Clinical Epidemiology and Global Health最新文献

{"title":"Occupational prevalence with agricultural machinery related injuries among rice farmers in Bang Rakam district, Phitsanulok Province, Thailand","authors":"Chavinthorn Maiyapakdee ,&nbsp;Saowanee Norkaew ,&nbsp;Nontiya Homkham ,&nbsp;Theerayut Baubhom ,&nbsp;Katiya Ivanovitch ,&nbsp;Teeraphun Kaewdok","doi":"10.1016/j.cegh.2025.102285","DOIUrl":"10.1016/j.cegh.2025.102285","url":null,"abstract":"<div><h3>Problem considered</h3><div>Accidents are among the major occupational health hazards, and agricultural machinery is a significant cause of musculoskeletal injuries, including cuts, sprains, and strains, among agriculturists in Thailand. Due to the lack of information in the farmer accident database, this cross-sectional study investigated the prevalence of agricultural machinery-related injuries among rice farmers in Thailand's Bang Rakam District of Phitsanulok Province.</div></div><div><h3>Methods</h3><div>Data were collected via in-person interviews with 294 rice farmers who used agricultural machinery at any stage of farming activities during the 2023 crop year. The questionnaire consisted of three sections: (1) general information about the farmers, (2) details of their work equipment and practices, and (3) information about injuries sustained during work.</div></div><div><h3>Results</h3><div>All participants reported experiencing work-related injuries. The machinery most associated with injuries was the walking tractor (41.8 %) followed by the harvesting machine (13.3 %). The most frequently injured body parts were the back and torso (21.8 %), legs, and knees (19.0 %), and hands and fingers (17.3 %). Land preparation activities accounted for the highest proportion of injuries (56.1 %) followed by pesticide application (31.6 %).</div></div><div><h3>Conclusion</h3><div>This study highlights the prevalence of work-related musculoskeletal injuries among rice farmers, reflecting significant occupational health concerns in Thailand. The findings suggest a need to redesign agricultural machinery, particularly tractors, to enhance safety. Additionally, interventions and safety guidelines should be developed and implemented to prevent occupational accidents in the agricultural sector.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102285"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatiotemporal evolution of dengue hotspots in Kuantan, Malaysia: A decade-long geospatial analysis for adaptive vector control","authors":"Zulkifli Abdul Hadi ,&nbsp;Agus Naba ,&nbsp;Ahmad Mohiddin Mohd Ngesom ,&nbsp;Nazri Che Dom","doi":"10.1016/j.cegh.2025.102273","DOIUrl":"10.1016/j.cegh.2025.102273","url":null,"abstract":"<div><h3>Problem considered</h3><div>Dengue continues to pose a major public health burden in Malaysia, particularly in rapidly urbanising districts where shifting land-use patterns influence transmission dynamics. Despite increasing case numbers, evidence on long-term hotspot trajectories at the district scale remains limited. This study examined a decade of dengue transmission in Kuantan District, Malaysia by integrating detailed land-use characteristics with epidemiological and population data to identify persistent, emerging, and expanding hotspots.</div></div><div><h3>Methods</h3><div>A retrospective spatiotemporal analysis was conducted using laboratory-confirmed dengue cases reported from 2014 to 2023. Case data were geocoded and aggregated at the sub-district level. Residential, commercial, industrial, and green-area land-use layers were standardised and spatially overlaid with dengue incidence rates to quantify their contribution to hotspot formation. Annual incidence rates were calculated to provide a precise measure of disease intensity across sub-districts. A multi-stage geospatial framework comprising Kernel Density Estimation, Space–Time Cube modelling, Mann–Kendall trend analysis, Emerging Hotspot Analysis, and Local Moran's I was applied to evaluate hotspot intensity, persistence, and spatial evolution.</div></div><div><h3>Results</h3><div>A total of 38,412 dengue cases were documented, with an average annual incidence of 386.5 cases per 100,000 population. Major peaks occurred in 2019 (624.5 per 100,000; 6213 cases) and 2022 (578.2 per 100,000; 5876 cases). Persistent hotspots increased from five in 2016 to nine in 2023, primarily within high-density residential and mixed-commercial zones identified through the land-use overlay analysis. Transitional hotspots frequently emerged in peri-urban areas undergoing rapid land-use change before stabilizing. Local Moran's I showed significant High–High clusters in the urban core (Moran's I = 0.41, p &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Dengue transmission in Kuantan has become increasingly entrenched, driven by urban density, mixed land-use development, and peri-urban expansion. Proactive, land-use-informed hotspot surveillance is essential for strengthening targeted dengue control.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102273"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low dose corticosteroid for a longer duration at an early phase: A potentially optimal dosage regimen for the management of ARDS","authors":"Muhammed Rashid ,&nbsp;Sreedharan Nair ,&nbsp;Pooja Gopal Poojari ,&nbsp;Vishal Shanbhag ,&nbsp;Raviraja V. Acharya ,&nbsp;Sohil Khan ,&nbsp;Girish Thunga","doi":"10.1016/j.cegh.2025.102282","DOIUrl":"10.1016/j.cegh.2025.102282","url":null,"abstract":"<div><h3>Problem considered</h3><div>Disparities exist within both clinical practice and literature regarding the use of corticosteroids in management of acute respiratory distress syndrome (ARDS). Given the absence of definitive evidence from a singular research approach, we adopted a mixed method approach design to address this clinical question.</div></div><div><h3>Methods</h3><div>We employed a sequential exploratory mixed methods approach. Initially, we conducted a retrospective analysis, which was complemented by a comprehensive literature review to identify the best treatment approaches in literature and practice. Subsequently, a semi-structured qualitative interview was conducted to gain insights into perception and experience of the physicians involved in ARDS management. Finally, a meta-inference was applied to synthesize the evidence to propose a corticosteroid regimen for ARDS, considering the patient etiology, dosage, duration, and timing of administration.</div></div><div><h3>Results</h3><div>The retrospective evidence (nearly thousand patient data from five years) indicates that, low dose corticosteroid for a longer duration of treatment observed to have a significantly better recovery rate than other strategies. The literature (overview of meta-analyses, clinical guidelines and RCTs), and qualitative (among 9 physicians) evidence strengthened this by supporting the use of low dose corticosteroid (1–2 mg/kg) at the early phase (24–72 h), for a longer duration (minimum 10 days) to have better clinical outcome without safety concerns. Additionally, this provides more insights on ARDS epidemiology, management, efficacy, cost and safety.</div></div><div><h3>Conclusion</h3><div>Low-dose corticosteroids for a longer duration of treatment administered at an early phase can be considered a potentially optimal corticosteroid regimen for ARDS which needs to be clinically validated in future.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102282"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burden and determinants of recurrent tuberculosis among patients undergoing treatment: A cross-sectional study in Chennai, a major metropolitan city in South India","authors":"B.B. Kavyadharshni ,&nbsp;D. Senthil Arasi ,&nbsp;Chhavi Garg ,&nbsp;P. Seenivasan ,&nbsp;Edwin Sam Asirvatham","doi":"10.1016/j.cegh.2025.102271","DOIUrl":"10.1016/j.cegh.2025.102271","url":null,"abstract":"<div><h3>Problem considered</h3><div>Recurrent Tuberculosis (rTB) refers to the reappearance of TB in a patient previously declared as successfully treated, either cured or having completed treatment. This study aimed to estimate the prevalence of rTB and identify associated risk factors among registered TB patients.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study in Chennai, South India, among TB patients registered across three treatment units under the National TB Elimination Program (NTEP). We included 302 of 337 patients registered between January and June 2019. Socio-demographic information, diagnostic details, and treatment history from the previous TB episode were obtained from TB unit registers. Additionally, we interviewed participants using a structured interview schedule to capture data on current clinical presentation, medical history, risk behaviours and comorbidities.</div></div><div><h3>Results</h3><div>The prevalence of rTB was 15.6 % (95 % CI:11.7–20.2), with a mean age of 42.3 years (SD: 11.5). Higher rTB rates were observed among males, individuals aged over 35 years, current or former tobacco and alcohol users, pulmonary TB patients, those undergoing or who did not complete previous TB treatment, underweight patients, HIV-positive individuals, and patients with comorbidities such as diabetes and hypertension. Multivariable analysis identified tobacco use, microbiologically confirmed TB, non-completion of previous TB treatment, undernutrition, HIV-positivity, and the presence of comorbidities as significant predictors of rTB.</div></div><div><h3>Conclusion</h3><div>The study highlights the significant burden of rTB and the complexity of TB recurrence, emphasising the need for comprehensive and continuous care. The findings support the implementation of targeted, context-specific, tailored strategies and interventions that address modifiable risk factors, towards achieving the national goal of eliminating TB by 2025.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102271"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep knowledge, training, and clinical practices among healthcare professionals in a tertiary hospital in Nepal","authors":"Merina Shrestha ,&nbsp;Børge Sivertsen ,&nbsp;Daman Raj Poudel ,&nbsp;Suman Ranjitkar ,&nbsp;Mari Hysing","doi":"10.1016/j.cegh.2025.102260","DOIUrl":"10.1016/j.cegh.2025.102260","url":null,"abstract":"<div><h3>Problem considered</h3><div>Adequate sleep knowledge among healthcare professionals is crucial for the assessment and management of pediatric sleep issues. However, there is limited research on sleep literacy among health professionals in low- and middle-income countries (LMICs) such as Nepal. The aim of the study is to assess the level of pediatric sleep knowledge, sleep training, and clinical practices among health care professionals in Nepal.</div></div><div><h3>Methods</h3><div>A cross-sectional pediatric sleep survey was conducted at a tertiary-level general hospital in Kathmandu, Nepal (N = 83), utilizing the Sleep Knowledge Questionnaire (SKQ) and Pediatric Sleep Survey. Additional questions assessed sleep education and clinical practices related to sleep screening and interventions.</div></div><div><h3>Results</h3><div>Healthcare professionals reported minimal formal education on sleep, with most receiving fewer than 10 h of training. Only 23.5 % felt adequately prepared for clinical practice. The average correct response rate on the SKQ was 48.5 %, indicating moderate sleep literacy. Sleep screening was inconsistent across age groups and least frequent for infants, with many professionals (49.2 %) citing lack of knowledge as a key barrier. Additionally, 47.7 % assumed parents would report concerns, contributing to low screening rates. While behavioral strategies were preferred over pharmacological treatments, sleep-related interventions were infrequent, with massage therapy (100 %) being the most applied.</div></div><div><h3>Conclusions</h3><div>This study highlights significant gaps in pediatric sleep knowledge and clinical preparedness among healthcare professionals in Nepal. Increased sleep education and training programs are necessary to enhance the identification and management of pediatric sleep disorders in LMIC settings.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102260"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine learning techniques to model child low height-for-age in the Northern Province of Rwanda: The role of climatological and environmental factors and their interactions","authors":"A. Ndagijimana ,&nbsp;G. Nduwayezu ,&nbsp;T. Lind ,&nbsp;A. Mansourian","doi":"10.1016/j.cegh.2025.102284","DOIUrl":"10.1016/j.cegh.2025.102284","url":null,"abstract":"<div><h3>Objective</h3><div>Childhood stunting is a significant health issue in Rwanda, particularly within the Northern Province. While demographic and socio-economic factors have been more extensively studied, the impact of environmental and climatic factors on stunting prevalence has received less attention. This study aimed to determine if these factors could be used to better predict localized variations in height-for-age z-scores (HAZ).</div></div><div><h3>Study design</h3><div>A population-based, cross-sectional study.</div></div><div><h3>Methods</h3><div>Data were collected on child and maternal characteristics, household socioeconomic status, climate, and environmental predictors. An eXtreme Gradient Boosting (XGBoost) algorithm was used, complemented by GeoShapley for spatial analyses, to explain the spatial variability between low height-for-age and its risk factors.</div></div><div><h3>Results</h3><div>The model performed well, with the coefficient of determination (R2) value of 0.83, the root mean standardized error (RMSE) of 0.13, and the mean absolute error (MAE) of 0.10. Key predictors of HAZ included rainfall, childcare practices, food insecurity, elevation, and soil fertility. Considering the location feature, environmental and climatic factors significantly contributed to the spatial variability in HAZ.</div></div><div><h3>Conclusion</h3><div>Many environmental, climatological, and socio-economic factors emerge as predictors for HAZ variability. It is essential to consider their complexity for comprehensive interventions targeting childhood stunting in Rwanda and similar settings.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102284"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between obesity and urinary malondialdehyde levels in a rural Southern Thai population: A cross-sectional study","authors":"Thitiworn Choosong ,&nbsp;Tulyawat Nuantong ,&nbsp;Angsutorn Udompolchaicharoen ,&nbsp;Chanunthon Wonglaw ,&nbsp;Natthanon Thongnoul ,&nbsp;Napatsavan Kongkleang ,&nbsp;Pariyakorn Phonui ,&nbsp;Pannawit Chumchue ,&nbsp;Pornlapat Rattanakhot ,&nbsp;Awika Kaeotawee ,&nbsp;Thammasin Ingviya","doi":"10.1016/j.cegh.2025.102258","DOIUrl":"10.1016/j.cegh.2025.102258","url":null,"abstract":"<div><h3>Problem considered</h3><div>Rapidly growing economies and the planned establishment of multiple biomass power plants in rural areas may influence urinary malondialdehyde levels: an indicator of oxidative stress. Therefore, this study assessed baseline urinary malondialdehyde levels, and the prevalence of obesity in a rural population.</div></div><div><h3>Methods</h3><div>An analytical cross-sectional study was conducted in two cities within Songkhla Province, designated as future special economic zones; from May 2019 until December 2021. Participants were categorized into obesity and non-obesity groups. A 24-h urine sample was collected from each participant to measure urinary malondialdehyde levels using high-performance liquid chromatography. Data were analysed using R programming.</div></div><div><h3>Results</h3><div>A total of 524 datasets were obtained. The median urinary malondialdehyde level was 3.114 μg/mL. Urinary malondialdehyde levels were higher in smokers (3.963 ± 2.140 μg/mL) and passive smokers (3.750 ± 2.111 μg/mL) than in non-smokers (3.523 ± 2.120 μg/mL) and non-passive smokers (3.405 ± 1.961 μg/mL). However, the though differences were not significant. The prevalence of obesity was 44.27 %, with the majority of those affected being women (68.96 %). Urinary malondialdehyde levels were significantly higher in the obesity group (3.796 ± 2.075 μg/mL) than in the non-obesity group (3.462 ± 2.032 μg/mL). Obesity was associated with higher urinary malondialdehyde levels, while female participants and dyslipidemia patients had significantly lower levels.</div></div><div><h3>Conclusion</h3><div>In the rural population, urinary malondialdehyde levels were low. Obesity, particularly among women, was prevalent. Smoke exposure, obesity and dyslipidemia warrant attention. Therefore, future public health strategies should consider holistic prevention programs, integrating pollution exposure and obesity concerns.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102258"},"PeriodicalIF":1.7,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of two-day injectable dexamethasone therapy in the resolution of uncomplicated parapneumonic effusion: A single-blinded randomized trial","authors":"Anshika Mishra ,&nbsp;Shally Awasthi","doi":"10.1016/j.cegh.2025.102266","DOIUrl":"10.1016/j.cegh.2025.102266","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the effect of two days of intravenous dexamethasone therapy on the resolution of uncomplicated parapneumonic effusion in hospitalized children aged 1 month to 14 years, as measured by <strong>standardized pleural fluid volume estimation on bedside ultrasonography (posterior axillary and interscapular views, using Eibenberger's formula) on days 3</strong>–<strong>4 of admission.</strong></div></div><div><h3>Methods</h3><div>This single-center, randomized, single-blind, parallel-group clinical trial included 62 children diagnosed with community-acquired pneumonia (CAP) and pleural effusion. Participants were randomized into two groups: the intervention group received intravenous dexamethasone (0.25 mg/kg/dose) four times daily for two days along with antibiotics and usual care, while the control group received only antibiotics and usual care. The primary outcome was the resolution of pleural effusion based on ultrasonographic volume. <strong>Secondary outcomes included changes in inflammatory markers, hospital length of stay, need for pleural intervention, and adverse events.</strong></div></div><div><h3>Results</h3><div>All 62 patients (mean age 2 years; 61.3 % male) completed the study. In the intervention group, the mean pleural fluid volume decreased significantly from 13.97 ± 6.61 ml on admission to 3.22 ± 3.99 ml by day 4. In contrast, the control group showed an increase from 15 ± 7.53 ml to 17.07 ± 12.36 ml (p &lt; 0.001). The intervention group also showed a significant reduction in C-reactive protein (CRP) and total leukocyte count compared to controls (p &lt; 0.001). <strong>Mean hospital stay was significantly shorter in the dexamethasone group (5.8 ± 1.2 vs 7.3 ± 1.6 days, p = 0.01). None of the patients required pleural drainage.</strong> Multivariate linear regression identified dexamethasone intervention as the only significant predictor of effusion resolution (p = 0.0001). No significant differences in complications or adverse events were observed between groups.</div></div><div><h3>Conclusion</h3><div>Short-course intravenous dexamethasone therapy significantly accelerates the resolution of uncomplicated parapneumonic effusion in children without increasing adverse effects. <strong>It also reduces hospital stay without increasing the need for drainage and may serve as a safe and effective adjunct to standard antibiotic therapy in pediatric patients with CAP-associated effusion.</strong></div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102266"},"PeriodicalIF":1.7,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative assessment of Community and stakeholders' perception towards Malaria elimination in Gujarat focusing behavior of community","authors":"Niraj Pandit ,&nbsp;Arpita Patel ,&nbsp;Manju Rahi ,&nbsp;Sachin Sharma ,&nbsp;Nirmal Jyoti Jyotsana ,&nbsp;Yagna Pandit","doi":"10.1016/j.cegh.2025.102267","DOIUrl":"10.1016/j.cegh.2025.102267","url":null,"abstract":"<div><h3>Problem considered</h3><div>In the last couple of years, the incidence and prevalence of malaria in Gujarat have declined as compared to Indian data. India's goal is to end malaria by the year 2030, for which community behavior is vital apart from other logistics and treatment management. This qualitative study conducted with aim to determine the perceptions of community towards malaria.</div></div><div><h3>Methods</h3><div>The qualitative assessment was conducted in the two districts of Gujarat during September 2022 and November 2022. Data were collected through Focus Group discussions (FGDs), in-depth interviews (IDIs), and key informant interviews (KIIs) with the help of a qualitative guide. Data were analyzed through thematic framework.</div></div><div><h3>Results</h3><div>64 interviews consisting of 12 FGDs were carried out, combining the use of FGDs, KIIs, and IDIs. Review of community perception regarding malaria elimination was conducted and it was observed that they had sufficient knowledge regarding symptoms and diagnosis and their practices of the same were seen. Supportive presence of community in prevention and control measures to the government action was observed. The key gaps were seen on sustained social and behaviour change communication, human resources management, malaria among migratory population and poor interdepartmental coordination.</div></div><div><h3>Conclusion</h3><div>The stakeholders in this study expressed their optimism regarding the progress towards eliminating malaria in Gujarat, but at a slower pace. The areas which required to improve like diagnosis coverage among migratory population and compliance with treatment regimens. The identified gaps can be targeted like sustainable funding for BCC, manpower management and malaria in migratory population.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102267"},"PeriodicalIF":1.7,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression and influencing factors among pregnant women living in central Viet Nam: A mixed-methods study","authors":"Minh Ho ,&nbsp;Tung Viet Le ,&nbsp;Ly Thi-Ly Tran ,&nbsp;Huong Thanh Nguyen","doi":"10.1016/j.cegh.2025.102268","DOIUrl":"10.1016/j.cegh.2025.102268","url":null,"abstract":"<div><h3>Problem considered</h3><div>Antenatal depression can create social and economic pressures for families and communities. Pregnant women with antenatal depression may struggle to maintain employment, manage household responsibilities, and provide a stable environment for the fetus. Assessing the prevalence of antenatal depression and its influencing factors provides necessary information to develop support programs for pregnant women and their families.</div></div><div><h3>Methods</h3><div>A mixed-method study design was employed. Quantitative information assessed signs of depression using the Edinburgh Postnatal Depression scale among 312 pregnant women residing in Da Nang City. Qualitative information was gathered through in-depth interviews with 8 participants, including representatives of healthcare managers and staff, and focus group discussions with pregnant women exhibiting and not exhibiting signs of depression. Quantitative data were analysed using descriptive statistics and univariate logistic regression, while qualitative data were recorded, transcribed, and thematically analysed.</div></div><div><h3>Results</h3><div>The study found 28.2 % prevalence of antenatal depression. Qualitative analysis revealed positive influencing factors including: marital status (married/living with partner), planned pregnancy, support from husband's family, good relationship with husband, and having social support; Negative influencing factors included: advanced maternal age, low educational attainment, previous pregnancy complications, fetal abnormalities, having two or more children, poor relationship with mother-in-law, preference for male offspring within the family, experiencing mental and physical violence from the husband, and the support from service providers is inadequate.</div></div><div><h3>Conclusions</h3><div>Depression symptoms are prevalent among pregnant women, so it's important for healthcare professionals to understand the risk factors for depression in pregnant women.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"37 ","pages":"Article 102268"},"PeriodicalIF":1.7,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790487","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}