Clinical Epidemiology and Global Health最新文献

{"title":"Unraveling the connection between reproductive factors and cognitive function of post-menopausal women in South India","authors":"Kothandan Dhivya ,&nbsp;S Sarumathy ,&nbsp;G Manigandan","doi":"10.1016/j.cegh.2024.101893","DOIUrl":"10.1016/j.cegh.2024.101893","url":null,"abstract":"<div><h3>Background</h3><div>This study is conducted to estimate the incidence of cognitive decline and analyze the correlation between reproductive factors and cognition in post-menopausal women. This study marks the first instance of community-focused research in the South Indian population, focusing on the link between cognition and reproductive factors in post-menopausal women using actual world data.</div></div><div><h3>Methods</h3><div>This cross-sectional study was accomplished in the community setting of Vellore District, in association with the Rotary Club of Anaicut, for 6 months. The study included post-menopausal women, aged 45 years or above, who had proficiency in reading and writing in English or Tamil. We applied the Montreal Cognitive Assessment (MoCA) scale to appraise cognitive function. A self-administered questionnaire was utilized to collect the data. The serum estradiol level was measured. We interpreted the obtained data using IBM Statistical Package for the Social Sciences (SPSS) software version 24.</div></div><div><h3>Results</h3><div>Of 300 post-menopausal women screened, about 256 participants met the required inclusion criteria. The average age of the participants was 55.88 ± 6.38 years. Mild cognitive impairment (MCI) was present in 73 % of the study participants, with a mean MoCA score of 21.68 ± 3.28. The present study findings revealed that the overall MoCA score declined with high parity (r = −0.123), earlier age at menopause (r = 0.311), lessened reproductive span (r = 0.337), and diminished estrogen levels (r = 0.425).</div></div><div><h3>Conclusion</h3><div>This study posited a robust link between cognitive function and reproductive factors. Considering the increased occurrence of MCI in post-menopausal women, the outcomes of this research offer significant perspectives for healthcare specialists and decision-makers in devising evidence-based approaches to prevent the progression of dementia in post-menopausal women.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101893"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102937","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}

{"title":"New-onset Diabetes Mellitus among adults as sequelae of COVID-19 in selected tertiary care hospital, Puducherry – A cohort study","authors":"Venkatachalam Jayaseelan ,&nbsp;Sitanshu Sekhar Kar ,&nbsp;Mahadevan Duraiswamy ,&nbsp;Manju Rajaram ,&nbsp;Vikas Menon ,&nbsp;Mukta Wyawahare ,&nbsp;D.R. Veda Priya ,&nbsp;Ravivarman Lakshmanasamy ,&nbsp;Vanessa Ravel ,&nbsp;Renjana Sivaji","doi":"10.1016/j.cegh.2024.101897","DOIUrl":"10.1016/j.cegh.2024.101897","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes Mellitus is one of the most common comorbidities in patients with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). However, data on the incidence of Diabetes Mellitus among adults as post-COVID sequelae has been limited, and this study aims to determine the incidence and the associated factors of Diabetes Mellitus among adults who had COVID-19 infection.</div></div><div><h3>Methods</h3><div>This prospective cohort study was carried out among COVID–19 symptomatic (moderate and severe) and asymptomatic cases admitted or reported in a tertiary care hospital in Puducherry, India. Participants were recruited between May and December 2022. It includes socio-demographic details and follow-up data on clinical symptoms and blood sugar levels for 724 participants without a prior history of Diabetes Mellitus, with 362 in the exposed group and 362 in the comparison group for incidence of Diabetes Mellitus, followed-up for 3 months.</div></div><div><h3>Results</h3><div>Among the study participants, the relative risk of developing Diabetes Mellitus was 2.83 (95 % CI: 1.98–4.06) for the exposed group (moderate/severe cases) compared to the comparison group (mild/asymptomatic). Multivariable analysis further confirmed a relative risk of 2.01 (95 % CI: 1.26–3.20, p = 0.003) for moderate/severe COVID-19 cases, with significant associations for age, smoking, and comorbidities.</div></div><div><h3>Conclusion</h3><div>By the 3rd month, new-onset Diabetes Mellitus was significantly higher in moderate to severe COVID-19 cases. Older age, smoking, and comorbidities were key factors. These findings highlight the need for closer monitoring of severe COVID-19 patients for new-onset diabetes in the post-COVID period.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101897"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103195","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}

{"title":"New Mpox variant: An emerging threat and a global call to action","authors":"Abdulrakib Abdulrahim,&nbsp;Bashar Haruna Gulumbe","doi":"10.1016/j.cegh.2024.101866","DOIUrl":"10.1016/j.cegh.2024.101866","url":null,"abstract":"","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101866"},"PeriodicalIF":2.3,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759385","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}

{"title":"Community-level expenses for under-5 diarrhoeal cases prior to reporting at Dhaka Hospital: A cross-sectional analysis in Bangladesh","authors":"Md Fuad Al Fidah ,&nbsp;Md Ridwan Islam ,&nbsp;Md Mushfiqur Rahman ,&nbsp;Mohammod Jobayer Chisti ,&nbsp;A.S.G. Faruque ,&nbsp;Tahmeed Ahmed ,&nbsp;Sharika Nuzhat","doi":"10.1016/j.cegh.2024.101846","DOIUrl":"10.1016/j.cegh.2024.101846","url":null,"abstract":"<div><h3>Background</h3><div>Diarrhoeal diseases are a major public health challenge, placing immense economic burden on households. We aimed to examine the trends in direct medical costs (DMC), direct non-medical costs (DNMC), and family economic burden (FEB) incurred in the community before seeking care at the Dhaka Hospital.</div></div><div><h3>Methods</h3><div>DMC and DNMC were extracted from the database of the DDSS of Dhaka Hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) from 2012 to 2021. Costs in the community were calculated after adjusting for inflation and converting into international dollars (I$) for 2022. The Jonckheere-Terpstra test examined the trends, and quintile regression was used.</div></div><div><h3>Results</h3><div>The sample size was 14178. The median (IQR) direct cost, DMC, DNMC and FEB were I$26.2(14.5–44.9), I$10.1(3.6–21.3), I$13.11(7.5–22.3) and 3.5 %(1.8–6.9 %) respectively. An overall increasing trend (2.9 % in 2012 to 4.3 % in 2021; p-value&lt;0.001) and a recent declining trend (from 4.6 % in 2020) were seen in FEB. Age, distance from home, time taken to reach the hospital, living inside Dhaka, wealth index, and moderate-to-severe disease were associated with all costs. Adequate maternal media exposure (coef: 0.698; 95%CI: 1.167 to −0.229; p-value = 0.004) and secondary level education of the mother (coef: 0.316; 95 % CI:0.018 to 0.614; p-value = 0.038) were negatively associated, COVID-19 period was positively associated (coef:0.786; 95 % CI:0.591 to 0.981; p-value&lt;0.001) with FEB.</div></div><div><h3>Conclusion</h3><div>FEB showed significant trend from 2012 to 2021. The result indicates the need for increased awareness and health education on using immediate oral rehydration therapy and seeking care directly from facilities when institutional care is needed.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101846"},"PeriodicalIF":2.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748485","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}

{"title":"Exploring bilateral breast size and density asymmetry: Insights from the saudi screening population","authors":"Ibrahem Hussain Kanbayti ,&nbsp;Rawan Sameer Nasruddin ,&nbsp;Dana Ahmed Sumait ,&nbsp;Afnan Dakheel Allah Alnemari ,&nbsp;Ibrahim Hadadi ,&nbsp;Yousef Almaimoni ,&nbsp;Ernest U. Ekpo","doi":"10.1016/j.cegh.2024.101848","DOIUrl":"10.1016/j.cegh.2024.101848","url":null,"abstract":"<div><h3>Background/objectives</h3><div>The swift appearance of asymmetry in breast size and density has been associated with an increased risk of breast cancer and other pathological changes. However, the occurrence of breast asymmetry and the factors influencing it have not been extensively studied among healthy, screened women in the Saudi population. Thus, this study aims to explore bilateral breast asymmetry in breast size and density among healthy, screened Saudi women and factors affecting the asymmetry.</div></div><div><h3>Methods</h3><div>Data of 1048 out of 1173 eligible women screened between 2012 and 2018 were extracted from Sheikh Mohammed Hussien AL-Amoudi Center of Excellence in Breast Cancer. The Laboratory for Individualized Radiodensity Assessment (LIBRA) software was used to measure percent density, dense area, and total area of breast from mammograms. Paired <em>t</em>-test was used to examine asymmetry between right and left breasts, and stratified analysis was performed to investigate the factors associated with breast asymmetry.</div></div><div><h3>Results</h3><div>No significant differences were observed between the right and left breasts in percent density, dense area, and total breast area (p ≥ 0.2). However, for participants who never breastfed, the right breast area was slightly larger (average: 207.9 cm²) than the left breast (average: 202.8 cm²); p = 0.008.</div></div><div><h3>Conclusion</h3><div>There were no significant differences found in the density, and size of the right and left breasts. However, women who breastfed tended to have slightly larger right breasts.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101848"},"PeriodicalIF":2.3,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756690","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}

{"title":"Comparison of sonographic score and Bishop score in the prediction of successful labor induction in term patients: A prospective observational study","authors":"Udhaya Preethi R,&nbsp;Saswati Tripathy","doi":"10.1016/j.cegh.2024.101734","DOIUrl":"10.1016/j.cegh.2024.101734","url":null,"abstract":"<div><h3>Background</h3><div>The cervical favorability for IOL is assessed by scoring systems. There are various scoring systems, including the Field system, Lange pelvic scoring system, and Bishop scoring system, which was then modified and termed ‘The modified Bishop scoring system, and it is the most widely used one. This scoring is done based on the assessment of the station of the fetal presenting part, consistency, position, dilatation, and length of the maternal cervix. Owing to its subjective assessment, there is a high chance of inter-observer variability. Therefore, radiological methods such as <em>Trans</em>-vaginal ultrasonogram (TVS) and <em>Trans</em>-abdominal ultrasonogram (TAS) are preferred over manual methods. This study aims to determine the role of assessment of the cervix by Modified Bishop Score and assessment of the cervical parameters by Transvaginal ultrasonogram (TVS) and compare them in predicting the outcome of labour.</div></div><div><h3>Material and methods</h3><div>This prospective observational study was conducted by the Department of Obstetrics and Gynecology in a tertiary care hospital located at Chengalpattu, Tamil Nadu, in a term singleton pregnancy woman, and the Study period was from January 2023 to July 2023 for six months. In total, one hundred fifty pregnant women were recruited. The study inclusion criteria were singleton pregnant women with intact amniotic membranes and a period of gestation &gt;37 weeks with cephalic presentation. The findings of TVS were blinded to the person who measured cervical parameters for the bishop score. IOL done for both favorable and unfavorable cervix according to the guidelines given by FOGSI-ICOG (2018) for IOL.</div></div><div><h3>Results</h3><div>Receiver operating characteristic (ROC) curve analysis showed the area under the curve (AUC) for the TVS score was 0.705(95 % CI: 0.616–0.794) against the standard bishop score. TVS Score≥6.5 cm is the best cut-off value to ascertain successful IOL with a sensitivity of 99 % and specificity of 94 % among singleton pregnancy women.</div></div><div><h3>Conclusion</h3><div>This prospective observational study deduced that TVS scoring is a valid alternative tool against the standard bishop score in predicting cervical favorability for IOL among singleton pregnant women with plausible sensitivity and specificity. TVS scoring for assessing cervical favorability acts as an outstanding marker in predicting the IOL with a cut-off value of ≥6.5 cm in singleton pregnant women.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101734"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842976","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}

{"title":"Development of dynamic pupillometry apparatus to quantify pupil light reflex for assessment of autonomic dysfunction in patients with type 2 diabetes","authors":"A.V Siva kumar ,&nbsp;R Padmavathi ,&nbsp;Mahadevan Shriraam ,&nbsp;K.N Maruthy ,&nbsp;K Mahesh Kumar ,&nbsp;B Sowjanya","doi":"10.1016/j.cegh.2024.101842","DOIUrl":"10.1016/j.cegh.2024.101842","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes is a chronic non-communicable disease leading to various microvascular and macrovascular complications. Autonomic dysfunction is one of the early-onset complications of diabetes which goes undetected. The quantitative Pupillary light reflex (PLR) is a sensitive indicator of autonomic failure, which helps to identify these high-risk patients to reduce morbidity, mortality, and economic burden on diabetic care.</div></div><div><h3>Objectives</h3><div>To record and determine altered pupil light reflex variables for evaluating autonomic dysfunction in type 2 diabetic patients.</div></div><div><h3>Materials &amp; methods</h3><div>The study was conducted during 2018–2020. 400 participants were recruited, divided into the diabetic group (n = 200), and healthy volunteer group (n = 200). All participants were evaluated for autonomic status evaluation using Pupillary light reflex and Heart rate variability.</div></div><div><h3>Results</h3><div>All PLR variables are highly significant between the diabetic and healthy volunteer participants including parasympathetic variables (R.L, ACA, MPD, and MCV), sympathetic variables BPD, ADA, RPD, and MDV). All the HRV parameters were within the range of normative data from the Taskforce (1996). The RMSSD, NN50, and pNN50 % significantly differed between the two groups, whereas all frequency domain parameters showed statistically similar results.</div></div><div><h3>Conclusion</h3><div>Autonomic dysfunction in diabetic patients evaluated by PLR, especially parasympathetic dysfunction was detected, which delays the constriction phase and its variables. It is also evidenced by reduced SDNN, RMSSD, and NN50. However, the frequency domain has not shown any variation between the two groups. Thus, the evaluation of PLR aids in the early detection of autonomic dysfunction and the extent of parasympathetic and sympathetic contribution to inadequate PLR response.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101842"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652327","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}

{"title":"What happened to the distribution of the blood pressure and random blood glucose of the Indian adult population between 2015 and 2021?","authors":"Vignesh Loganathan,&nbsp;Ismail Zabiulla Rifai,&nbsp;Sitanshu Sekhar Kar","doi":"10.1016/j.cegh.2024.101834","DOIUrl":"10.1016/j.cegh.2024.101834","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the change in mean and shape of the distributions of blood pressure (BP) and random blood glucose (RBG) of adults aged 15–49 between two consecutive rounds of the National Family Health Survey in India.</div></div><div><h3>Study design and methods</h3><div>We analyzed the data of adults aged 15–49 from the household datasets of NFHS 4 (2015–16) and 5 (2019–21). Both surveys used identical two-stage sampling and methodology. Three BP readings with 5-min intervals using a digital sphygmomanometer and FreeStyle Optium H (NFHS-4) or Accu-Chek Performa glucometer (NFHS-5) were used for RBG testing. Descriptive statistics and absolute change for BP and RBG were estimated, and mean-difference plots (m-d plots) were used to compare the distributions in the two surveys.</div></div><div><h3>Results</h3><div>We analyzed data of 1,207,535 and 767,454 adults aged 15–49 years for blood pressure and 1,295,357 and 799,833 for the glucose distribution from NFHS 5 and NFHS 4, respectively. The mean increase between the two surveys in SBP, DBP and RBG was 4.23 mmHg (95 % C.I. 4.20–4.28), 1.95 mmHg (95 % C.I. 1.92–1.98), and 7.43 mg/dL (95 % C.I. 7.35–7.51), respectively. The m-d plots showed a rightward shift in the distribution of SBP, DBP, and RBG in NFHS 5 compared to NFHS 4.</div></div><div><h3>Conclusion</h3><div>The increasing trend of mean blood pressure and blood glucose and the rightward shift of the blood pressure and blood glucose distributions calls for prioritizing the national and state-level strategies for preventing NCDs, with increased focus on implementing population-level interventions.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101834"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652383","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}

{"title":"Self-rated health of the older adults in the northeastern region of India: Extent and determinants","authors":"Rupon Basumatary ,&nbsp;Simi Kalita ,&nbsp;Himakshi Bharadwaj","doi":"10.1016/j.cegh.2024.101856","DOIUrl":"10.1016/j.cegh.2024.101856","url":null,"abstract":"<div><h3>Aim</h3><div>To analyse older adults’ self-rated health (SRH) in the northeastern region (NER) of India.</div></div><div><h3>Methods</h3><div>This study uses data from the 75th round survey on <em>Household Social Consumption: Health</em> conducted by the National Statistical Office (NSO), India, during July 2017–June 2018. The sample for the present consists of 3988 persons aged 60 years and above. Binary logistic regression procedure has been used to identify the determinants of SRH of the older adults.</div></div><div><h3>Results</h3><div>More than three-fourth of the older adults in the region perceive their health as ‘good’ or ‘very good’. Older adults' SRH varies with their demographic and socioeconomic profiles.</div></div><div><h3>Conclusion</h3><div>In the context of the NER, creating employment opportunities for the older adults may be of policy importance in the light of the fact that the majority of them report good or very good health but remain dependent on others financially – partially or fully. Achieving ‘healthy ageing’, as defined by WHO, nevertheless requires measures that goes beyond financial independence of the older adults to support their mental health and social wellbeing as well. Future studies may focus on older adults' objective health, health risks protection and their labor market participation in the region.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101856"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700556","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}

{"title":"Factors linked with the modification of mental health score of Peruvian personnel in Machu Picchu Antarctica base","authors":"Christian R. Mejia ,&nbsp;Jhosselyn I. Chacon ,&nbsp;Yuvitza S. Aliaga ,&nbsp;Krisna J. Huamani ,&nbsp;Adán José Doria Velarde ,&nbsp;Victor Serna-Alarcón ,&nbsp;Dennis Arias-Chávez ,&nbsp;Aldo Álvarez-Risco ,&nbsp;Shyla Del-Aguila-Arcentales ,&nbsp;Neal M. Davies ,&nbsp;Jaime A. Yáñez","doi":"10.1016/j.cegh.2024.101854","DOIUrl":"10.1016/j.cegh.2024.101854","url":null,"abstract":"<div><h3>Introduction</h3><div>Isolation of people needs significant support, potentially impacting their mental well-being for future assignments.</div></div><div><h3>Objective</h3><div>This study aimed to examine whether the military institution or other factors were associated with changes in the mental health of Peruvian navy and army personnel in Antarctica.</div></div><div><h3>Methods</h3><div>The exploratory study employed a prospective cohort design, conducting surveys at two different points during the trip. Various factors such as stress, anxiety, depression (measured using DASS-21), and post-traumatic stress (measured using SPRINT-E) were assessed, alongside other variables.</div></div><div><h3>Results</h3><div>The outcomes indicated noteworthy changes in the participants' scores. Specifically, stress scores increased among navy personnel but decreased in the army. Moreover, anxiety scores decreased among those with previous trips and increased among those without. Additionally, anxiety scores remained stable in the navy but decreased in the army. Furthermore, depression scores increased in the navy and decreased in the army. The study also found that older age was associated with higher post-traumatic stress scores. Additionally, post-traumatic stress scores decreased among those with technical studies and increased among those with university studies.</div></div><div><h3>Conclusion</h3><div>The exploratory findings suggest that the institution to which the personnel belonged and other characteristics of the delegations may be linked to changes in the scores of the evaluated mental health factors. These findings could offer valuable insights for future delegations facing similar conditions. Future studies should increase the sample size to allow for a more detailed analysis of the effects and to enhance the generalizability of the findings.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101854"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745409","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}