PLOS global public health最新文献

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Determinants of COVID-19 vaccine hesitancy among healthcare personnel in a secondary-level health facility in Ghana. 加纳二级卫生机构医护人员COVID-19疫苗犹豫的决定因素
IF 2.5
PLOS global public health Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0004980
Gloria Addobea Kumi, Mawuli Gohoho, Fortress Yayra Aku
{"title":"Determinants of COVID-19 vaccine hesitancy among healthcare personnel in a secondary-level health facility in Ghana.","authors":"Gloria Addobea Kumi, Mawuli Gohoho, Fortress Yayra Aku","doi":"10.1371/journal.pgph.0004980","DOIUrl":"10.1371/journal.pgph.0004980","url":null,"abstract":"<p><p>Vaccine hesitancy has been a long-standing concern globally and emerged during the COVID-19 pandemic among healthcare personnel. This study assessed the prevalence and determinants of vaccine hesitancy among healthcare personnel at the Volta Regional Hospital in Ghana. A cross-sectional study was conducted among 419 randomly selected healthcare personnel to collect sociodemographic, individual-level, community-level, and health system-level data, including vaccine uptake. Multivariable logistic regression analysis was performed to assess determinants of COVID-19 vaccine hesitancy at a 95% confidence level. COVID-19 vaccine hesitancy was found in 105 (25.1%) of respondents. Increased odds of vaccine hesitancy were associated with having 6-10 years of work experience (AOR = 3.43 95% CI = 1.44-8.18), being a midwife (AOR = 2.72 95% CI = 1.15-6.46), belief that vaccination does not guarantee protection against re-infection (AOR = 5.21 95% CI = 1.79-15.22), fear of long-term effects of COVID-19 (AOR = 2.14 95% CI = 1.18-3.86), perception of increased adverse effects among vaccinated individuals (AOR = 2.79 95% CI = 1.37-5.66), and community perception of long-term health effects of vaccination (AOR = 2.69 95% CI = 1.26-5.78). Awareness that health facilities were available to manage adverse effects reduced the odds of hesitancy (AOR = 0.23 95% CI = 0.12-0.43). Our study found that one in four healthcare personnel in the Volta Regional Hospital reported hesitancy toward receiving the COVID-19 vaccine. Targeted risk communication and confidence-building strategies tailored to midwives and healthcare workers with longer years of service, including interventions aimed at improving perceptions of vaccine efficacy and safety, may enhance COVID-19 vaccine uptake.</p>","PeriodicalId":74466,"journal":{"name":"PLOS global public health","volume":"5 9","pages":"e0004980"},"PeriodicalIF":2.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acceptability and feasibility of integrating female genital schistosomiasis and sexual and reproductive health interventions in Kenya: A demonstration study. 在肯尼亚将女性生殖器血吸虫病与性健康和生殖健康干预措施结合起来的可接受性和可行性:一项示范研究。
IF 2.5
PLOS global public health Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0004938
Robinson Karuga, Millicent Ouma, Stephen Mulupi, Leora Pillay, Caroline Pensotti, Victoria Gamba, Christine Kalume, Delphine Schlosser, Isis Umbelino-Walker, Ronald Tibiita, Florence Wakesho, Paul Nawiri, Patriciah Jeckonia, Thaddeus Owiti, Kariuki Njaanake, Hannah Ndupha, Jackson Muinde, Nickson Mugoha, Nana Mafimbo, Hassan Leli, Amos Ndenge, Lilian Otiso, Julie Jacobson
{"title":"Acceptability and feasibility of integrating female genital schistosomiasis and sexual and reproductive health interventions in Kenya: A demonstration study.","authors":"Robinson Karuga, Millicent Ouma, Stephen Mulupi, Leora Pillay, Caroline Pensotti, Victoria Gamba, Christine Kalume, Delphine Schlosser, Isis Umbelino-Walker, Ronald Tibiita, Florence Wakesho, Paul Nawiri, Patriciah Jeckonia, Thaddeus Owiti, Kariuki Njaanake, Hannah Ndupha, Jackson Muinde, Nickson Mugoha, Nana Mafimbo, Hassan Leli, Amos Ndenge, Lilian Otiso, Julie Jacobson","doi":"10.1371/journal.pgph.0004938","DOIUrl":"10.1371/journal.pgph.0004938","url":null,"abstract":"<p><p>Female genital schistosomiasis (FGS) is a neglected gynaecological condition that is a manifestation of chronic urogenital schistosomiasis. This disease has significant implications for the reproductive health and overall well-being of women and girls, especially in areas with limited access to water, sanitation, and hygiene (WASH). In Kenya, where urogenital schistosomiasis is endemic, the burden of FGS and how to best address it within existing sexual and reproductive health (SRH) services has not been fully explored. This mixed-methods study applied an implementation research approach to assess the feasibility and acceptability of integrating FGS services into routine SRH interventions across public health facilities in three high schistosomiasis endemic counties in Kenya. The intervention included implementing a minimum service package, between December 2023 and December 2024, encompassing health literacy, screening, diagnosis, and treatment. A total of 8,856 women were screened for FGS, with an overall estimated positivity rate of 27.7% (95% CI [26.7, 28.7]). A quantitative survey with a subset of 1,041 clients revealed high acceptability of integration 98.8% (95% CI [98, 99.3]). Integration enabled diagnosis and highlighted a hidden burden of FGS. Qualitative findings revealed significant gaps in knowledge and awareness, stigma-related barriers, and the absence of standardised indicators in the Kenya Health Information System (KHIS), which hampers effective data collection, reporting, and resource planning, including procurement of praziquantel. These findings show the urgent need for health system improvements, including the integration of standardised FGS indicators into the KHIS, to support surveillance, preparedness, and equitable resource distribution, the need for inclusion of FGS within medical training curricula, and for normative clinical guidance on FGS. The evidence supports scaling up FGS-SRH integration and positions MCH clinics and outreach programs as critical entry points.</p>","PeriodicalId":74466,"journal":{"name":"PLOS global public health","volume":"5 9","pages":"e0004938"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Motherhood and mental health of adolescent girls in low- and middle-income countries: A scoping review. 低收入和中等收入国家少女的母性和心理健康:范围审查。
IF 2.5
PLOS global public health Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0005134
Amber Hussain, Yared Asmare Aynalem, Tanya Park, Salima Meherali
{"title":"Motherhood and mental health of adolescent girls in low- and middle-income countries: A scoping review.","authors":"Amber Hussain, Yared Asmare Aynalem, Tanya Park, Salima Meherali","doi":"10.1371/journal.pgph.0005134","DOIUrl":"10.1371/journal.pgph.0005134","url":null,"abstract":"<p><p>Adolescence, a crucial transitional period, involves significant physical, cognitive, and psychosocial transformations. In Low- and Middle-Income Countries (LMICs), adolescent pregnancy is a significant public health concern, with an estimated 95% of the world's adolescent births occurring in these settings. While extensive research has explored various facets of adolescent development, there remains a gap in understanding mental health challenges experienced during motherhood. This scoping review aimed to assess the existing literature on the mental health of adolescent mothers in LMICs and identify gaps to guide future research and interventions in this underexplored domain. A scoping review was conducted following the methodology outlined by Arksey and O'Malley methodology. Relevant studies were retrieved from electronic databases (CINAHL, EMBASE, MEDLINE, Global Health, ERIC, and PsycINFO) and grey literature sources, using search terms systematically mapped with the PCC (Population, Context, and Concept) format. The population (P) includes adolescents aged 10-19 years; Context (C) includes Low- and Middle-Income Countries; and Concept (C) includes motherhood and mental health. A two-stage screening process was employed using Covidence software, with conflicts resolved through consensus or consultation with a third reviewer. Data extraction was performed by the primary author and independently reviewed by a second author. The findings were analyzed using descriptive statistics and narrative description. 1240 articles were identified, of which 35 studies met the inclusion criteria. Most studies focused on the postnatal phase, with limited attention to antenatal and childbirth. Mental health issues were the primary focus (88.6%), while some explored factors influencing mental health (57.1%), healthcare access and utilization (8.6%), interventions (2.9%), and coping strategies (8.6%). A majority of studies lacked a specified theoretical framework (85.7%). Most of the studies were from Sub-Saharan Africa. This review provides valuable insights for future research, policy development, and interventions addressing the mental health needs of adolescent mothers in LMICs. It highlights the need for adolescent-responsive mental health policies, integration of mental health services into maternal care, and culturally tailored interventions such as community-based peer support and mobile health tools. Future research should adopt theory-informed, context-specific approaches and expand into underrepresented regions, using qualitative and longitudinal designs to examine the full continuum of motherhood encompassing antenatal, childbirth, and postnatal phases.</p>","PeriodicalId":74466,"journal":{"name":"PLOS global public health","volume":"5 9","pages":"e0005134"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resilience amid chaos: The role of Gaza medical points. 混乱中的复原力:加沙医疗点的作用。
IF 2.5
PLOS global public health Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0005073
Ali Alshawwaf, Omar AlNajjar, Iyad Sultan, Eyad Qunaibi
{"title":"Resilience amid chaos: The role of Gaza medical points.","authors":"Ali Alshawwaf, Omar AlNajjar, Iyad Sultan, Eyad Qunaibi","doi":"10.1371/journal.pgph.0005073","DOIUrl":"10.1371/journal.pgph.0005073","url":null,"abstract":"<p><p>The Gaza healthcare system faces critical challenges due to ongoing war, with medical points (MPs) serving as essential healthcare providers. MPs are temporary healthcare service units established during emergencies or conflicts to provide essential medical care. This study assessed the operational status and resource availability of MPs in Gaza during wartime conditions. A cross-sectional online self-assessment survey conducted from October to December 2024 evaluated 28 MPs across Gaza. Data on facility characteristics, services, equipment, drug availability, and staffing were analyzed using descriptive statistics. The findings revealed that MPs experience severe shortages in essential medications, with insulin, antiepileptics, and cancer treatments unavailable in over 90% of cases. Antibiotics and psychiatric medications are critically deficient. Equipment shortages, including limited oxygen supplies and diagnostic tools, further strain trauma and chronic disease care. Only 39% of MPs provide maternity and vaccination services, while mental health services are nearly absent. Staffing is inadequate, with many healthcare personnel lacking training. Most MPs operate in temporary structures with inconsistent electricity, internet, and sanitation. Despite these limitations, MPs (median staff of 7 personnel) manage an average of 117 patients per unit daily. These findings highlight that MPs are crucial in Gaza's healthcare delivery but face severe systemic challenges. Urgent action is required to ensure the uninterrupted supply of essential medications and medical equipment to sustain life-saving services. Additionally, telemedicine could help address access barriers and support healthcare providers in managing escalating demands.</p>","PeriodicalId":74466,"journal":{"name":"PLOS global public health","volume":"5 9","pages":"e0005073"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations between 10-second standing balance tests and mild cognitive impairment in older adults in Colombia: A cross-sectional national survey. 哥伦比亚老年人10秒站立平衡测试与轻度认知障碍之间的关系:一项横断面全国调查。
IF 2.5
PLOS global public health Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0004543
Patricia García-Garro, Olga L Sarmiento, Gary O'Donovan
{"title":"Associations between 10-second standing balance tests and mild cognitive impairment in older adults in Colombia: A cross-sectional national survey.","authors":"Patricia García-Garro, Olga L Sarmiento, Gary O'Donovan","doi":"10.1371/journal.pgph.0004543","DOIUrl":"10.1371/journal.pgph.0004543","url":null,"abstract":"<p><p>Very little is known about the associations between balance and cognition in Latin America. Therefore, the objective of this study was to investigate associations between 10-second standing balance tests and mild cognitive impairment using data from a large nationally representative study of older adults in Colombia. The sample included 23,443 community-dwelling adults aged 71 (8) years [mean (SD)] from the National Survey of Health, Wellbeing and Ageing in Colombia. Trained interviewers collected the data in 2015. Mild cognitive impairment was defined as a score of 12 or less out of 19 on the shorter version of the mini-mental state examination used and validated in the region. Balance was assessed using three increasingly difficult standing balance tests: the feet-together test, the semi-tandem test, and the tandem test. Logistic regression models were adjusted for age, sex, education, smoking, civil status, diabetes, and physical activity. The prevalence of mild cognitive impairment was 20% in 23,443 participants who attempted the feet-together test, 16% in 20,943 who attempted the semi-tandem test, and 15% in 19,527 who attempted the tandem test. The odds ratio (95% confidence interval) for mild cognitive impairment was 0.43 (0.39, 0.48) for a successful feet-together test, 0.53 (0.46, 0.60) for a successful semi-tandem test, and 0.63 (0.57, 0.70) for a successful tandem test after adjusting for potential confounders [the p-value for each model was highly significant (all p < 0.001)]. There is a need for simple screening tools in Colombia and other countries in Latin America with limited resources. This study suggests that even the simplest of balance tests could be used to identify older adults at risk of mild cognitive impairment in Colombia. Longitudinal studies are needed to confirm these novel and important findings.</p>","PeriodicalId":74466,"journal":{"name":"PLOS global public health","volume":"5 9","pages":"e0004543"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alcohol-induced deaths in the United States across age, race, gender, geography, and the COVID-19 pandemic. 在美国,不同年龄、种族、性别、地理位置和COVID-19大流行的酒精致死人数。
IF 2.5
PLOS global public health Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0004623
Tony Wong, Lucas Böttcher, Tom Chou, Maria R D'Orsogna
{"title":"Alcohol-induced deaths in the United States across age, race, gender, geography, and the COVID-19 pandemic.","authors":"Tony Wong, Lucas Böttcher, Tom Chou, Maria R D'Orsogna","doi":"10.1371/journal.pgph.0004623","DOIUrl":"10.1371/journal.pgph.0004623","url":null,"abstract":"<p><p>We analyze alcohol-induced deaths by race, gender, age and geography on a yearly (1999-2024) and monthly (2018-2024) basis, using data from the National Vital Statistics System. Crude rates for alcohol-induced deaths increased by 89% from 1999 to 2024. The largest relative increase occurred among females aged 25-34, with a 255% increase, and males aged 25-34, with a 188% increase. American Indian and Alaska Native populations remain the most affected. While alcohol-induced deaths are higher among males, crude rates are rising faster among females across all demographics, a concerning trend. Sharp increases occurred at the onset of COVID-19, peaking in 2021. For most demographics across the nation, crude rates remained abnormally high throughout 2023; significant decreases emerged only in 2024, four years after the start of COVID-19. Females were more impacted by alcohol-related liver disease than males; alcohol-related mental and behavioral disorders affected both genders. The largest monthly increases in alcohol-induced deaths occurred in American Indian and Alaska Native males (41% increase between May and June 2020) and females (32% increase between June and July 2020), Black females (32% increase between April and May 2020), males aged 15-34 (28% increase between April and May 2020) and females aged 35-44 (28% increase between April and May 2020). Since 2010, the highest crude rates have been in New Mexico. Record increases occurred in all states between 2019 and 2021; the largest was in Mississippi (122% increase between 2019 and 2021). By 2024, rates had returned within 10% of their 2019 levels in about half the states. In Oglala Lakota County (SD), McKinley County (NM), and Apache County (AZ), crude rates have exceeded an astonishing 80 fatalities per 100,000 annually since 2020. These findings emphasize the urgent need for targeted policies to reduce excessive alcohol consumption and improve access to treatment.</p>","PeriodicalId":74466,"journal":{"name":"PLOS global public health","volume":"5 9","pages":"e0004623"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Awareness of management of pulmonary multidrug-resistant tuberculosis (MDR-TB) among private practitioners in suburban areas of Pune city, India: Input for developing an educational tool. 印度浦那市郊区私人医生对肺部耐多药结核病(MDR-TB)管理的认识:用于开发教育工具的投入。
IF 2.5
PLOS global public health Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0004617
Sachin Atre, Dharmendra Padalkar, Hanumant Chaugule, Trupti Sawant, Aryan Gupta, Anirvan Chatterjee, Maha Farhat
{"title":"Awareness of management of pulmonary multidrug-resistant tuberculosis (MDR-TB) among private practitioners in suburban areas of Pune city, India: Input for developing an educational tool.","authors":"Sachin Atre, Dharmendra Padalkar, Hanumant Chaugule, Trupti Sawant, Aryan Gupta, Anirvan Chatterjee, Maha Farhat","doi":"10.1371/journal.pgph.0004617","DOIUrl":"10.1371/journal.pgph.0004617","url":null,"abstract":"<p><p>Private practitioners (PPs) play a major role in caring for people with tuberculosis (TB) in India. At the same time, PPs have limited access to continuing medical education and oversight especially with regards to recent changes in the management of multi-drug resistant (MDR- TB). As a part of a larger study aimed at developing an educational tool for improving multidrug-resistant TB management, we conducted a baseline knowledge assessment of MDR-TB among PPs in suburban areas of Pune City, India. This study with a cross-sectional design was conducted during July 2022 to May 2023 among 100 PPs, who either refer and/treat TB and MDR-TB cases in Pimpri-Chinchwad Municipal Corporation (PCMC) areas of Pune in Maharashtra State. The inquiry was made using an interview schedule focused on suspicion of pulmonary TB and MDR-TB, their diagnosis and treatment. The majority of PPs were allopathic practitioners (85%) practicing in private clinics (82%). Most PPs reported that they suspect TB based on three cardinal symptoms: cough for >2 weeks (97%), fever (93%) and weight loss (82%). While 54% PPs considered the Xpert assay as the first test to diagnose MDR-TB, 32% were unaware of any test.Only 37% PPs were aware of whole genome sequencing for MDR diagnosis. A fifth of PPs selected Mantoux test use for the diagnosis of active TB. Less than a fourth of PPs knew about the second-line anti-TB drugs such as bedaquiline, delamanid or linezolid etc. and their availability either in the National TB Elimination Program (NTEP) or the private sector. Our study indicates considerable lack of awareness about pulmonary MDR-TB management among allopathic PPs in the study area and highlights the need for education and creating awareness about the same. It identified specific areas for developing an educational tool for PPs in India and elsewhere.</p>","PeriodicalId":74466,"journal":{"name":"PLOS global public health","volume":"5 9","pages":"e0004617"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding age at menarche: Environmental and demographic influences over a quarter century in India. 了解初潮年龄:环境和人口对印度25年来的影响。
IF 2.5
PLOS global public health Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0005133
Md Nahid Hassan Nishan, Anika Ferdous, M Z E M Naser Uddin Ahmed, Khadiza Akter
{"title":"Understanding age at menarche: Environmental and demographic influences over a quarter century in India.","authors":"Md Nahid Hassan Nishan, Anika Ferdous, M Z E M Naser Uddin Ahmed, Khadiza Akter","doi":"10.1371/journal.pgph.0005133","DOIUrl":"10.1371/journal.pgph.0005133","url":null,"abstract":"<p><p>This study investigates the factors influencing the age of menarche in various Indian states over a quarter century from 1992 to 2019, with the aim of understanding how climate change and demographic factors have shaped menarche timing. Data from the Indian Demographic and Health Survey (DHS) for 1992-93 and 2019-21, along with climate data from NASA's POWER project, were analyzed using a cross-sectional study design, including 23,083 respondents from 1992 and 45,329 from 2019. Across most states, a slight decrease in age at menarche was observed, with the exception of Maharashtra, which showed an increase. Higher specific humidity was associated with earlier onset of menarche, whereas higher temperatures correlated with delayed onset. Improvements in educational attainment, particularly higher education levels, were strongly linked to earlier menarche, indicating that demographic changes had a significant influence. The findings highlight the need for public health interventions that improve nutrition, healthcare access, and educational programs to promote health awareness. Ongoing monitoring of climatic impacts on health is essential for understanding and mitigating the effects of environmental changes on menarche timing.</p>","PeriodicalId":74466,"journal":{"name":"PLOS global public health","volume":"5 9","pages":"e0005133"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing an eco-bio-social conceptual framework for dengue virus transmission in Latin America and the Caribbean: An e-Delphi study. 制定拉丁美洲和加勒比地区登革热病毒传播的生态-生物-社会概念框架:e-Delphi研究。
IF 2.5
PLOS global public health Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0004115
Aisha Barkhad, Natacha Lecours, Lawrence Mbuagbaw
{"title":"Developing an eco-bio-social conceptual framework for dengue virus transmission in Latin America and the Caribbean: An e-Delphi study.","authors":"Aisha Barkhad, Natacha Lecours, Lawrence Mbuagbaw","doi":"10.1371/journal.pgph.0004115","DOIUrl":"10.1371/journal.pgph.0004115","url":null,"abstract":"<p><p>Dengue is a rapidly proliferating, mosquito-borne arboviral disease caused by the dengue virus (DENV), and is endemic in Latin America and the Caribbean (LAC). Evidence from the literature suggests that there are several ecological, biological, and social (eco-bio-social) factors determining dengue endemicity in the region. The primary objective of this study was to develop an eco-bio-social conceptual framework for dengue transmission in LAC. The secondary objective was to establish research, and policy and program agendas for dengue prevention and control in LAC. We conducted a sequential, multi-method study using a 3-round e-Delphi method between May and November 2023. Questionnaires were written in English and translated into Spanish and Portuguese, and data were analyzed quasi-anonymously. Professional panelists evaluated the framework using a 10-item, 7-point Likert scale. Consensus was defined as 70% or more agreement among panelists. Panelists also developed a research agenda and evaluated a policy and program agenda using a 12-item, 7-point Likert scale. Eleven dengue professionals from seven LAC countries participated in this study. The most relevant eco-bio-social factors determining dengue transmission were seasonal weather and urban microclimatic oscillations, vectorial capacity and competence, and urbanization and land use. After three consultation rounds, consensus was achieved on a framework comprising 16 ecological, 11 biological, and 28 social factors. Panelists developed a research agenda based on 3 research themes: ecological and environmental; biological and immunological; and social and cultural research. Panelists developed a policy and program agenda for dengue prevention and control, including 4 categories: government investments, integrated programs, intersectoral approaches, and innovative practices. Majority of panelists (88%) agreed that the agenda can improve dengue prevention and control in LAC. The consensus-based eco-bio-social framework and agendas offer novel opportunities to transform dengue prevention and control strategies in LAC and to address the specific needs and experiences of community members in LAC.</p>","PeriodicalId":74466,"journal":{"name":"PLOS global public health","volume":"5 9","pages":"e0004115"},"PeriodicalIF":2.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A feasibility study: Using mobile phone-based tools to collect community-level Behavioral and Social Drivers (BeSD) of vaccination data in Zambia. 可行性研究:在赞比亚使用基于移动电话的工具收集社区层面的疫苗接种行为和社会驱动因素(BeSD)数据。
IF 2.5
PLOS global public health Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI: 10.1371/journal.pgph.0004839
Talya Shragai, Christina Riley, Mukuka Bwalya, Ester Sikare, Rose Tembo, Jacob Bibohere, Kalangwa Kalangwa, Winfridah Liwoyo Mulenga, Constance Simooya, Olivia Aguma, Kennedy Matanda, Mazyanga Mazaba Liwewe, Neetu Abad, Eugene Lam, Anna Winters, Kimberly E Bonner
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