Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit最新文献

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-07-07 DOI: 10.26719/2025.31.6.404

Eman S Soliman, Rania Naguib, Fatima Neimatallah, Najd AlKhudhairy, Amjad AlGhamdi, Reema Alqahtani, Khloud Aldashash, Bashayr Alkhalifah, Amal Alhakami

{"title":"Diabetes-related distress among type 1 and type 2 diabetes patients in Saudi Arabia.","authors":"Eman S Soliman, Rania Naguib, Fatima Neimatallah, Najd AlKhudhairy, Amjad AlGhamdi, Reema Alqahtani, Khloud Aldashash, Bashayr Alkhalifah, Amal Alhakami","doi":"10.26719/2025.31.6.404","DOIUrl":"https://doi.org/10.26719/2025.31.6.404","url":null,"abstract":"Background: Studies have shown that diabetes negatively affects mental health, and that depression is twice as common among individuals with diabetes.Aim: To evaluate diabetes-related distress and its association with complications, treatment adherence and clinical outcomes in Saudi Arabia.Methods: This cross-sectional study collected data from 269 patients with type 1 and type 2 diabetes mellitus at a tertiary hospital in Riyadh, Saudi Arabia, using the Diabetes Distress Scale (DDS). The data were analysed using SPSS version 25.Results: Overall, 12.3% of the participants reported diabetes-related high distress (DDS-17 score > 3), 38.7% moderate distress (> 2) and 49.0% little or no distress. The most reported type of distress was regimen-related distress (22.7%), followed by emotional burden (15.6%), physician-related distress (14.9%), and interpersonal distress (10.4%). Treatment adherence was significantly associated with lower distress levels across all domains (P < 0.05). Higher diabetes-related distress scores correlated with elevated haemoglobin A1c levels and diabetes-related complications. Females had significantly more neurologic and more visual complications than males (P < 0.001).Conclusion: Our findings show that diabetes-related distress, particularly regimen-related and physician-related distresses, has significant effects on clinical outcomes for type 1 and type 2 diabetes mellitus patients. There is therefore a need for physicians to integrate diabetes-related distress assessment and management into routine diabetes care, including providing guidance on daily disease management and lifestyle changes as preventive measures for diabetesrelated distress.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 6","pages":"404-415"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692822","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}

引用次数: 0

Enhancing outbreak and pandemic alert and response in the Eastern Mediterranean Region. 加强东地中海区域的疫情和大流行预警和应对。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-07-07 DOI: 10.26719/2025.31.6.359

Evgeniya Boklage, Richard Brennan, Andreas Jansen, Wasiq Khan

引用次数: 0

Fifteen-year analysis of cervical cancer trends in Saudi Arabia. 沙特阿拉伯15年宫颈癌趋势分析。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-07-07 DOI: 10.26719/2025.31.6.380

Eman Alkhalawi, Claudia Alleman, Ali Saeed Al-Zahrani, Michel P Coleman

{"title":"Fifteen-year analysis of cervical cancer trends in Saudi Arabia.","authors":"Eman Alkhalawi, Claudia Alleman, Ali Saeed Al-Zahrani, Michel P Coleman","doi":"10.26719/2025.31.6.380","DOIUrl":"https://doi.org/10.26719/2025.31.6.380","url":null,"abstract":"Background: Incidence of invasive cervical cancer is low in Saudi Arabia, and it varies by nationality, region and stage. Understanding the trends is essential for designing interventions that align with global elimination goals.Aim: To estimate cervical cancer incidence trends by nationality, region and stage in Saudi Arabia.Methods: In this retrospective study, we analysed data obtained from the Saudi Cancer Registry on all women (N = 3038) diagnosed with cervical cancer in Saudi Arabia from 2005 to 2019. We calculated the age-standardised incidence rates by nationality, region and stage at diagnosis using the world standard population.Results: Incidence of cervical cancer varied by nationality, region and stage. Non-Saudi women had higher rates than Saudi women, while Makkah Region consistently had the highest rates, followed by Riyadh and Eastern regions. The proportion of localised-stage diagnoses increased from 24.2% in 2005 to over 40.0% in 2019, while cases with unknown stage decreased from 19.6% to 6.3%.Conclusion: In alignment with the global priority of eliminating cervical cancer, Saudi Arabia should intensify efforts to reduce its disease burden by ensuring equitable access to services across the cervical cancer continuum and raising awareness of the early signs and symptoms to increase early stage detection. There is a need to continuously monitor completeness and validity of cancer registry data to ensure that they are of high quality, relevant and suitable for policymaking.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 6","pages":"380-392"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692824","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}

引用次数: 0

Assessment of surgical services and needs in rural district and subdistrict hospitals in Pakistan. 评估巴基斯坦农村地区和街道医院的外科服务和需求。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-07-07 DOI: 10.26719/2025.31.6.363

Sameen Siddiqi, Imran Naeem, Shaheen Mehboob, Amna Urooba, Mashal Murad Shah, Iqbal Azam, Narjis Rizvi, Lumaan Sheikh, Asad Latif, Sadaf Khan

{"title":"Assessment of surgical services and needs in rural district and subdistrict hospitals in Pakistan.","authors":"Sameen Siddiqi, Imran Naeem, Shaheen Mehboob, Amna Urooba, Mashal Murad Shah, Iqbal Azam, Narjis Rizvi, Lumaan Sheikh, Asad Latif, Sadaf Khan","doi":"10.26719/2025.31.6.363","DOIUrl":"https://doi.org/10.26719/2025.31.6.363","url":null,"abstract":"Background: Provision of essential surgery is important in achieving Universal Health Coverage. However, data on the capacity of first-level hospitals to provide surgical care are currently unavailable in Sindh Province, Pakistan.Aim: To assess surgical care services and needs in public sector hospitals in Sindh Province, Pakistan.Methods: Between May and August 2021, we examined surgical care in 15 public sector district and subdistrict headquarters hospitals in Sindh Province, using the consolidated hospital assessment tool adapted from the WHO tool for assessing emergency and essential surgical care. We analysed the data using STATA version 15 and calculated the frequency of essential surgical procedures per 100 000 population for each health facility.Results: Overall surgical beds density was 0.22 per 100 000 population, with 0.7 certified specialists and 1.4 combined certified and non-specialist physicians offering surgical and anaesthesia care per 100 000 population. Clinical support services were deficient, and only 76% of drugs for anaesthetic and surgical care were available. Outpatient procedures were performed in all facilities, while obstetrics/gynaecology, surgical and trauma-related procedures were performed in 87%, 60% and 53% of facilities, respectively. Three of the 15 hospitals performed the 3 Bellwether procedures.Conclusion: This study identified multiple deficiencies in infrastructure, workforce, governance, management, and support services for essential surgical services in Sindh Province of Pakistan. To achieve Universal Health Coverage in Pakistan, there is a need for more research on surgical services in Sindh Province to identify other gaps and implement strategies to bridge the gaps.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 6","pages":"363-370"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692821","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}

引用次数: 0

Historical trends in completeness of death registration in Islamic Republic of Iran. 伊朗伊斯兰共和国死亡登记完整性的历史趋势。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-07-07 DOI: 10.26719/2025.31.6.371

Elaheh Kazemi, Parisa Rezanejad-Asl, Batoul Rabbani, Ardeshir Khosravi

{"title":"Historical trends in completeness of death registration in Islamic Republic of Iran.","authors":"Elaheh Kazemi, Parisa Rezanejad-Asl, Batoul Rabbani, Ardeshir Khosravi","doi":"10.26719/2025.31.6.371","DOIUrl":"https://doi.org/10.26719/2025.31.6.371","url":null,"abstract":"Background: Mortality statistics are essential for public health planning, policy and decision-making. However, underreporting of mortality has been a significant concern in Islamic Republic of Iran.Aim: To analyse trends in mortality and crude death rates, and the completeness of death registration in Islamic Republic of Iran.Methods: We obtained and analysed mortality indicators for Islamic Republic of Iran from 2006 to 2021.Results: Completeness of death registration increased consistently from approximately 80% in 2006 to 94% in 2021 for both sexes. However, there were variations in completeness from province to province. Mortality rates were higher for males than for females.Conclusion: Consistency in the completeness of death registration varied significantly among the provinces, therefore, policies and interventions are needed to address these disparities and improve the overall quality and completeness of mortality data in Islamic Republic of Iran.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 6","pages":"371-379"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692825","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}

引用次数: 0

Assessment of menstrual knowledge, beliefs and hygiene practices among ethnic groups in isolated populations in Pakistan. 评估巴基斯坦孤立人群中少数民族群体的月经知识、信仰和卫生习惯。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-07-07 DOI: 10.26719/2025.31.6.393

Saif Ullah, Maryam Bibi, Anila Parveen, Mahliqa Dinar, Ayesha Manan, Sajid Malik

{"title":"Assessment of menstrual knowledge, beliefs and hygiene practices among ethnic groups in isolated populations in Pakistan.","authors":"Saif Ullah, Maryam Bibi, Anila Parveen, Mahliqa Dinar, Ayesha Manan, Sajid Malik","doi":"10.26719/2025.31.6.393","DOIUrl":"https://doi.org/10.26719/2025.31.6.393","url":null,"abstract":"Background: Knowledge about menstruation and menstrual hygiene significantly impacts women's health and it is often influenced by economic, cultural and religious factors.Aim: To assess knowledge about menstruation and menstrual hygiene among the Kho and Kalash ethnic groups in Chitral, Pakistan.Methods: From May to September 2023, this cross-sectional study collected data on knowledge about menstruation and menstrual hygiene practices from 415 Kho and 105 Kalash women in Pakistan. The data were analysed using SPSS version 22 and associations between the variable factors were analysed using chi-square test (P < 0.05).Results: Respondents aged 14-20 years had better knowledge about menstruation than older adults and educated women were nearly 4 times more knowledgeable than illiterate women (49% vs 13%). Respondents with educated mothers had better knowledge about menstruation than those with illiterate mothers (52% vs 43%, P = 0.003). There was a significant difference in menstrual hygiene practices between Kalash and Kho women (P < 0.0001); Kalash women reported better practices than the Kho (90% vs 46%). The main sources of information about menstruation before menarche were friends (44%), mass media (21%) and elder sisters (13%).Conclusion: Knowledge about menstruation and menstrual hygiene is poor among the study population, indicating the need for targeted interventions and policies to improve knowledge and hygiene practices, thereby improving menstrual health among the women.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 6","pages":"393-403"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692820","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}

引用次数: 0

Strengthening public health response to substance use in the Eastern Mediterranean Region. 加强东地中海区域对药物使用的公共卫生反应。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-07-07 DOI: 10.26719/2025.31.6.357

Hanan Balkhy

引用次数: 0

Effects of tobacco products taxes on consumption in Türkiye. 烟草制品税对日本烟草消费的影响。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-29 DOI: 10.26719/2025.31.5.309

Metin Dincer

{"title":"Effects of tobacco products taxes on consumption in Türkiye.","authors":"Metin Dincer","doi":"10.26719/2025.31.5.309","DOIUrl":"10.26719/2025.31.5.309","url":null,"abstract":"Background: Tobacco products taxes are a source of revenue for governments, but more importantly a strategy to reduce consumption of tobacco products and their associated health risks.Aim: To investigate how tobacco products taxes have altered tobacco use in Türkiye.Methods: This retrospective study collected data published between 2010 and 2023 on tobacco and tobacco products in Türkiye, including tobacco products taxes imposed by the government. Data analysis was performed using SPSS version 22.0 and correlation analysis was conducted to determine the relationship between domestic cigarette and fine-cut tobacco sales.Results: Between 2010 and 2023, excise taxes on tobacco products varied between 19.2% and 34.2%. Consumer spending on fine-cut tobacco products per capita increased 42 694.6 folds due to an increase in the consumer price index. The annual number of cigarettes consumed per capita increased from 1266 in 2010 to 1609 in 2023 and fine-cut tobacco consumption per capita increased from 0.0037 g/year in 2010 to 106.8139 g/year in 2023. These increases in cigarette and fine-cut tobacco sales were attributed partly to population growth and a shift from cigarette consumption to fine-cut tobacco products consumption.Conclusion: Although the main tobacco product consumed in Türkiye is industrial cigarettes, increasing the prices increased interest in fine-cut tobacco. Therefore, the production of cigarettes from fine-cut tobacco above the legal estimates reduced the effect of the tax on cigarette consumption. The taxation system needs to be reformed to prevent the effect of such alternatives.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 5","pages":"309-316"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478311","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}

引用次数: 0

Strategies to combat infodemics in public health. 防治公共卫生信息流行病的战略。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-29 DOI: 10.26719/2025.31.5.340

Mohammadhiwa Abdekhoda, Afsaneh Dehnad

{"title":"Strategies to combat infodemics in public health.","authors":"Mohammadhiwa Abdekhoda, Afsaneh Dehnad","doi":"10.26719/2025.31.5.340","DOIUrl":"https://doi.org/10.26719/2025.31.5.340","url":null,"abstract":"Background: Infodemic is an emerging concept in public health and effective strategies are required to combat it.Aim: To identify documented strategies for combating infodemics in the health sector, particularly during the COVID-19 pandemic.Methods: In November 2022, we reviewed 87 articles on the management of infodemics in public health on PubMed and Web of Science using the Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews.Results: The number of articles on infodemic more than doubled from 18 in 2020 to 37 in 2021 and decreased to 32 in 2022, indicating efforts at different levels to combat infodemics especially during the COVID-19 pandemic. Strategies to combat infodemics included health literacy and education, use of more effective information resources, content control, social networking and communication, restrictive laws, use of electronic platforms, awareness campaigns, and health care provider involvement.Conclusion: Findings from this review indicate that infodemic, especially during a pandemic, is a serious challenge in public health and a multifaceted approach involving education, technology, policy and community engagement is essential to combat it.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 5","pages":"340-349"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478326","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}

引用次数: 0

Accelerating access to medical products in the Eastern Mediterranean Region. 加快在东地中海区域获得医疗产品。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-29 DOI: 10.26719/2025.31.5.303

Hanan Balkhy

引用次数: 0