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Dental impact on daily life and oral health in alcohol use disorder patients 牙科对酒精使用障碍患者日常生活和口腔健康的影响
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 DOI: 10.1016/j.cegh.2024.101836
Ashwini S. Colaco , Arun Mayya , Priyanka Shetty , Shreemathi S. Mayya

Objectives

Individuals with Alcohol Use Disorder (AUD) are at a higher risk of developing dental problems. The present study assessed the dental impact on daily performances among AUD patients seeking treatment in a de-addiction centre and correlated it with their clinical dental status using the WHO oral health assessment form (2013).

Materials and methods

This research took place from January to May 2022. A cross-sectional study was carried out to collect data from 103 subjects among alcohol dependents taking treatment in a de-addiction centre of Dakshina Kannada district, Karnataka state. The Dental Impact on Daily Living Questionnaire (DIDL) assessed patients' satisfaction with their teeth, while the WHO Oral Health Assessment Form for Adults was used for dental caries (DMFT) and periodontal status. Data analysis was performed using the jamovi open-source software (version 2.3), employing t-test, chi-square test, hierarchical regression analysis, and Spearman correlation coefficient.

Results

The study found low yet significant correlations between clinical oral health and dimensions of the DIDL scale. Social class and the number of decayed teeth emerged as significant predictors of the total DIDL score.

Conclusion

Oral health conditions can adversely affect patient satisfaction, emphasizing the need for healthcare providers to consider these findings when offering comprehensive oral healthcare services.

Clinical relevance

This study underscores the necessity of integrating oral healthcare into the overall treatment regime for individuals with Alcohol Use Disorders (AUDs) to improve their quality of life and satisfaction.
目的酒精使用障碍(AUD)患者出现牙科问题的风险较高。本研究使用世界卫生组织口腔健康评估表(2013 年)评估了在戒毒中心接受治疗的酒精依赖症患者的牙齿对日常表现的影响,并将其与临床牙齿状况联系起来。在卡纳塔克邦达克希纳卡纳达区的一家戒瘾中心,对 103 名接受治疗的酒精依赖者进行了横断面研究,收集了他们的数据。牙科对日常生活的影响问卷 (DIDL) 用于评估患者对其牙齿的满意度,而世界卫生组织成人口腔健康评估表则用于评估龋齿 (DMFT) 和牙周状况。数据分析使用 jamovi 开放源码软件(2.3 版),采用 t 检验、卡方检验、层次回归分析和 Spearman 相关系数。结论口腔健康状况会对患者的满意度产生不利影响,强调医疗服务提供者在提供全面的口腔医疗服务时需要考虑这些发现。临床相关性这项研究强调了将口腔医疗纳入酒精使用障碍(AUDs)患者的整体治疗体系以提高其生活质量和满意度的必要性。
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引用次数: 0
Evaluation of auditory system in vitiligo patients: A case-control study 评估白癜风患者的听觉系统:病例对照研究
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-24 DOI: 10.1016/j.cegh.2024.101830
Sima Tajik , Kosar Nazary , Azar Shirzadian Kebria , Keyvan Kiakojori

Background

Vitiligo is a common acquired pigmentary disorder characterized by well-defined areas of depigmentation due to loss of melanocytes. Vitiligo can affect melanocytes in the auditory system and potentially hearing.

Objective

The aim of this study was to investigate hearing changes in vitiligo patients.

Methods

Twenty-six with vitiligo patients and 26 demographically matched healthy controls were included in this study. Audiological function was evaluated using pure tone audiometry (PTA), speech audiometry and tympanometry tests in all subjects.

Results

The mean hearing threshold of the left ear at frequencies of 250 and 8000 Hz in vitiligo patients was significantly higher than the control group. Sensorineural hearing loss (SNHL) was seen in 14 (53.8 %) vitiligo patients and 5(19.2 %) control group (p < 0.05). Most affected patients (10/14; 71 %) had bilateral hearing loss especially in high frequency (8000 Hz). A significant association was identified between vitiligo and SNHL (OR 4.9; 95 % CI, 1.41–16.98, P = 0.01). There was a statistically significant correlation between hearing impairment and age in both groups. Gender, severity, activity and duration of vitiligo had no a significant effect on the results of audiometric tests.

Conclusion

This study confirmed that the auditory system was affected in vitiligo patients. Vitiligo patients might be at a higher risk for auditory abnormalities at a younger age than control subjects. Auditory evaluation of vitiligo patients should be considered for early detection of hearing loss.
背景白癜风是一种常见的后天性色素性疾病,其特征是由于黑色素细胞脱失而形成的界限清晰的脱色斑。本研究旨在调查白癜风患者的听力变化。结果白癜风患者左耳在 250 和 8000 Hz 频率下的平均听阈明显高于对照组。14名(53.8%)白癜风患者和5名(19.2%)对照组患者出现感音神经性听力损失(SNHL)(p < 0.05)。大多数患者(10/14;71%)有双侧听力损失,尤其是高频(8000 Hz)。白癜风与SNHL之间存在明显关联(OR 4.9; 95 % CI, 1.41-16.98, P = 0.01)。两组患者的听力损伤与年龄之间存在统计学意义上的显著相关性。性别、白癜风的严重程度、活动和持续时间对听力测试结果没有明显影响。与对照组相比,白癜风患者可能更容易在年轻时出现听觉异常。应考虑对白癜风患者进行听力评估,以便及早发现听力损失。
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引用次数: 0
Soil-transmitted helminthes prevalence, intensity, and associated factors among school-aged children in the communities of west Guji Zone, South Ethiopia 埃塞俄比亚南部古吉区西部社区学龄儿童中土壤传播螺旋体的流行率、强度及相关因素
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 DOI: 10.1016/j.cegh.2024.101833
Tibeso Gemechu , Wako Dedecha , Alqeer Aliyo , Abdistion Disani , Feven Diriba

Background

Soil-transmitted helminth (STH) infections are a major health problem among school-age children in developing countries. Prolonged exposure to STH can lead to reduced physical fitness, stunted growth, anemia, bowel obstruction, and cognitive impairments.

Objective

To determine the prevalence, intensity, and associated risk factors of soil-transmitted helminths among school-aged children in the west Guji Zone, South Ethiopia.

Methods

A community-based cross-sectional study was conducted among 614 randomly selected school-aged children in selected districts of the West Guji zone from February to March 2023. A pre-tested questionnaire was used, and samples were examined by wet mount and Kato-Katz techniques. Data entry was analyzed using SPSS. Binary and multivariable logistic regression analyses were applied to identify potential associated factors. P-value<0.05 was declared as statistical significance.

Results

The overall prevalence of STH was 32.7 % (95 % CI: 28.4%–35.8 %). Ascaris lumbricoides 95 (11.1 %) was the most common identified STH. Most school-age children, 74 %, were infected with a mild intensity of soil-transmitted helminths (STH). The mean egg count for Ascaris lumbricoides, Trichuris trichiura, and hookworms was 4465.4, 563.7, and 958.9, respectively. The study found significant associations with several factors, including washing hands with soap after using the toilet (AOR: 2.8, 95 % CI: 1.8–4.6), trimming fingernails (AOR: 4.6, 95%CI: 2.9–7.1), and the habit of wearing shoes (AOR: 2, 95%CI: 1.4–2.9)

Conclusion

Soil-transmitted helminths infection prevalence is high among school-aged children of the study areas. To prevent and control these infections, comprehensive health education should focus on the importance of hygienic practices, improved sanitation, and regular deworming programs for school-aged children.
背景土壤传播蠕虫(STH)感染是发展中国家学龄儿童的一个主要健康问题。方法 2023 年 2 月至 3 月,在西古吉区的选定地区对随机抽取的 614 名学龄儿童进行了一项基于社区的横断面研究。采用了一份预先测试过的调查问卷,并通过湿装载和卡托-卡茨技术对样本进行了检查。数据录入采用 SPSS 进行分析。采用二元和多变量逻辑回归分析来确定潜在的相关因素。结果 STH 的总患病率为 32.7%(95 % CI:28.4%-35.8%)。最常见的性传播疾病是蛔虫 95(11.1%)。大多数学龄儿童(74%)感染了轻度的土壤传播蠕虫(STH)。蛔虫、毛滴虫和钩虫的平均虫卵数分别为 4465.4、563.7 和 958.9。研究发现,土壤传播蠕虫感染在研究地区的学龄儿童中流行率很高,这与几个因素有很大关系,包括如厕后用肥皂洗手(AOR:2.8,95%CI:1.8-4.6)、修剪指甲(AOR:4.6,95%CI:2.9-7.1)和穿鞋习惯(AOR:2,95%CI:1.4-2.9)。为了预防和控制这些感染,全面的健康教育应侧重于卫生习惯、改善卫生条件和定期为学龄儿童开展驱虫计划的重要性。
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引用次数: 0
Self-care practices and influencing factors among type 2 diabetes mellitus patients: A hospital-based cross-sectional study 2 型糖尿病患者的自我护理方法和影响因素:一项基于医院的横断面研究
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-16 DOI: 10.1016/j.cegh.2024.101822
Nirmal Jyoti Jyotsana , Niraj Pandit , Salil Sharma , Laxman Kumar

Background

Diabetes mellitus (DM) is a widespread non-communicable disease in India that significantly affects the healthcare system owing to its acute and chronic complications. The traditional approach to diabetes care has focused on medical professionals, but recent research has indicated that self-care among patients is crucial. Effective self-care practices can enhance the quality of life of T2DM patients. This study aimed to evaluate self-care practices among T2DM patients at a sub-district hospital in Gujarat State, India.

Methods

This cross-sectional study included 93 T2DM patients. Self-care activities were assessed using the Summary of Diabetes Self-Care Activities (SDSCA) scale. Descriptive statistics and comparative analyses were performed.

Results

The majority of the participants were male (55.9 %) and over 60 years of age (67.7 %). Participants demonstrated high adherence to medication regimens (mean score = 6.66 ± 0.86). However, adherence to other self-care practices was significantly lower; only 11.8 % reported good dietary behavior, 55.91 % engaged in regular exercise, and 50.5 % performed regular foot care. While 83.8 % reported good monitoring behavior, this contradicts the low adherence to blood glucose testing (mean score = 0.38 ± 0.59). Participants aged <60 years tended to report slightly better adherence to blood glucose testing than those aged ≥60 years.

Conclusion

This study revealed a gap in self-care practices among T2DM patients in Gujarat. Despite good medication adherence, the patients demonstrated poor adherence to diet, exercise, and foot care. These findings emphasize the importance of customized interventions to improve self-management education and support, particularly for older adults.
背景糖尿病(DM)是印度普遍存在的一种非传染性疾病,由于其急性和慢性并发症,对医疗保健系统产生了重大影响。传统的糖尿病护理方法侧重于医疗专业人员,但最近的研究表明,患者的自我护理至关重要。有效的自我保健方法可以提高 T2DM 患者的生活质量。本研究旨在评估印度古吉拉特邦一家县级医院的 T2DM 患者的自我护理方法。采用糖尿病自我护理活动总结量表(SDSCA)对自我护理活动进行评估。结果大多数参与者为男性(55.9%),年龄超过 60 岁(67.7%)。参与者对药物治疗的依从性较高(平均分 = 6.66 ± 0.86)。然而,对其他自我保健措施的依从性却明显较低;只有 11.8% 的人报告了良好的饮食行为,55.91% 的人定期锻炼,50.5% 的人定期进行足部护理。虽然 83.8% 的人报告了良好的监测行为,但这与血糖检测的低依从性(平均得分 = 0.38 ± 0.59)相矛盾。与年龄≥60 岁的人相比,年龄在 60 岁以上的人对血糖检测的依从性要稍好一些。尽管患者对药物治疗的依从性较好,但对饮食、运动和足部护理的依从性较差。这些发现强调了定制干预措施对改善自我管理教育和支持的重要性,尤其是对老年人而言。
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引用次数: 0
Evaluating the effects of mental health e-learning on the knowledge, attitudes and practices of allied and healthcare professionals in Senegal 评估心理健康电子学习对塞内加尔专职医疗保健人员的知识、态度和实践的影响
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-16 DOI: 10.1016/j.cegh.2024.101821
Pierre-Emile Bruand , Thibaut Gelle , El Hadji Makhtar Ba , Jean Augustin Diegane Tine , Amy Fall Ndao , Line Kleinebreil , Driss Moussaoui , Pierre-Marie Preux , Farid Boumediene

Background

Despite the widespread prevalence and substantial burden of mental disorders, they remain significantly underdiagnosed and undertreated. In low- and middle-income countries like Senegal, integrating mental health services into primary care represents the most feasible strategy to bridge the treatment gap. This study aimed to assess the effects of a mental health e-learning program on the knowledge, attitudes, and practices of allied and healthcare professionals in Senegal.

Methods

An e-learning platform including 12 interactive modules was used to train 322 allied and healthcare professionals. We evaluated changes in knowledge, attitudes, and practices, as well as in satisfaction with knowledge and in self-assessed ability to diagnose and manage patients, by comparing data collected before and after the e-learning modules. Qualitative feedback on the satisfaction with the various components of the program was also collected via a post-training survey.

Outcomes

Knowledge, attitudes and practices scores increased significantly for all modules. Additionally, scores related to satisfaction with knowledge and ability to diagnose and manage patients showed significant improvements (+77.0 % and +75.0 %, respectively), surpassing the gains observed in knowledge, attitudes, and practices scores (+19.2 %, +11.1 % and +15.0 %, respectively). Mean scores regarding participants' satisfaction with the various elements of the program ranged from 8.1 to 9.1, out of a maximum of 10.

Conclusion

Although only a limited number of participants completed all 12 modules, the mental health e-learning program showed positive results on the knowledge, attitudes, and practices of participants. It also increased their confidence and was perceived as a very positive experience by learners.
背景尽管精神障碍的发病率很高,并给人们带来了沉重的负担,但其诊断和治疗仍然严重不足。在塞内加尔等中低收入国家,将心理健康服务纳入初级保健是缩小治疗差距的最可行策略。本研究旨在评估心理健康电子学习项目对塞内加尔专职医疗人员和医护人员的知识、态度和实践的影响。方法使用一个包含 12 个互动模块的电子学习平台对 322 名专职医疗人员和医护人员进行培训。我们通过比较电子学习模块前后收集的数据,评估了他们在知识、态度和实践方面的变化,以及对知识和自我评估诊断和管理病人能力的满意度。此外,还通过培训后调查收集了对该计划各组成部分满意度的定性反馈。此外,与知识满意度和诊断及管理患者能力相关的分数也有显著提高(分别为 +77.0 % 和 +75.0 %),超过了知识、态度和实践分数的提高幅度(分别为 +19.2 %、+11.1 % 和 +15.0 %)。尽管只有少数参与者完成了全部 12 个模块,但心理健康电子学习项目在参与者的知识、态度和实践方面都取得了积极的成果。它还增强了学员的信心,学员们认为这是一次非常积极的体验。
{"title":"Evaluating the effects of mental health e-learning on the knowledge, attitudes and practices of allied and healthcare professionals in Senegal","authors":"Pierre-Emile Bruand ,&nbsp;Thibaut Gelle ,&nbsp;El Hadji Makhtar Ba ,&nbsp;Jean Augustin Diegane Tine ,&nbsp;Amy Fall Ndao ,&nbsp;Line Kleinebreil ,&nbsp;Driss Moussaoui ,&nbsp;Pierre-Marie Preux ,&nbsp;Farid Boumediene","doi":"10.1016/j.cegh.2024.101821","DOIUrl":"10.1016/j.cegh.2024.101821","url":null,"abstract":"<div><h3>Background</h3><div>Despite the widespread prevalence and substantial burden of mental disorders, they remain significantly underdiagnosed and undertreated. In low- and middle-income countries like Senegal, integrating mental health services into primary care represents the most feasible strategy to bridge the treatment gap. This study aimed to assess the effects of a mental health e-learning program on the knowledge, attitudes, and practices of allied and healthcare professionals in Senegal.</div></div><div><h3>Methods</h3><div>An e-learning platform including 12 interactive modules was used to train 322 allied and healthcare professionals. We evaluated changes in knowledge, attitudes, and practices, as well as in satisfaction with knowledge and in self-assessed ability to diagnose and manage patients, by comparing data collected before and after the e-learning modules. Qualitative feedback on the satisfaction with the various components of the program was also collected via a post-training survey.</div></div><div><h3>Outcomes</h3><div>Knowledge, attitudes and practices scores increased significantly for all modules. Additionally, scores related to satisfaction with knowledge and ability to diagnose and manage patients showed significant improvements (+77.0 % and +75.0 %, respectively), surpassing the gains observed in knowledge, attitudes, and practices scores (+19.2 %, +11.1 % and +15.0 %, respectively). Mean scores regarding participants' satisfaction with the various elements of the program ranged from 8.1 to 9.1, out of a maximum of 10.</div></div><div><h3>Conclusion</h3><div>Although only a limited number of participants completed all 12 modules, the mental health e-learning program showed positive results on the knowledge, attitudes, and practices of participants. It also increased their confidence and was perceived as a very positive experience by learners.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101821"},"PeriodicalIF":2.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comparative study of the growth indicators of infants born before and during the Covid-19 pandemic 对科维德-19 大流行之前和期间出生的婴儿生长指标的比较研究
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-11 DOI: 10.1016/j.cegh.2024.101816
Ali Omidian , Arghavan Afra , Mohammad Javad Golabvand , Maryam Ban , Naser Kamyari , Shima Seneysel Bachari

Introduction

Growth disorders pose significant mental and physical health challenges with long-term complications for children. As monitoring children's growth is of paramount importance, in the present study attempts are made to compare growth indicators of infants from birth to 12 months before and during the outbreak of COVID-19 pandemic.

Material and method

The present descriptive-analytical study was conducted using cluster sampling method in 10 comprehensive healthcare centers and on 200 infants in southwest of Iran during 2023. The infants’ health records and growth chart before and during the outbreak of COVID-19 pandemic served as data collection instruments. The collected data were analyzed using SPSS 21 software and descriptive and analytical statistics.

Result

Economic hardship, job loss, maternal disease and neonatal acquired disease were found to be significantly higher during the pandemic outbreak compared to the pre-pandemic time. The average weight and BMI of the infants in both groups showed no significant difference from birth to two months old, but the difference was found to be significantly higher from 4 months to 1-year-old among infants born during the pandemic (P-value<0.05). Result this study showed that during the pandemic trend of The age of word articulation by infants was increasing (P-value = 0.022) and at this time 6 cases of missed vaccination were observed.

Conclusion

The results indicate that the COVID-19 pandemic can affect the growth and development of infants, and may, in some cases, disrupt the growth and routine vaccination schedule during infancy and breastfeeding, which should be prevented by proper parental training.
导言:生长障碍对儿童的身心健康构成重大挑战,并带来长期并发症。由于监测儿童生长至关重要,本研究试图比较 COVID-19 大流行爆发前和爆发期间出生至 12 个月婴儿的生长指标。数据收集工具为 COVID-19 大流行爆发前和爆发期间的婴儿健康记录和生长图表。结果发现,与疫情爆发前相比,疫情爆发期间的经济困难、失业、孕产妇疾病和新生儿获得性疾病显著增加。两组婴儿的平均体重和体重指数在出生至 2 个月大期间无显著差异,但在大流行期间出生的 4 个月至 1 岁的婴儿中,差异明显(P 值为 0.05)。研究结果表明,在大流行期间,婴儿的发音年龄呈上升趋势(P 值 = 0.022),此时共观察到 6 例错过接种的情况。
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引用次数: 0
Impact of Occupational Lead Exposure on the Comprehensive Health Status of Gas Cutter Workers 职业铅暴露对气体切割工人综合健康状况的影响
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-11 DOI: 10.1016/j.cegh.2024.101820
Ankit Viramgami , Rakshit Shah , Sarang Dhatrak , Ankit Sheth , Dhirendra Pratap Singh , P. Sivaperumal , Kuldip Upadhyay

Background

Occupational exposure to hazardous substances, particularly in involving metal cutting and welding industries, poses critical public health concern. This study assesses the health status of gas cutter workers, focusing on Pb exposure.

Method

In this cross-sectional study, 40 participants with BLL ≥ 20 μg/dL were recruited from workers engaged in oxy-acetylene metal cutting. These workers were compared to an age-, sex-, and sociodemographic-matched control group (n=42) from the same workplace. Health assessments including routine clinical and laboratory investigations along with BLL, and markers of calcium homeostasis were carried out.

Results

Gas cutters exhibited significantly higher mean systolic BP and elevated SGOT levels, with similar prevalence of respiratory symptoms and musculoskeletal disorders in both groups. No significant differences were found in most hematological, liver, and renal parameters. However, gas cutters had significantly higher PTH levels and lower serum vitamin D levels. Pulmonary function tests indicated significantly reduced FVC, FEV1, FEV1/FVC ratio, FEF25-75%, and PEFR in gas cutters, as well as markedly higher CRP levels.

Conclusion

Gas cutters experience significant health impacts compared to controls, including elevated systolic BP, impaired pulmonary function, and disturbance in calcium homeostasis due to occupational Pb exposure. Higher CRP levels suggest notable inflammatory responses. These findings highlight the urgent need for targeted interventions and regular monitoring to mitigate health risks associated with Pb exposure among gas cutter workers.
背景职业暴露于有害物质,特别是涉及金属切割和焊接行业的有害物质,是公众健康的重大问题。本研究评估了气割工人的健康状况,重点关注铅暴露。方法在这项横断面研究中,从从事氧-乙炔金属切割的工人中招募了 40 名 BLL≥20 μg/dL 的参与者。这些工人与来自同一工作场所、年龄、性别和社会人口学匹配的对照组(42 人)进行了比较。结果气割工人的平均收缩压明显升高,SGOT水平升高,两组工人的呼吸道症状和肌肉骨骼疾病发生率相似。大多数血液学、肝脏和肾脏参数没有发现明显差异。不过,气割工的 PTH 水平明显较高,血清维生素 D 水平较低。肺功能测试显示,气割工的 FVC、FEV1、FEV1/FVC 比值、FEF25-75% 和 PEFR 明显降低,CRP 水平明显升高。较高的 CRP 水平表明存在明显的炎症反应。这些研究结果突出表明,迫切需要采取有针对性的干预措施并进行定期监测,以降低气割工人与铅暴露相关的健康风险。
{"title":"Impact of Occupational Lead Exposure on the Comprehensive Health Status of Gas Cutter Workers","authors":"Ankit Viramgami ,&nbsp;Rakshit Shah ,&nbsp;Sarang Dhatrak ,&nbsp;Ankit Sheth ,&nbsp;Dhirendra Pratap Singh ,&nbsp;P. Sivaperumal ,&nbsp;Kuldip Upadhyay","doi":"10.1016/j.cegh.2024.101820","DOIUrl":"10.1016/j.cegh.2024.101820","url":null,"abstract":"<div><h3>Background</h3><div>Occupational exposure to hazardous substances, particularly in involving metal cutting and welding industries, poses critical public health concern. This study assesses the health status of gas cutter workers, focusing on Pb exposure.</div></div><div><h3>Method</h3><div>In this cross-sectional study, 40 participants with BLL ≥ 20 μg/dL were recruited from workers engaged in oxy-acetylene metal cutting. These workers were compared to an age-, sex-, and sociodemographic-matched control group (n=42) from the same workplace. Health assessments including routine clinical and laboratory investigations along with BLL, and markers of calcium homeostasis were carried out.</div></div><div><h3>Results</h3><div>Gas cutters exhibited significantly higher mean systolic BP and elevated SGOT levels, with similar prevalence of respiratory symptoms and musculoskeletal disorders in both groups. No significant differences were found in most hematological, liver, and renal parameters. However, gas cutters had significantly higher PTH levels and lower serum vitamin D levels. Pulmonary function tests indicated significantly reduced FVC, FEV1, FEV1/FVC ratio, FEF25-75%, and PEFR in gas cutters, as well as markedly higher CRP levels.</div></div><div><h3>Conclusion</h3><div>Gas cutters experience significant health impacts compared to controls, including elevated systolic BP, impaired pulmonary function, and disturbance in calcium homeostasis due to occupational Pb exposure. Higher CRP levels suggest notable inflammatory responses. These findings highlight the urgent need for targeted interventions and regular monitoring to mitigate health risks associated with Pb exposure among gas cutter workers.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101820"},"PeriodicalIF":2.3,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421839","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
Metabolic syndrome among patients with cardiovascular disease in Africa: a systematic review and meta-analysis 非洲心血管疾病患者的代谢综合征:系统回顾与荟萃分析
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-10 DOI: 10.1016/j.cegh.2024.101817
Worku Chekol Tassew , Samson Sisay Woldie , Agerie Mengistie Zeleke

Introduction

Metabolic syndrome, a frequent precursor to many cardiovascular illnesses, is prevalent in Africa. Currently, research on the prevalence of metabolic syndrome among cardiovascular disease patients is limited to diabetic, HIV/AIDS, and psychiatric populations. As a result, there is a lack of systematic evidence on the prevalence of metabolic syndrome among individuals with cardiovascular disease in African countries, and there is no realistic picture of the continent’s prevalence of metabolic syndrome among individuals with cardiovascular disease. This systematic review aimed to estimate the prevalence of metabolic syndrome among individuals with cardiovascular disease.

Methods

This systematic review and meta-analysis is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guidelines. Systematic electronic searches using databases such as African Journal Online, Google Scholar, PubMed, and the Wiley Online Library were performed from March 15 to April 20, 2024, to retrieve all relevant primary articles reporting the prevalence of metabolic syndrome among patients with cardiovascular disease in Africa. The extracted data were entered into Microsoft Excel and analyzed using STATA version 11 (STATA Corp., LLC) to estimate the pooled prevalence. Heterogeneity was tested using the Q statistic, and the I2 test was used to identify possible inter-study variations.

Results

The initial search identified 1804 articles, which were cataloged in citation management software (EndNote X 7). The current meta-analysis showed that the overall prevalence of metabolic syndrome among patients with cardiovascular disease was 38.96% (95% CI: 30.51–47.42, I2 = 73.2%) according to the NCEP-ATP III criteria. The analysis revealed moderate heterogeneity between the included articles. As a result, a random effect model, specifically the Der-Simonian and Laird (D+L) random model, was used to estimate the pooled prevalence of metabolic syndrome among patients with cardiovascular disease.

Conclusion

The prevalence of metabolic syndrome is increasing at an alarming rate and is high in Africa. Therefore, policymakers, clinicians, and concerned stakeholders should develop effective strategies for the control, prevention, and management of metabolic syndrome.
导言代谢综合征是许多心血管疾病的常见前兆,在非洲非常普遍。目前,有关代谢综合征在心血管疾病患者中发病率的研究仅限于糖尿病患者、艾滋病毒/艾滋病患者和精神病患者。因此,关于代谢综合征在非洲国家心血管疾病患者中的患病率缺乏系统的证据,非洲大陆心血管疾病患者的代谢综合征患病率也没有真实的描述。本系统综述旨在估算代谢综合征在心血管疾病患者中的患病率。方法本系统综述和荟萃分析根据系统综述和荟萃分析首选报告项目声明指南进行报告。从 2024 年 3 月 15 日至 4 月 20 日,我们使用非洲期刊在线、谷歌学术、PubMed 和 Wiley 在线图书馆等数据库进行了系统的电子检索,以检索所有报告非洲心血管疾病患者代谢综合征患病率的相关主要文章。提取的数据被输入 Microsoft Excel,并使用 STATA 11 版本(STATA Corp.使用 Q 统计量检验异质性,并使用 I2 检验确定研究间可能存在的差异。目前的荟萃分析表明,根据 NCEP-ATP III 标准,心血管疾病患者代谢综合征的总患病率为 38.96%(95% CI:30.51-47.42,I2 = 73.2%)。分析显示,纳入的文章之间存在中度异质性。因此,我们采用了随机效应模型,特别是 Der-Simonian 和 Laird(D+L)随机模型,来估算心血管疾病患者中代谢综合征的总体患病率。因此,决策者、临床医生和相关利益方应制定有效的代谢综合征控制、预防和管理策略。
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引用次数: 0
Association between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients: A multicenter cross-sectional study in China 康复门诊患者中综合医疗保健健康传播与初级医疗保健就诊之间的关系:中国多中心横断面研究
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-09 DOI: 10.1016/j.cegh.2024.101813
Ruixue Ye , Yucong Zou , Jie Yan , Jianjun Long , Yawei Li , Guo Dan , Yongjun Jiang , Yulong Wang

Objective

This study examines the relationship between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients in China.

Methods

A multi-stage sampling scheme was used to select the rehabilitation outpatients as study participants. A total of 3415 participants from 21 medical institutions in seven cities in China were included in the final analysis. The measurement included primary healthcare visits, health communication on integrated healthcare, and basic characteristics (age, sex, educational level, marital status, household income, and diagnoses). The association between health communication on integrated healthcare and primary healthcare visits was modeled using logistic regression controlling the general characteristics and disease status.

Results

Among 3415 rehabilitation outpatients, the mean age of participants was 45.3 years (SD:24.9), and more than half (54.0 %) were male. The majority (56.3 %) were diagnosed with orthopaedic disorders. Received information of integrated healthcare from organizational communication (OR = 2.00; 95 % CI = 1.56, 2.56) and interpersonal communication (OR = 6.03; 95 % CI = 2.49, 14.62), patients who had a higher level of knowledge on integrated healthcare (OR = 1.02; 95% CI = 1.00, 1.03), the interaction terms of ‘organizational communication ∗ knowledge’(OR = 0.98; 95 % CI = 0.97, 1.00), and ‘interpersonal communication ∗ knowledge’(OR = 0.92; 95 % CI = 0.87, 0.97) were associated with visiting primary healthcare initially when had an illness the last two weeks.

Conclusion

This study indicated that rehabilitation outpatients display a low level of primary healthcare visits, calling for interpersonal-based health communication interventions to be implemented to improve their integrated healthcare knowledge and promote better primary healthcare visits practices in China.
本研究探讨了中国康复门诊患者中综合医疗保健健康传播与初级医疗保健就诊之间的关系。方法采用多阶段抽样方案选择康复门诊患者作为研究对象。研究采用多阶段抽样方法,从中国 7 个城市的 21 家医疗机构中选取了 3415 名康复门诊患者作为研究对象。测量内容包括初级保健就诊情况、整合医疗的健康传播情况和基本特征(年龄、性别、教育程度、婚姻状况、家庭收入和诊断)。结果在 3415 名康复门诊患者中,参与者的平均年龄为 45.3 岁(SD:24.9),一半以上(54.0%)为男性。大多数(56.3%)被诊断为骨科疾病。从组织沟通(OR = 2.00; 95 % CI = 1.56, 2.56)和人际沟通(OR = 6.03; 95 % CI = 2.49, 14.62)中获得综合医疗信息的患者,对综合医疗有较高了解的患者(OR = 1.02; 95 % CI = 1.00, 1.03)、"组织沟通 ∗ 知识"(OR = 0.98; 95 % CI = 0.97, 1.00)和 "人际沟通 ∗ 知识"(OR = 0.结论本研究表明,康复门诊患者的初级卫生保健就诊率较低,因此需要实施基于人际沟通的健康传播干预措施,以提高他们的综合卫生保健知识水平,促进中国初级卫生保健就诊率的提高。
{"title":"Association between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients: A multicenter cross-sectional study in China","authors":"Ruixue Ye ,&nbsp;Yucong Zou ,&nbsp;Jie Yan ,&nbsp;Jianjun Long ,&nbsp;Yawei Li ,&nbsp;Guo Dan ,&nbsp;Yongjun Jiang ,&nbsp;Yulong Wang","doi":"10.1016/j.cegh.2024.101813","DOIUrl":"10.1016/j.cegh.2024.101813","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the relationship between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients in China.</div></div><div><h3>Methods</h3><div>A multi-stage sampling scheme was used to select the rehabilitation outpatients as study participants. A total of 3415 participants from 21 medical institutions in seven cities in China were included in the final analysis. The measurement included primary healthcare visits, health communication on integrated healthcare, and basic characteristics (age, sex, educational level, marital status, household income, and diagnoses). The association between health communication on integrated healthcare and primary healthcare visits was modeled using logistic regression controlling the general characteristics and disease status.</div></div><div><h3>Results</h3><div>Among 3415 rehabilitation outpatients, the mean age of participants was 45.3 years (SD:24.9), and more than half (54.0 %) were male. The majority (56.3 %) were diagnosed with orthopaedic disorders. Received information of integrated healthcare from organizational communication (<em>OR</em> = 2.00; 95 % <em>CI</em> = 1.56, 2.56) and interpersonal communication (<em>OR</em> = 6.03; 95 % <em>CI</em> = 2.49, 14.62), patients who had a higher level of knowledge on integrated healthcare (<em>OR</em> = 1.02; 95% <em>CI</em> = 1.00, 1.03), the interaction terms of ‘organizational communication ∗ knowledge’(<em>OR</em> = 0.98; 95 % <em>CI</em> = 0.97, 1.00), and ‘interpersonal communication ∗ knowledge’(<em>OR</em> = 0.92; 95 % <em>CI</em> = 0.87, 0.97) were associated with visiting primary healthcare initially when had an illness the last two weeks.</div></div><div><h3>Conclusion</h3><div>This study indicated that rehabilitation outpatients display a low level of primary healthcare visits, calling for interpersonal-based health communication interventions to be implemented to improve their integrated healthcare knowledge and promote better primary healthcare visits practices in China.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101813"},"PeriodicalIF":2.3,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441599","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
“Food frequency questionnaire for dietary intake of iron in pregnancy- A validation study” "妊娠期铁膳食摄入量食物频率问卷--一项验证研究
IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-09 DOI: 10.1016/j.cegh.2024.101810
B.M. Bhagyashri , Sheetal Harakuni , Yeshita Pujar , Jang Bahadur Prasad

Background and objective

Nutrition in pregnancy plays an important role for wellbeing of mother and fetus, later it further influences the development of child. Iron is one among the most important micronutrients required in pregnancy. There is no validated Food frequency questionnaire (FFQ) to assess iron intake in pregnant women. This initiated the process to develop and validate a FFQ to assess dietary intake of Iron in Pregnant women.

Methodology

Based on the food habits in study region and foods rich in iron, in reference to the standard literature, the FFQ was prepared. FFQ was designed in the following categories-cereal grains and products, pulses & legumes, green leafy vegetables, roots-tuber & other vegetables, nuts & seeds, Fruits, non-veg foods and milk & milk products. Content validity carried out by subject experts. To perform construct validity, 25 Primary health centre and 25 Tertiary care hospital pregnant women were interviewed using this FFQ and 24 h diet recall method. The results of both records were analyzed using Wilcoxon signed rank test. Internal reliability (Cronbach's alpha) and construct validity (Pearson correlation) of the questionnaire were determined.

Results

Overall internal reliability of questionnaire is 0.804, indicating good reliability and showing satisfactory construct validity. Median dietary iron intake from FFQ method was 7.67 mg/day and 24 h dietary recall method was 15.70 mg/day. There was a significant difference between both method in assessing dietary iron intake.

Conclusion

The FFQ designed in this study is reliable and valid tool to assess dietary iron intake among pregnant women.
背景和目的:孕期营养对母亲和胎儿的健康起着重要作用,并进一步影响儿童的发育。铁是孕期所需的最重要的微量营养素之一。目前还没有经过验证的食物频率问卷(FFQ)来评估孕妇的铁摄入量。研究方法根据研究地区的饮食习惯和富含铁的食物,并参考标准文献,编制了食物频率问卷。FFQ 分为以下几类:谷物及谷物制品、豆类及豆制品、绿叶蔬菜、根茎及其他蔬菜、坚果及种子、水果、非蔬菜食品和奶及奶制品。由学科专家进行内容效度验证。为了进行结构效度验证,25 名初级保健中心和 25 名三级保健医院的孕妇接受了本 FFQ 和 24 小时饮食回忆法的访谈。使用 Wilcoxon 符号秩检验对两种记录的结果进行分析。问卷的内部信度(Cronbach's alpha)和结构效度(Pearson correlation)得到了确定。结果问卷的总体内部信度为 0.804,显示出良好的信度和令人满意的结构效度。FFQ法得出的膳食铁摄入量中位数为7.67毫克/天,24小时膳食回忆法得出的膳食铁摄入量中位数为15.70毫克/天。结论 本研究设计的 FFQ 是评估孕妇膳食铁摄入量的可靠、有效的工具。
{"title":"“Food frequency questionnaire for dietary intake of iron in pregnancy- A validation study”","authors":"B.M. Bhagyashri ,&nbsp;Sheetal Harakuni ,&nbsp;Yeshita Pujar ,&nbsp;Jang Bahadur Prasad","doi":"10.1016/j.cegh.2024.101810","DOIUrl":"10.1016/j.cegh.2024.101810","url":null,"abstract":"<div><h3>Background and objective</h3><div>Nutrition in pregnancy plays an important role for wellbeing of mother and fetus, later it further influences the development of child. Iron is one among the most important micronutrients required in pregnancy. There is no validated Food frequency questionnaire (FFQ) to assess iron intake in pregnant women. This initiated the process to develop and validate a FFQ to assess dietary intake of Iron in Pregnant women.</div></div><div><h3>Methodology</h3><div>Based on the food habits in study region and foods rich in iron, in reference to the standard literature, the FFQ was prepared. FFQ was designed in the following categories-cereal grains and products, pulses &amp; legumes, green leafy vegetables, roots-tuber &amp; other vegetables, nuts &amp; seeds, Fruits, non-veg foods and milk &amp; milk products. Content validity carried out by subject experts. To perform construct validity, 25 Primary health centre and 25 Tertiary care hospital pregnant women were interviewed using this FFQ and 24 h diet recall method. The results of both records were analyzed using Wilcoxon signed rank test. Internal reliability (Cronbach's alpha) and construct validity (Pearson correlation) of the questionnaire were determined.</div></div><div><h3>Results</h3><div>Overall internal reliability of questionnaire is 0.804, indicating good reliability and showing satisfactory construct validity. Median dietary iron intake from FFQ method was 7.67 mg/day and 24 h dietary recall method was 15.70 mg/day. There was a significant difference between both method in assessing dietary iron intake.</div></div><div><h3>Conclusion</h3><div>The FFQ designed in this study is reliable and valid tool to assess dietary iron intake among pregnant women.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101810"},"PeriodicalIF":2.3,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432356","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
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Clinical Epidemiology and Global Health
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