The Lancet Regional Health: Western Pacific最新文献

{"title":"Calcium supplementation and the risk of dementia in the Perth Longitudinal Study of Aging Women: a post-hoc analysis of a randomised clinical trial for fracture prevention","authors":"Negar Ghasemifard ,&nbsp;Joshua R. Lewis ,&nbsp;Simone Radavelli-Bagatini ,&nbsp;Simon M. Laws ,&nbsp;Blossom C.M. Stephan ,&nbsp;Jonathan M. Hodgson ,&nbsp;Kun Zhu ,&nbsp;Richard L. Prince ,&nbsp;Marc Sim","doi":"10.1016/j.lanwpc.2025.101694","DOIUrl":"10.1016/j.lanwpc.2025.101694","url":null,"abstract":"<div><h3>Background</h3><div>Concerns have been raised around whether calcium supplements increase dementia risk. This post-hoc analysis of a five-year double-blind, placebo-controlled randomised trial of calcium supplements for primary fracture prevention evaluated the long-term risk for dementia in older women, randomised to either calcium supplements or placebo.</div></div><div><h3>Methods</h3><div>1460 community-dwelling dementia-free Australian women (≥70 years) were randomised to 1200 mg/day calcium carbonate (n = 730) or placebo (n = 730) for five years and were observed for an additional 9.5 years afterwards. Over 14.5 years, all-cause dementia events (comprising dementia-related hospitalisations and/or deaths) were identified from linked health records. The influence of calcium supplementation on dementia outcomes were examined using Kaplan–Meier survival curves and Cox regression under intention-to-treat (ITT) and per-protocol (PP, ≥80% tablet compliance, n = 830; 50.6% calcium supplements) criteria.</div></div><div><h3>Findings</h3><div>Mean baseline age was 75.1 ± 2.7 years. Dementia events were recorded in 269 women (18.4%), comprising 243 hospitalisations (16.6%) or 114 deaths (7.8%). No differences in the cumulative dementia-free survival rates were observed between groups in ITT and PP analyses. Compared to placebo, calcium supplements did not increase risk of dementia-related events (unadjusted ITT hazard ratio [HR] 0.90, 95% confidence interval (CI) 0.71–1.15), hospitalisations (HR 0.89, 95% CI 0.69–1.15) or deaths (HR 0.78, 95% CI 0.54–1.13). Similar results were observed in PP analyses.</div></div><div><h3>Interpretation</h3><div>Calcium supplementation for five years did not increase the risk of all-cause dementia events over 14.5 years in community-dwelling older women. Findings do not support concerns that calcium supplementation increases long-term risk of dementia.</div></div><div><h3>Funding</h3><div><span>National Health and Medical Research Council of Australia</span>.</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101694"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends of lipid-lowering drug utilization, treatment intensity and LDL-C target attainment in adults with diabetes and non-dialysis chronic kidney disease in Hong Kong","authors":"Yanting Huang ,&nbsp;Aimin Yang ,&nbsp;Mai Shi ,&nbsp;Jiazhou Yu ,&nbsp;Hongjiang Wu ,&nbsp;Juliana N.M. Lui ,&nbsp;Alice P.S. Kong ,&nbsp;Ronald C.W. Ma ,&nbsp;Andrea O.Y. Luk ,&nbsp;Calvin Ke ,&nbsp;Juliana C.N. Chan ,&nbsp;Elaine Chow","doi":"10.1016/j.lanwpc.2025.101696","DOIUrl":"10.1016/j.lanwpc.2025.101696","url":null,"abstract":"<div><h3>Background</h3><div>With evolving treatment targets, concerns over renal safety for some statins and new lipid-lowering drugs (LLDs), we aimed to evaluate the trends of statins and non-statin LLDs [ezetimibe, and proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i)] utilization in individuals with diabetes and non-dialysis chronic kidney disease (CKD) in Hong Kong.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of 332,975 Chinese individuals with diabetes and non-dialysis CKD using data from Hong Kong Hospital Authority in 2002–2019. We analyzed the annual average dosage, treatment intensity (low-intensity: &lt;30% Low density lipoprotein-cholesterol (LDL-C) reduction; moderate-intensity: 30%–49%; high-intensity: ≥50%) and attained LDL-C targets defined by annual average LDL-C value. We evaluated the age-sex standardized trends of statin and common non-statin LLD use for primary and secondary prevention across age, sex and CKD stages.</div></div><div><h3>Findings</h3><div>Statin-users increased from 17.6% in 2002 to 71.3% in 2019 with similar trends across age, sex and CKD stages G3–5 except for the 18–49 age group having the highest proportion of non-users of LLD (39%). By 2019, the usage of ezetimibe (1.19%) and PCSK9i (0.01%) remained low. Amongst statin-users, 27.2% received moderate-intensity therapy for primary prevention and 11.2% received high-intensity therapy for secondary prevention. In 2019, 33.3% of LLD-users achieved LDL-C &lt; 1.8 mmol/L for primary prevention and 21.3% achieved LDL-C &lt; 1.4 mmol/L for secondary prevention.</div></div><div><h3>Interpretation</h3><div>Despite the increasing use of statins, treatment gaps remain with respect to treatment intensity and LDL-C target attainment in diabetes and non-dialysis CKD calling for increased use of combination statin and ezetimibe or PCSK9i to close the treatment gaps.</div></div><div><h3>Funding</h3><div>Dr. Aimin Yang was supported by a <span>CUHK Impact Research Fellowship Scheme</span>.</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101696"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Playing to extinction’: the commercial determinants of gambling-related harm, suicidality and suicide","authors":"Angela Rintoul ,&nbsp;Suzanne McLaren ,&nbsp;Kerrie Shandley ,&nbsp;Britt Klein","doi":"10.1016/j.lanwpc.2025.101685","DOIUrl":"10.1016/j.lanwpc.2025.101685","url":null,"abstract":"<div><div>This paper presents a model of the commercial determinants of health in the context of gambling-related harm, suicidality and suicide. It outlines the ways the gambling ecosystem undermines suicide prevention efforts by driving harmful engagement with gambling. Using the dominant, orthodox discourse of ‘responsible gambling’, the ecosystem relies on the effects of addiction to underpin, sustain, and grow its power. Attempts to introduce effective interventions to prevent gambling-related harms are often blocked by the gambling ecosystem actors, using an evidence base that is biased by its focus on individual level causation and the attendant ‘responsible gambling’ responses. This emphasis on individual responsibility diverts attention from the practices of the industry, generates stigma and shame for those harmed, downplays serious harms caused by gambling, and contributes to the suicide toll. As most gambling activity is unrecorded, and systems for monitoring harms are underdeveloped, the true extent of these consequences have been largely invisible. This makes it more difficult to hold governments to account to regulate and prevent gambling-related harms, including suicidality and suicide. With growing evidence of harms linked to gambling, including suicide and increasing public concern, we present measures that could be adopted to disrupt these determinants and improve accountability to prevent harms and save lives.</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101685"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic heterogeneity in the association between social isolation and all-cause mortality among Japanese older adults: JAGES longitudinal panel study","authors":"Frances Rom Lunar ,&nbsp;Naoki Kondo ,&nbsp;Yukiko Honda ,&nbsp;Atsushi Nakagomi ,&nbsp;Toshiaki Komura ,&nbsp;Kosuke Inoue ,&nbsp;Koichiro Shiba","doi":"10.1016/j.lanwpc.2025.101691","DOIUrl":"10.1016/j.lanwpc.2025.101691","url":null,"abstract":"<div><h3>Background</h3><div>Social isolation has been linked to higher mortality; however, it remains unknown how this association varies across individuals and social groups.</div></div><div><h3>Methods</h3><div>We used a nationwide cohort study of ∼20,000 older adults with a 9·4-year follow-up period (Japan Gerontological Evaluation Study, 2013–2022), adjusting for 60 pre-baseline covariates. We also used a national insurance database to ascertain 4299 all-cause deaths. Using a causal machine-learning method, we estimated the heterogeneous association between social isolation and mortality.</div></div><div><h3>Findings</h3><div>Social isolation was more prevalent among those with lower education and income and associated on average with 69·5-day shorter survival time (restricted mean survival time [RMST] difference; 95% CI: −111, −28·4). There was evidence of heterogeneity where social isolation was associated with even shorter survival days in some subgroups (e.g., −205 days among the bottom quintile of the estimated RMST differences [95% CI: −321, −87·8]). These subgroups tended to be older, men, and have lower education. The adverse association of social isolation and mortality was particularly stronger when lower education was combined with higher income, especially among women. Individuals with lower levels of education accounted for a larger share of deaths attributable to social isolation (58·5% of excess deaths).</div></div><div><h3>Interpretation</h3><div>Social isolation may be more harmful among those from socially disadvantaged backgrounds, and a combination of some characteristics can synergistically amplify its effects on mortality. Proper population-level interventions informed with the evidence of effect heterogeneity might not only improve health on average but also mitigate existing health disparities.</div></div><div><h3>Funding</h3><div><span>Japan Society for the Promotion of Science</span>, <span>Health Labour Sciences Research Grants</span>, <span>Research Funding for Longevity Sciences from the National Center for Geriatrics and Gerontology</span>, Research Institute of Science and Technology from the <span>Japan Science and Technology</span>, <span>Japan Health Promotion &amp; Fitness Foundation</span>, <span>Department of Active Ageing</span>, <span>Niigata University Graduate School of Medical and Dental Sciences</span>, Tokyo Medical and Dental University Priority Research Areas Grant and National Research Institute for Earth Science and Disaster Resilience.</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101691"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The World Health Organization (WHO) Enhanced Gonococcal Antimicrobial Surveillance Programme (EGASP) reports continuously high levels of ceftriaxone resistance across Viet Nam, 2024","authors":"Pham Thi Lan ,&nbsp;Thuy Thi Phan Nguyen ,&nbsp;Vu Tuan Anh ,&nbsp;Daniel Golparian ,&nbsp;Nguyen Thi Thuy Van ,&nbsp;Ismael Maatouk ,&nbsp;Magnus Unemo","doi":"10.1016/j.lanwpc.2025.101709","DOIUrl":"10.1016/j.lanwpc.2025.101709","url":null,"abstract":"","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101709"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chikungunya: a growing public health concern in the Western Pacific region","authors":"The Lancet Regional Health – Western Pacific","doi":"10.1016/j.lanwpc.2025.101733","DOIUrl":"10.1016/j.lanwpc.2025.101733","url":null,"abstract":"","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101733"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving support for people with mental health problems in China: a cluster randomised controlled trial of culturally adapted Mental Health First Aid training","authors":"Nicola Reavley ,&nbsp;Amy J. Morgan ,&nbsp;Anthony F. Jorm ,&nbsp;Betty Kitchener ,&nbsp;Yan Wang ,&nbsp;Shurong Lu ,&nbsp;Wenjing Li ,&nbsp;Claire Kelly ,&nbsp;Brian Oldenburg ,&nbsp;Min Zhao ,&nbsp;Yanling He","doi":"10.1016/j.lanwpc.2025.101698","DOIUrl":"10.1016/j.lanwpc.2025.101698","url":null,"abstract":"<div><h3>Background</h3><div>Culturally appropriate interventions that teach members of the public to provide early help towards a person developing a mental health problem or in a mental health crisis may improve access to services, social support, and mental health outcomes. This is the first study to evaluate the effectiveness of culturally adapted Mental Health First Aid (MHFA) Training for China.</div></div><div><h3>Methods</h3><div>A two-arm wait-list pilot cluster randomised controlled trial (cRCT) was conducted in 3 settings in Shanghai (health services, workplaces and community settings). Intervention settings were paired according to type and one of each pair was randomly allocated to the intervention (MHFA Training for China) or the wait-list control group, with a 1:1 allocation. Participants were invited by the trial coordinators in each setting. They were asked to complete questionnaires at baseline (T1) and 1 month (T2) and 7 months after training (T3). Control group participants were asked to complete questionnaires at corresponding times. The primary outcome was participant intended actions (recommended or not recommended) towards a person experiencing a mental health problem or in a mental health crisis. Secondary outcomes included recognition of depression in a vignette; beliefs about the helpfulness of health professionals and interventions; helping actions; confidence in providing mental health first aid; and stigmatising attitudes.</div></div><div><h3>Findings</h3><div>Between April and May 2024, 6 clusters were recruited and randomised, with 3 in each of the intervention and control arms. Following exclusion of participants who did not provide data, 146 participants were included at baseline: 67 in the intervention group and 79 in the control group. For the primary outcome (recommended actions subscale), the intervention group showed a significantly larger improvement than the control group at T2 (8.19 [95% CI 4.05–12.34]; p &lt; 0.001) and T3 (3.08 [95% CI −1.02 to 7.18]; p = 0.034). Differences in changes in non-recommended actions were non-significant. At T2, significant differences favouring the intervention group were observed in confidence to provide support, perceiving the person as dangerous or unpredictable and in recognition of depression in a vignette. There were no significant differences in secondary outcomes at T3.</div></div><div><h3>Interpretation</h3><div>Delivering culturally adapted MHFA Training for China more widely could improve support for people experiencing mental health problems in the community.</div></div><div><h3>Funding</h3><div>This trial was supported the <span>National Health and Medical Research Council</span> under a <span>Global Alliance for Chronic Diseases</span> grant (<span><span>GNT1142395</span></span>).</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101698"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-based versus facility-based services to improve hepatitis C screening in Cambodia: a cluster randomized controlled trial (ANRS 12384 Cam-C study)","authors":"Dyna Khuon ,&nbsp;Luis Sagaon-Teyssier ,&nbsp;Sansothy Neth ,&nbsp;Saly Saint ,&nbsp;Laurence Meyer ,&nbsp;Emilie Mosnier ,&nbsp;Diana Molino ,&nbsp;Chan Leakhena Phoeung ,&nbsp;Chhingsrean Chhay ,&nbsp;Kimeang Heang ,&nbsp;Sovatha Mam ,&nbsp;Jean-Charles Duclos-Vallée ,&nbsp;Olivier Ségéral ,&nbsp;Vonthanak Saphonn","doi":"10.1016/j.lanwpc.2025.101703","DOIUrl":"10.1016/j.lanwpc.2025.101703","url":null,"abstract":"<div><h3>Background</h3><div>The estimated prevalence of hepatitis C virus (HCV) infection among adults aged over 45 years in Cambodia is approximately 5%. The present study aimed assessing the effectiveness of a novel community-based strategy comprising HCV rapid testing (RDT) and dried blood spot (DBS) collection performed by community health workers (CHWs) in outreach contexts.</div></div><div><h3>Methods</h3><div>ANRS 12384 Cam-C is a parallel arm cluster randomized controlled trial conducted in the Siem Reap and Kampong Cham provinces of Cambodia between April 2022 and September 2023. Four geographical areas in each province were randomized into two arms to compare HCV RDT and DBS collection provided in homes by community health workers (i.e., community-based strategy) with facility-based HCV RDT and whole blood collection provided by healthcare workers in health centers (i.e., facility-based strategy). The primary outcome was combined testing uptake, defined as the proportion of participants who were actually tested for HCV using RDT or RDT/RNA if positive out of all those who participated in the study. Mixed effects logistic models were used to estimate the effect of the community-based strategy. The study is registered on <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (<span><span>NCT03992313</span><svg><path></path></svg></span>).</div></div><div><h3>Findings</h3><div>Among the 7692 participants who initially enrolled in the study, 5590 (72.7%) actually went on to have HCV RDT or HCV RDT/RNA screening (i.e., combined testing uptake). Combined testing uptake in the community-based (2990 participants) and facility-based (2600 participants) arms was 78.1% and 67.3%, respectively (p &lt; 0.001). Positive HCV RDT was found for 57 (2.2%) including 39 (1.5%) with detectable HCV RNA among participants in the facility-based arm. In the community-based arm, 37 (1.2%) had positive HCV RDT including 32 (1.1%) with detectable HCV RNA. Treatment uptake concerned 36 participants (out of 39 with positive HCV RDT) and 30 (out of 32) in the facility-based and community-based arms, respectively. The odds of combined testing uptake in the community-based strategy were 2.18 (95% CI [1.28–3.73], p = 0.004) times higher than in the facility-based strategy.</div></div><div><h3>Interpretation</h3><div>Combined testing uptake (HCV RDT or HCV RDT/RNA) was higher for the community-based strategy than for the facility-based strategy. The involvement of community health workers improved first contact with HCV services and uptake. Integrating this trial's community-based screening strategy into the national Cambodian HCV program could improve its effectiveness as part of the country's broader goal of eliminating HCV by 2030.</div></div><div><h3>Funding</h3><div>This study was supported by the <span>ANRS</span> MIE (ANRS 12384).</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101703"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to A multicentre, prospective, double-blind study comparing the accuracy of autoantibody diagnostic assays in myasthenia gravis: the SCREAM study Lancet Reg Health West Pac (2023) 38: 100846","authors":"Zhiguo Li ,&nbsp;Chao Zhang ,&nbsp;Ting Chang ,&nbsp;Xinghu Zhang ,&nbsp;Huan Yang ,&nbsp;Feng Gao ,&nbsp;Jinzhou Feng ,&nbsp;Hongbo Liu ,&nbsp;Sheng Chen ,&nbsp;Lihua Wang ,&nbsp;Chunsheng Yang ,&nbsp;Huining Li ,&nbsp;Yuesong Pan ,&nbsp;Jacqueline Palace ,&nbsp;Fu-Dong Shi","doi":"10.1016/j.lanwpc.2025.101665","DOIUrl":"10.1016/j.lanwpc.2025.101665","url":null,"abstract":"","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101665"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of cancer associated with residential exposure to asbestos insulation: updated evidence","authors":"Hsei Di Law ,&nbsp;Mark Clements ,&nbsp;Nina Lazarevic ,&nbsp;Kayla Smurthwaite ,&nbsp;Susan Trevenar ,&nbsp;Leah Newman ,&nbsp;Elizabeth Chalker ,&nbsp;Martyn D. Kirk ,&nbsp;Rosemary J. Korda","doi":"10.1016/j.lanwpc.2025.101699","DOIUrl":"10.1016/j.lanwpc.2025.101699","url":null,"abstract":"","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"63 ","pages":"Article 101699"},"PeriodicalIF":8.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145269493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}