical activity on visual outcomes among persons with type 2 diabetes: A scoping review of randomized controlled trials","authors":"Thomas Hormenu ,&nbsp;Ebenezer Oduro Antiri ,&nbsp;Stephen Ocansey ,&nbsp;Edward Wilson Ansah","doi":"10.1016/j.dialog.2026.100314","DOIUrl":"10.1016/j.dialog.2026.100314","url":null,"abstract":"<div><h3>Purpose</h3><div>The global burden of Type 2 diabetes mellitus (T2DM) is increasing, with diabetic eye complications remaining a leading cause of irreversible blindness. Current evidence suggests that physical activity may help mitigate diabetes-related microvascular complications. This scoping review synthesized evidence from randomized controlled trials (RCTs) assessing the impact of physical activity interventions on visual outcomes in individuals living with T2DM.</div></div><div><h3>Methods</h3><div>Using the JBI framework, a search of MEDLINE, CENTRAL, SCOPUS, JSTOR, and clinical trial registries was conducted yielding 3634 records, of which 8 RCTs satisfied the inclusion criteria. The included studies were conducted across 8 countries with varied designs, intervention protocols, outcome measures, and study durations.</div></div><div><h3>Results</h3><div>The findings revealed mixed outcomes regarding how physical activity affects visual outcomes. Of the 8 included RCTs, 4 reported beneficial effects (including significant decreases in central macular thickness, reduced risk of retinal microaneurysm formation, and lower diabetic retinopathy incidence or progression), 3 reported no significant effect, and 1 reported an unanticipated increase in retinopathy incidence in intervention groups. This review highlights critical gaps, including the lack of standardised visual outcome measurements, insufficient exploration of contrast sensitivity, colour vision, and visual fields, and limited or no follow-ups. Additionally, adherence to physical activity interventions may have been influenced by social determinants of health, such as socioeconomic status, cultural factors, and healthcare accessibility.</div></div><div><h3>Conclusion</h3><div>This review highlights the need for further high-quality RCTs with standardised physical activity protocols and comprehensive visual assessments. The findings offer a basis for incorporating structured physical activity into diabetes care, especially in resource-limited settings.</div></div><div><h3>Registration</h3><div>The scoping review is registered with Open Science Framework (<span><span>https://doi.org/10.17605/OSF.IO/856YB</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100314"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159221","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":"Gender, indigeneity, and intersectional considerations; The mental health of frontline public safety and healthcare workers in Canada","authors":"Lindsay P. Allen","doi":"10.1016/j.dialog.2026.100313","DOIUrl":"10.1016/j.dialog.2026.100313","url":null,"abstract":"<div><h3>Introduction</h3><div>There are high prevalences of PTSD and suicide in frontline professional emergency responders; currently in Canada, every two out of three of such frontline workers are suffering at least one mental disorder. Beyond individual psychoeducation, gender and intersectional considerations must be addressed to better support mental health of these workers.</div></div><div><h3>Methods</h3><div>Semi-structured in-depth interviews were conducted over Zoom with 41 frontlines workers from across Canada. Theoretical sampling and inductive analysis led to a focus on the experiences of minorities, namely, women and Indigenous participants.</div></div><div><h3>Results</h3><div>The key findings include that the workforce lacks diversity; women face a double- or triple-bind; gender-based bullying and harassment continue to be a problem; gender-based mental health stigma persists; there are issues with male peer supporters who lack gender-based understanding; a cultural of machoism persists; there are good in-roads for Indigenous spirituality and inclusion in therapy; Indigenous Elders' teachings and presence in the workplace are therapeutic; and there are special considerations when working in small communities.</div></div><div><h3>Conclusions</h3><div>Addressing behavioural and institutional barriers to minority mental wellness must become priorities if frontline organizations seek sustainable recruitment and retention among equity-deserving populations.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100313"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177868","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":"A multi-platform analysis of e-cigarette online marketing in China (2024–2025)","authors":"Ruiran Liu ,&nbsp;Biaowen Huang ,&nbsp;Zheng Wu ,&nbsp;Zi Xi ,&nbsp;Jidong Huang ,&nbsp;Mengjie Guo ,&nbsp;Lin Xiao","doi":"10.1016/j.dialog.2026.100311","DOIUrl":"10.1016/j.dialog.2026.100311","url":null,"abstract":"<div><div>Electronic cigarette (e-cigarette) marketing drives product uptake and use. As internet infrastructure has advanced and smartphone adoption has become widespread, enterprises and merchants have increasingly leveraged online platforms to conduct diverse e-cigarette marketing campaigns. This study aim to characterize the platforms, tactics, and other content features of e-cigarette marketing across Chinese internet platforms and to provide evidence-based recommendations for strengthening regulatory oversight. From September 2024 to January 2025, marketing instances were collected from seven platforms: Xiaohongshu, Douyin, Bilibili, WeChat, Weibo, News websites/APPs, and Online Forums. A China-specific codebook was developed, and the DeepSeek large language model provided auxiliary coding support. Descriptive analyses were performed using frequencies, proportions, and rates, while chi-square tests evaluated differences in tactic selection and publisher distribution across platforms. Among 3596 marketing instances, Xiaohongshu accounted for the largest share (<em>n</em> = 2496, 69.4%), followed by Douyin (<em>n</em> = 508, 14.1%) and Bilibili (<em>n</em> = 318, 8.8%). Direct marketing tactics (<em>n</em> = 2164, 60.2%) outnumbered indirect marketing tactics (<em>n</em> = 1432, 39.8%). Individual sellers constituted the most prevalent publisher type (<em>n</em> = 2604, 72.4%), whereas enterprises were the least common (<em>n</em> = 18, 0.5%). Product description (<em>n</em> = 1033, 39.7%) and community marketing (<em>n</em> = 743, 28.5%) were the two most frequently adopted tactics among individual sellers. Marketing tactic selection differed significantly across platforms (χ² = 1283.8, <em>P</em> &lt; 0.001). Despite China's ban on online e-cigarette advertising, this study reveals that publishers continue to employ product descriptions to attract users and leverage community marketing as a covert promotional strategy. Regulators urgently require enhanced monitoring tools to address these increasingly diversified and subtle tactics.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100311"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177861","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":"Identifying good organizational practices through the McKinsey 7S framework: A case study of an ophthalmology clinic1","authors":"Bounjerte Imane ,&nbsp;Fatih Ibtissam ,&nbsp;Zidi Mohamed ,&nbsp;El Turk Joumana ,&nbsp;Haidar Ibtisam ,&nbsp;Kettani Anass ,&nbsp;Saile Rachid ,&nbsp;Bennani Houda","doi":"10.1016/j.dialog.2026.100316","DOIUrl":"10.1016/j.dialog.2026.100316","url":null,"abstract":"<div><h3>Purpose</h3><div>Patient safety represents a cornerstone of high-quality healthcare and holds particular significance in ophthalmology, where precision, governance, and adherence to best practices are essential. To sustain and improve such standards, strategic management tools like the McKinsey 7S Framework offer a comprehensive approach to evaluate internal organizational alignment and its impact on performance, communication, and continuous improvement.</div></div><div><h3>Methods</h3><div>The study was conducted at the Nour Ophthalmology Clinic in Casablanca, Morocco. Data were collected through a validated questionnaire based on the McKinsey 7S framework, administered to 30 staff members. Data collection was conducted using Sphinx V5 and Statistical analysis was performed using IBM SPSS Statistics V25.</div></div><div><h3>Results</h3><div>The findings revealed a strong alignment of the clinic's practices with the components of the 7S model. Leadership was found to be particularly effective, characterized by engagement, optimal communication, and a focus on continuous improvement. Management emphasis on single-use equipment was also seen as a factor enhancing both patient safety and staff engagement.</div></div><div><h3>Conclusions</h3><div>Despite positive overall performance, the study identified areas for improvement, notably the need to formalize and strengthen training program evaluations, clarify roles and responsibilities, and improve awareness of process mapping. While the results reflect one clinic's context, they provide valuable insights and highlight the potential of the McKinsey 7S model for assessing organizational performance in healthcare.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100316"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177869","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}