Clinical Epidemiology and Global Health最新文献

Distribution and risk factors for childhood visual deficiency in Morocco: Case – control study

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-03-01 DOI: 10.1016/j.cegh.2025.101969

Loulidi Soukaina , Loukid Mohamed , Boussaa Samia

Background

Visual impairment and blindness in children are a public health issue that needs to be addressed by health and government authorities. Our research aimed to identify the risk factors for childhood blindness and visual impairment in a region of Morocco.

Methods

A case-control study was conducted in Marrakech-Safi region, in central Morocco, at the ophthalmology department of Errazi Hospital and in the diagnostic centre of Mohammed VI University Hospital Centre, as well as at the Abou El Abbas Sebti Institute for the Education of the Blind. 144 cases of visually impaired or blind children and 218 sighted control children from the same age group participated in the survey, which was carried out between November 2021 and October 2022 using the WHO/PBL questionnaire and analysed by SPSS 16.0.

Results

The results showed the predominance of cataracts (43 %), followed by refractive error (26.4 %) and glaucoma (23.6 %). In youngsters, the primary cause of vision impairment is 63.2 % heredity. Thus, 50 % of children have a three-degree family history, with first-degree dominance accounting for 77.8 % of the total, and a significant association was detected for this variable (OR = 1.795, 95 % CI: 1.170–2.754). 60.4 % of children have ocular diseases from birth, and 24.3 % of parents were consanguineous marriages, however there was no significant association.

Conclusion

Preventing visual abnormalities in children requires addressing the hereditary factor. Being the first of its kind in the area, our study's findings offer a valuable database for improved tracking of strategies used to prevent early blindness and visual impairment.

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引用次数: 0

Empowering women for improved dietary diversification during pregnancy: Longitudinal study in Ethiopia

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-03-01 DOI: 10.1016/j.cegh.2025.101964

Yonas Abebe , Tolasa Yadate , Lenco Kajela , Bariso Dadi

Background

Dietary diversification, the consumption of various food groups, is essential to meet the increased nutritional demands of pregnant women. However, inadequate dietary diversification is a prevalent concern in developing countries, including Ethiopia, with studies showing low levels of dietary diversification among pregnant women, mainly because of low socioeconomic empowerment. Therefore, this study aimed to assess the minimum dietary diversification and associated factors among pregnant women in the city of Jimma, Ethiopia.

Methods

A facility-based longitudinal study was conducted among pregnant women attending antenatal care follow-up at Jimma City public health facilities. Data were collected from January 2023 to January 2024, using an interviewer-administered questionnaire. The collected data were entered in to Epi-Data Manager version 4.2 and exported to SPSS version 26 for analysis. Bivariate and multivariable binary logistic regression analyzes were used.

Result

420 pregnant women participated in the study consistently with a response rate of 99.05 %. The prevalence of minimum dietary diversification was 37.9 %. Factors associated with achieving adequate dietary diversification among pregnant women include higher income, participation in household decision making (AOR = 1.84; 95 % CI: 1.16–2.89) and higher levels of education. Conversely, pregnant women who accepted being beaten by their intimate partner were 59 % less likely to meet the minimum dietary diversification standard.

Conclusion

The study found that most pregnant women did not meet the minimum dietary diversification standard. The empowerment of women's socio-economic status—through education, increased income, reduced acceptance of intimate partner violence, and participation in household decision-making—was significantly associated with dietary diversification among pregnant women. Therefore, any program aiming to intervene in maternal nutrition should consider these factors.

{"title":"Empowering women for improved dietary diversification during pregnancy: Longitudinal study in Ethiopia","authors":"Yonas Abebe , Tolasa Yadate , Lenco Kajela , Bariso Dadi","doi":"10.1016/j.cegh.2025.101964","DOIUrl":"10.1016/j.cegh.2025.101964","url":null,"abstract":"<div><h3>Background</h3><div>Dietary diversification, the consumption of various food groups, is essential to meet the increased nutritional demands of pregnant women. However, inadequate dietary diversification is a prevalent concern in developing countries, including Ethiopia, with studies showing low levels of dietary diversification among pregnant women, mainly because of low socioeconomic empowerment. Therefore, this study aimed to assess the minimum dietary diversification and associated factors among pregnant women in the city of Jimma, Ethiopia.</div></div><div><h3>Methods</h3><div>A facility-based longitudinal study was conducted among pregnant women attending antenatal care follow-up at Jimma City public health facilities. Data were collected from January 2023 to January 2024, using an interviewer-administered questionnaire. The collected data were entered in to Epi-Data Manager version 4.2 and exported to SPSS version 26 for analysis. Bivariate and multivariable binary logistic regression analyzes were used.</div></div><div><h3>Result</h3><div>420 pregnant women participated in the study consistently with a response rate of 99.05 %. The prevalence of minimum dietary diversification was 37.9 %. Factors associated with achieving adequate dietary diversification among pregnant women include higher income, participation in household decision making (AOR = 1.84; 95 % CI: 1.16–2.89) and higher levels of education. Conversely, pregnant women who accepted being beaten by their intimate partner were 59 % less likely to meet the minimum dietary diversification standard.</div></div><div><h3>Conclusion</h3><div>The study found that most pregnant women did not meet the minimum dietary diversification standard. The empowerment of women's socio-economic status—through education, increased income, reduced acceptance of intimate partner violence, and participation in household decision-making—was significantly associated with dietary diversification among pregnant women. Therefore, any program aiming to intervene in maternal nutrition should consider these factors.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101964"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510789","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

The education role on institutional delivery among teenage mothers in Indonesia: A national wide survey

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-03-01 DOI: 10.1016/j.cegh.2025.101970

Ratna Dwi Wulandari , Agung Dwi Laksono , Yuly Astuti

Objectives

Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR) in Indonesia are still high. The government encourages institutional births to reduce these numbers. Meanwhile, early marriage is still a problem in Indonesia. The study examines the role of education level on institutional delivery among teenage mothers in Indonesia.

Methods

The secondary analysis of the 2023 Indonesian Health Survey involved a sample of 609 teenage moms. We analyzed the relationship between institutional delivery and education level and seven control variables: residence, age, marital status, work status, wealth, insurance, antenatal care (ANC), and parity. The study employed binary logistic regression for the final stage.

Results

The result showed that only 49.7 % of adolescent mothers in Indonesia deliver their babies in institutional settings. Regarding education, teenage mothers in primary school are 2.268 times more likely than those without education to perform institutional delivery (95%CI 2.185–2.355). Adolescent mothers with junior high school are 4.545 times more likely to achieve institutional delivery than those without education (95%CI 4.380–4.716). Moreover, teenage mothers with senior high school are 5.040 times more likely to childbirth in institutional settings than those without education (95%CI 4.837–5.252). The findings indicated that higher education correlates with an increased likelihood of institutional delivery.

Conclusions

Education levels were associated with institutional delivery among teenage mothers. The better the education level, the higher the possibility of performing institutional delivery. The study implies that improving education levels among adolescent mothers in Indonesia could increase the likelihood of institutional delivery, potentially reducing MMR and IMR.

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引用次数: 0

Prevalence of depressive symptoms in middle-aged and elderly outpatient patients with chronic pain in three cities and provinces of China

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-03-01 DOI: 10.1016/j.cegh.2025.101955

Chengxin Du , Weiwei Zhang , Liyuan Xu , Bifa Fan , Jianqun Dong , Liuxia Yan , Yingying Jiang

Background

Chronic pain and depression are closely related, significantly impacting patients' quality of life. Notably, large-scale cross-sectional studies on chronic pain patients are scarce in China. This study examined depressive symptoms' prevalence and factors in three provinces/cities' outpatient patients, aiming to support psychological intervention and diagnostic/treatment services.

Methods

Middle-aged and elderly patients with chronic pain in outpatient clinics in China (n = 4151) completed valid questionnaires on demographic characteristics, pain status, and depression in a cross-sectional study design. The chi-square test was used for comparison between groups, and multivariate logistic regression was used to analyze the influencing factors of depression in middle-aged and elderly patients with chronic pain.

Results

Among 4151 patients with chronic pain, 9.1 % had depression symptoms. The prevalence of depressive symptoms in patients with severe pain was 24.2 %. As the severity of pain increased, the detection rate of depressive symptoms showed an upward trend (trend test x² = 165.156, P < 0.001). Past medical history (OR = 1.83, 95%CI: 1.28–2.62), insomnia (OR = 2.58, 95%CI: 2.03–3.29), number of pain sites ≥2 (OR = 1.60, 95%CI: 1.27–2.03), and severe pain (OR = 3.54, 95%CI: 2.28–5.51), dissatisfaction pain treatment (OR = 2.50, 95%CI: 1.83–3.42) were risk factors for depressive symptoms.

Conclusions

As the severity of pain increased, the detection rate of depressive symptoms showed an upward trend. Psychological health prevention and intervention should be actively implemented in key populations of chronic pain patients to improve the effectiveness and satisfaction of pain treatment.

{"title":"Prevalence of depressive symptoms in middle-aged and elderly outpatient patients with chronic pain in three cities and provinces of China","authors":"Chengxin Du , Weiwei Zhang , Liyuan Xu , Bifa Fan , Jianqun Dong , Liuxia Yan , Yingying Jiang","doi":"10.1016/j.cegh.2025.101955","DOIUrl":"10.1016/j.cegh.2025.101955","url":null,"abstract":"<div><h3>Background</h3><div>Chronic pain and depression are closely related, significantly impacting patients' quality of life. Notably, large-scale cross-sectional studies on chronic pain patients are scarce in China. This study examined depressive symptoms' prevalence and factors in three provinces/cities' outpatient patients, aiming to support psychological intervention and diagnostic/treatment services.</div></div><div><h3>Methods</h3><div>Middle-aged and elderly patients with chronic pain in outpatient clinics in China (n = 4151) completed valid questionnaires on demographic characteristics, pain status, and depression in a cross-sectional study design. The chi-square test was used for comparison between groups, and multivariate logistic regression was used to analyze the influencing factors of depression in middle-aged and elderly patients with chronic pain.</div></div><div><h3>Results</h3><div>Among 4151 patients with chronic pain, 9.1 % had depression symptoms. The prevalence of depressive symptoms in patients with severe pain was 24.2 %. As the severity of pain increased, the detection rate of depressive symptoms showed an upward trend (trend test x<sup>2</sup> = 165.156, P < 0.001). Past medical history (OR = 1.83, 95%CI: 1.28–2.62), insomnia (OR = 2.58, 95%CI: 2.03–3.29), number of pain sites ≥2 (OR = 1.60, 95%CI: 1.27–2.03), and severe pain (OR = 3.54, 95%CI: 2.28–5.51), dissatisfaction pain treatment (OR = 2.50, 95%CI: 1.83–3.42) were risk factors for depressive symptoms.</div></div><div><h3>Conclusions</h3><div>As the severity of pain increased, the detection rate of depressive symptoms showed an upward trend. Psychological health prevention and intervention should be actively implemented in key populations of chronic pain patients to improve the effectiveness and satisfaction of pain treatment.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101955"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510790","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

Epidemiological investigation of depressive disorders in healthcare workers throughout 12 years in the governorate of Sousse, Tunisia

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-02-22 DOI: 10.1016/j.cegh.2025.101967

Marwa Bouhoula , Amen Moussa , Asma Chouchane , Amal Ghenim , Rania Elghezal , Asma Gaddour , Narjes Belhadj , Sonia Kammoun , Asma Aloui , Imène Kacem , Maher Maoua , Houda Kalboussi , Olfa Elmaalel , Souheil Chatti , Aicha Brahem

Background

Depressive disorders are a major global health challenge and are projected to become a leading cause of disability by 2030.

Aims

Examine the epidemiological characteristics of depressive disorders among healthcare workers and identify key associated risk factors.

Methods

A retrospective descriptive study was conducted at the Regional Health Directorate of Sousse, focusing on healthcare workers on long-term sick leave (LTSL) due to depressive disorders from 2010 to 2021. Data were collected from medical and administrative records and a questionnaire covering socio-professional and medical information. Diagnoses were based on DSM-5 criteria. Statistical analysis was conducted using SPSS version 26.

Results

Among 650 healthcare workers studied, 12.8 % were diagnosed with depressive disorders. Of these, 13 % reported work-related conflicts, 3.5 % had exposure to severe infectious diseases before COVID-19, and 17 % had direct contact with COVID-19 patients. Additionally, 71.4 % of participants with depressive disorders presented with anxiety, and 50 % had moderate depression. Significant associations (p < 0.05) were found between disorder severity and occupational exposures, medical history, and the impact of COVID-19.

Conclusion

Depressive disorders among healthcare workers are a pressing public health issue, with occupational factors like work-related conflicts and exposure to infectious diseases identified as key risk factors. Addressing these issues through psychological support programs and workplace interventions is essential to safeguard the mental well-being of healthcare workers and ensure the sustainability of healthcare services.

{"title":"Epidemiological investigation of depressive disorders in healthcare workers throughout 12 years in the governorate of Sousse, Tunisia","authors":"Marwa Bouhoula , Amen Moussa , Asma Chouchane , Amal Ghenim , Rania Elghezal , Asma Gaddour , Narjes Belhadj , Sonia Kammoun , Asma Aloui , Imène Kacem , Maher Maoua , Houda Kalboussi , Olfa Elmaalel , Souheil Chatti , Aicha Brahem","doi":"10.1016/j.cegh.2025.101967","DOIUrl":"10.1016/j.cegh.2025.101967","url":null,"abstract":"<div><h3>Background</h3><div>Depressive disorders are a major global health challenge and are projected to become a leading cause of disability by 2030.</div></div><div><h3>Aims</h3><div>Examine the epidemiological characteristics of depressive disorders among healthcare workers and identify key associated risk factors.</div></div><div><h3>Methods</h3><div>A retrospective descriptive study was conducted at the Regional Health Directorate of Sousse, focusing on healthcare workers on long-term sick leave (LTSL) due to depressive disorders from 2010 to 2021. Data were collected from medical and administrative records and a questionnaire covering socio-professional and medical information. Diagnoses were based on DSM-5 criteria. Statistical analysis was conducted using SPSS version 26.</div></div><div><h3>Results</h3><div>Among 650 healthcare workers studied, 12.8 % were diagnosed with depressive disorders. Of these, 13 % reported work-related conflicts, 3.5 % had exposure to severe infectious diseases before COVID-19, and 17 % had direct contact with COVID-19 patients. Additionally, 71.4 % of participants with depressive disorders presented with anxiety, and 50 % had moderate depression. Significant associations (p < 0.05) were found between disorder severity and occupational exposures, medical history, and the impact of COVID-19.</div></div><div><h3>Conclusion</h3><div>Depressive disorders among healthcare workers are a pressing public health issue, with occupational factors like work-related conflicts and exposure to infectious diseases identified as key risk factors. Addressing these issues through psychological support programs and workplace interventions is essential to safeguard the mental well-being of healthcare workers and ensure the sustainability of healthcare services.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101967"},"PeriodicalIF":2.3,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487062","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

Spatiotemporal dynamics of dengue hotspots in an urbanizing landscape: A five-year analysis in Selangor, Malaysia

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-02-22 DOI: 10.1016/j.cegh.2025.101966

Nur Athen Mohd Hardy Abdullah , Nazri Che Dom , Siti Aekbal Salleh , Hasber Salim , Nopadol Precha , Rahmat Dapari

Introduction

Spatial analysis plays a crucial role in vector control by assessing disease dynamics and identifying risk areas. While numerous studies have examined dengue incidence in Malaysia, few have specifically investigated prolonged localized dengue epidemics lasting more than 30 days. This study aims to analyze the distribution and patterns of dengue hotspots in Selangor from 2017 to 2021.

Methods

Dengue hotspot coordinates were obtained from Google Maps and mapped using ArcGIS. Heat maps were generated to visualize temporal and spatial hotspot patterns across epidemiological weeks and districts. Hotspot analysis was conducted to identify areas with a high frequency of dengue cases.

Results

Over 400 dengue hotspots were identified, primarily concentrated in Gombak, Hulu Langat, Klang, and Petaling districts characterized by high population densities exceeding 1000 individuals per km². Peak dengue hotspot occurrences (≥70 per week) were observed during three seasonal periods: January–March, June–September, and October–December.

Conclusion

This study provides new insights into the spatial-temporal distribution of prolonged dengue outbreaks in Selangor. The findings can inform targeted vector control strategies and policy interventions in high-risk areas.

{"title":"Spatiotemporal dynamics of dengue hotspots in an urbanizing landscape: A five-year analysis in Selangor, Malaysia","authors":"Nur Athen Mohd Hardy Abdullah , Nazri Che Dom , Siti Aekbal Salleh , Hasber Salim , Nopadol Precha , Rahmat Dapari","doi":"10.1016/j.cegh.2025.101966","DOIUrl":"10.1016/j.cegh.2025.101966","url":null,"abstract":"<div><h3>Introduction</h3><div>Spatial analysis plays a crucial role in vector control by assessing disease dynamics and identifying risk areas. While numerous studies have examined dengue incidence in Malaysia, few have specifically investigated prolonged localized dengue epidemics lasting more than 30 days. This study aims to analyze the distribution and patterns of dengue hotspots in Selangor from 2017 to 2021.</div></div><div><h3>Methods</h3><div>Dengue hotspot coordinates were obtained from Google Maps and mapped using ArcGIS. Heat maps were generated to visualize temporal and spatial hotspot patterns across epidemiological weeks and districts. Hotspot analysis was conducted to identify areas with a high frequency of dengue cases.</div></div><div><h3>Results</h3><div>Over 400 dengue hotspots were identified, primarily concentrated in Gombak, Hulu Langat, Klang, and Petaling districts characterized by high population densities exceeding 1000 individuals per km<sup>2</sup>. Peak dengue hotspot occurrences (≥70 per week) were observed during three seasonal periods: January–March, June–September, and October–December.</div></div><div><h3>Conclusion</h3><div>This study provides new insights into the spatial-temporal distribution of prolonged dengue outbreaks in Selangor. The findings can inform targeted vector control strategies and policy interventions in high-risk areas.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101966"},"PeriodicalIF":2.3,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487063","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

Determine the promotion target of exclusive breastfeeding among poor families in Indonesia

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-02-18 DOI: 10.1016/j.cegh.2025.101960

Mizna Sabilla , Agung Dwi Laksono , Hario Megatsari

Background

Promoting exclusive breastfeeding (EBF) for poor families is expected to have a big impact on children's future development. The study analyzed the promotion target to increase EBF among poor families in Indonesia.

Methods

It was a cross-sectional study that looked at 48,995 children. We examined EBF practice as a dependent variable. We included eight characteristics as independent variables (residence, maternal age, marital, education, employment, wealth, antenatal care (ANC), and early initiation of breastfeeding (EIBF). Finally, we did a binary logistic regression test.

Results

The data reveals that the percentage of exclusive breastfeeding (EBF) among impoverished households in Indonesia is 39.9 %. The outcome showed that mothers in rural areas were 1.235 times more likely than those in urban areas to perform EBF (95 % CI 1.229–1.241). According to maternal age, all ages were more likely to achieve EBF than <20. Moreover, based on marital status, married mothers were 1.055 times more likely than divorced/widowed mothers to perform EBF (95 % CI 1.034–1.076). Mothers with all education levels were more likely than those without education to achieve EBF. Mothers with ANC were 1.430 times more likely to achieve EBF than those without (95 % CI 1.416–1.444). Mothers who perform EIBF were 1.624 times more likely than those who did not perform EIBF to achieve EBF (95 % CI 1.616–1.632).

Conclusion

Six mother characteristics were the specific promotion target among poor families to increase EBF in Indonesia: living in urban areas, being young, having divorced/widowed status, having a poor education, and not performing ANC and EIBF.

{"title":"Determine the promotion target of exclusive breastfeeding among poor families in Indonesia","authors":"Mizna Sabilla , Agung Dwi Laksono , Hario Megatsari","doi":"10.1016/j.cegh.2025.101960","DOIUrl":"10.1016/j.cegh.2025.101960","url":null,"abstract":"<div><h3>Background</h3><div>Promoting exclusive breastfeeding (EBF) for poor families is expected to have a big impact on children's future development. The study analyzed the promotion target to increase EBF among poor families in Indonesia.</div></div><div><h3>Methods</h3><div>It was a cross-sectional study that looked at 48,995 children. We examined EBF practice as a dependent variable. We included eight characteristics as independent variables (residence, maternal age, marital, education, employment, wealth, antenatal care (ANC), and early initiation of breastfeeding (EIBF). Finally, we did a binary logistic regression test.</div></div><div><h3>Results</h3><div>The data reveals that the percentage of exclusive breastfeeding (EBF) among impoverished households in Indonesia is 39.9 %. The outcome showed that mothers in rural areas were 1.235 times more likely than those in urban areas to perform EBF (95 % CI 1.229–1.241). According to maternal age, all ages were more likely to achieve EBF than <20. Moreover, based on marital status, married mothers were 1.055 times more likely than divorced/widowed mothers to perform EBF (95 % CI 1.034–1.076). Mothers with all education levels were more likely than those without education to achieve EBF. Mothers with ANC were 1.430 times more likely to achieve EBF than those without (95 % CI 1.416–1.444). Mothers who perform EIBF were 1.624 times more likely than those who did not perform EIBF to achieve EBF (95 % CI 1.616–1.632).</div></div><div><h3>Conclusion</h3><div>Six mother characteristics were the specific promotion target among poor families to increase EBF in Indonesia: living in urban areas, being young, having divorced/widowed status, having a poor education, and not performing ANC and EIBF.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101960"},"PeriodicalIF":2.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454994","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

Celiac disease and COVID-19: Leveraging health registries for crucial insights and public health strategies

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-02-14 DOI: 10.1016/j.cegh.2025.101962

Beatrice Gasperini , Antonio Cherubini , Marco Pompili , Donatella Sarti , Emilia Prospero

Background

Celiac disease is an immune-mediated disorder triggered by gluten in genetically predisposed individuals, characterized by the presence of specific antibodies and inflammation of the small intestine. This study aims to assess the risk of SARS-CoV-2 infection and clinical outcomes among individuals with celiac disease compared to the general population using administrative data from health registries.

Methods

This retrospective case-control study was conducted in the Marche region, Italy, using the Celiac Disease Registry and the Italian National Monitoring System for COVID-19, from February 25, 2020, to March 31, 2021. Propensity score matching (1:1) was applied to compare celiac patients and controls based on age, sex, residence. Socio-demographic variables, chronic conditions, clinical outcomes were assessed.

Results

Among 4488 celiac patients, 209 (4.65 %, 95 % CI: 4.05–5.31 %) contracted COVID-19. The infection rate in the celiac group (4.65 %) was similar to that in the non-celiac (4.43 %) (OR: 1.05, 95 % CI: 0.91–1.21, p = 0.49). Hospitalizations occurred in 7.2 % of non-celiac patients and 2.9 % of celiac patients (p = 0.015). After propensity score matching, 417 individuals were included in the analysis, showing no significant differences in clinical outcomes, including hospitalization and mortality, between the groups (p > 0.05).

Conclusions

By integrating data from the Celiac Disease Registry and COVID-19 Monitoring System, we conducted a comprehensive analysis, providing valuable insights with minimal resource investment compared to interview-based studies. The findings suggest that celiac patients do not require additional COVID-19 precautions beyond standard public health measures, supporting the use of registries for informed healthcare decision-making.

{"title":"Celiac disease and COVID-19: Leveraging health registries for crucial insights and public health strategies","authors":"Beatrice Gasperini , Antonio Cherubini , Marco Pompili , Donatella Sarti , Emilia Prospero","doi":"10.1016/j.cegh.2025.101962","DOIUrl":"10.1016/j.cegh.2025.101962","url":null,"abstract":"<div><h3>Background</h3><div>Celiac disease is an immune-mediated disorder triggered by gluten in genetically predisposed individuals, characterized by the presence of specific antibodies and inflammation of the small intestine. This study aims to assess the risk of SARS-CoV-2 infection and clinical outcomes among individuals with celiac disease compared to the general population using administrative data from health registries.</div></div><div><h3>Methods</h3><div>This retrospective case-control study was conducted in the Marche region, Italy, using the Celiac Disease Registry and the Italian National Monitoring System for COVID-19, from February 25, 2020, to March 31, 2021. Propensity score matching (1:1) was applied to compare celiac patients and controls based on age, sex, residence. Socio-demographic variables, chronic conditions, clinical outcomes were assessed.</div></div><div><h3>Results</h3><div>Among 4488 celiac patients, 209 (4.65 %, 95 % CI: 4.05–5.31 %) contracted COVID-19. The infection rate in the celiac group (4.65 %) was similar to that in the non-celiac (4.43 %) (OR: 1.05, 95 % CI: 0.91–1.21, p = 0.49). Hospitalizations occurred in 7.2 % of non-celiac patients and 2.9 % of celiac patients (p = 0.015). After propensity score matching, 417 individuals were included in the analysis, showing no significant differences in clinical outcomes, including hospitalization and mortality, between the groups (p > 0.05).</div></div><div><h3>Conclusions</h3><div>By integrating data from the Celiac Disease Registry and COVID-19 Monitoring System, we conducted a comprehensive analysis, providing valuable insights with minimal resource investment compared to interview-based studies. The findings suggest that celiac patients do not require additional COVID-19 precautions beyond standard public health measures, supporting the use of registries for informed healthcare decision-making.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101962"},"PeriodicalIF":2.3,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420240","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

Geospatial insights into chronic bronchitis: Evaluating hotspots and environmental factors in MUDHRA-cohort of Mysuru district, India

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-02-13 DOI: 10.1016/j.cegh.2025.101921

Manjunatha M.C , Mahesh P.A , Madhu B , Sawant Sushant Anil , Karthik C.B

Background

Geospatial techniques are critical for identifying potential environmental risk factors and implementing effective prevention strategies for chronic diseases. The Mysuru stUdies of Determinants of Health in Rural Adults (MUDHRA)-Cohort was a notable study that systematically investigated the prevalence and risk factors associated with Chronic Bronchitis (CB) in 16 randomly selected villages of Mysuru District between 2006 and 2009. The objective of this study is to spatially visualize the highest prevalence of MUDHRA-CB at village level, and identifying potential environmental risk factors.

Methods

An analysis was conducted on a total of 8457 individuals aged 30 years and older to ascertain the presence of chronic bronchitis symptoms. To assess the prevalence of chronic bronchitis, a door-to-door survey was conducted using international Burden of Obstructive Lung Disease (BOLD) study questionnaires. The thematic map of chronic bronchitis burden was generated using Geographic Information System (GIS) tools and overlaid on the land use and land cover patterns extracted from Remote Sensing (RS) satellite images.

Results

The thematic map identified Karya village has having the highest prevalence (14.82 %), while there were no reported cases of chronic bronchitis in Alatthuru village. The land use land cover map generated showed the presence of a mine located around 310 m from Karya village. Inhalation of dust particles from the mine operations and wind direction could be attributed to the higher prevalence of chronic bronchitis.

Conclusion

Spatial epidemiological research studies that incorporate RS, GIS, and local field studies may aid in identifying potential environmental factors associated with a higher risk of chronic conditions.

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引用次数: 0

Development and validation of SaPeIH-Q: A questionnaire to measure knowledge, attitude, and practice on seat belt usage among pregnant women in Indonesia

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2025-02-13 DOI: 10.1016/j.cegh.2025.101944

Ida Hayati , Ilham Ameera Ismail , Suzanna Daud , Muhammad Syafiee Mohd Rashid , Zaliha Ismail

Problems considered

The outcome on mortality and morbidity to both mother and child from motor vehicle accidents are associated with proper seat belt usage. This study aims to develop and validate Sabuk.Pengaman.Pada.Ibu.Hamil Questionnaire (SaPeIH-Q), a questionnaire in the Indonesian Language that measures knowledge, attitude, and practice on seat belt usage among pregnant women.

Methods

Stage 1 was development of the questionnaire and stage 2 involved the validity and reliability testing. A total of 43 items under three domains were developed based on literature review and the health belief model theory. The SaPeIH-Q validation process includes content validity by a panel of seven experts and one pregnant women, face validity by ten pregnant women, construct validity using exploratory factor analysis by 80 participants, and reliability analysis using Cronbach Alpha.

Results

From the content validity, two out of 12 knowledge items were removed due to low Item Content Validity (I-CVI) values. One of the 14 attitude items was revised but retained. In the practice domain, all 17 items have an I-CVI value of more than 0.78 but the number of items were reduced to six due to repetition, and one item was moved to the knowledge domain. Construct validity was carried out for the knowledge and attitude domains respectively. From the construct validation process, the knowledge items were further reduced from 11 to 10, and the attitude items from 14 to 12. The Cronbach alpha values of each of the 3 domains were 0.931, 0.956, and 0.911 respectively.

Conclusion

The final Indonesian Language SaPeIH-Q with 28 items or questions is a valid and reliable instrument for measuring knowledge, attitude, and practice on seat belt usage among pregnant women.

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引用次数: 0