Dialogues in health最新文献

Migration and Women's Health Research (2000−2023): A bibliometric analysis of trends and gaps

Dialogues in health

Pub Date : 2025-03-04 DOI: 10.1016/j.dialog.2025.100210

Aasif Hussain Sheikh, Snober Hamid, Bilal Ahmad Lone, Farheena Muzaffar, Manzoor Hussain

This bibliometric study examines the scholarly landscape of migration and women's health, analyzing 1314 Scopus-indexed articles from 462 journals published between 2000 and 2023. Findings indicate a consistent increase in research output, reflecting growing global interest in this interdisciplinary field. Geographically, high-income countries (HICs), including the United States, Canada, the United Kingdom, and Australia, dominate contributions, while low- and middle-income countries (LMICs) remain underrepresented despite hosting significant migrant populations. International collaborations play a crucial role, with key institutions such as the University of California and the London School of Hygiene and Tropical Medicine shaping research efforts. The keyword co-occurrence analysis highlights migration, gender dynamics, mental health, and reproductive health as dominant themes. Persistent gaps in mental and reproductive healthcare access for migrant women emphasize the need for trauma-informed care (TIC), mobile bilingual healthcare services, and inclusive health policies. Disparities in research funding further exacerbate global health inequities, underscoring the necessity of equitable redistribution of resources, including redirecting at least 10 % of HIC research grants to LMIC-led studies. The COVID-19 pandemic magnified pre-existing vulnerabilities, stressing the importance of multilateral collaborations and sustainable policy interventions to enhance migrant healthcare access. This study provides valuable insights into research trends, collaboration networks, and thematic focus areas, offering a foundation for future interdisciplinary research and evidence-based policymaking aimed at promoting health equity for migrant women globally.

{"title":"Migration and Women's Health Research (2000−2023): A bibliometric analysis of trends and gaps","authors":"Aasif Hussain Sheikh, Snober Hamid, Bilal Ahmad Lone, Farheena Muzaffar, Manzoor Hussain","doi":"10.1016/j.dialog.2025.100210","DOIUrl":"10.1016/j.dialog.2025.100210","url":null,"abstract":"<div><div>This bibliometric study examines the scholarly landscape of migration and women's health, analyzing 1314 Scopus-indexed articles from 462 journals published between 2000 and 2023. Findings indicate a consistent increase in research output, reflecting growing global interest in this interdisciplinary field. Geographically, high-income countries (HICs), including the United States, Canada, the United Kingdom, and Australia, dominate contributions, while low- and middle-income countries (LMICs) remain underrepresented despite hosting significant migrant populations. International collaborations play a crucial role, with key institutions such as the University of California and the London School of Hygiene and Tropical Medicine shaping research efforts. The keyword co-occurrence analysis highlights migration, gender dynamics, mental health, and reproductive health as dominant themes. Persistent gaps in mental and reproductive healthcare access for migrant women emphasize the need for trauma-informed care (TIC), mobile bilingual healthcare services, and inclusive health policies. Disparities in research funding further exacerbate global health inequities, underscoring the necessity of equitable redistribution of resources, including redirecting at least 10 % of HIC research grants to LMIC-led studies. The COVID-19 pandemic magnified pre-existing vulnerabilities, stressing the importance of multilateral collaborations and sustainable policy interventions to enhance migrant healthcare access. This study provides valuable insights into research trends, collaboration networks, and thematic focus areas, offering a foundation for future interdisciplinary research and evidence-based policymaking aimed at promoting health equity for migrant women globally.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100210"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143570545","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

Understanding the dynamics of malnutrition dichotomy in India: Trends and insights from the National Family Health Surveys

Dialogues in health

Pub Date : 2025-02-23 DOI: 10.1016/j.dialog.2025.100209

Himanshu Jindal , Vinay Suresh , Saniya Agarwal , Priyanshi Vyas , Nabeela Bari

Purpose

India is confronted with a multifaceted malnutrition landscape, characterized by the coexistence of stunting, underweight, and escalating overweight and obesity rates. Current programs predominantly target undernutrition, overlooking the surging prevalence of overweight and obesity. These trends carry substantial economic ramifications, with obesity-related costs expected to rise significantly. Addressing these challenges requires enhanced policy execution and strategic collaboration. This article seeks to help overcome policy inertia in addressing the other end of the malnutrition spectrum—overnutrition.

Methods

The National Family Health Survey (NFHS), a large-scale survey conducted by the Ministry of Health and Family Welfare, Government of India, provides high-quality data on population dynamics and health indicators. Data for relevant health indicators were extracted from NFHS-3 to NFHS-5 to identify trends and shifting paradigms in malnutrition profiles. Data from the latest NFHS (NFHS-5) were briefly analyzed to highlight the malnutrition dichotomy and perform linear regression analysis.

Results

The data revealed a declining trend in stunting and underweight prevalence alongside a rise in overweight prevalence. Linear regression analyses on NFHS-5 data showed a positive association between literacy and obesity in both men and women. The findings also indicated that children fed with minimum dietary diversity were more likely to be overweight, and revealed a significant association between elevated random blood glucose levels and obesity in women.

Conclusions

By implementing the necessary interventions and strategies, India can establish a holistic approach to addressing both undernutrition and overnutrition effectively, thus contributing to Sustainable Development Goal-2 and paving the way for a healthier and more productive future for India's population.

{"title":"Understanding the dynamics of malnutrition dichotomy in India: Trends and insights from the National Family Health Surveys","authors":"Himanshu Jindal , Vinay Suresh , Saniya Agarwal , Priyanshi Vyas , Nabeela Bari","doi":"10.1016/j.dialog.2025.100209","DOIUrl":"10.1016/j.dialog.2025.100209","url":null,"abstract":"<div><h3>Purpose</h3><div>India is confronted with a multifaceted malnutrition landscape, characterized by the coexistence of stunting, underweight, and escalating overweight and obesity rates. Current programs predominantly target undernutrition, overlooking the surging prevalence of overweight and obesity. These trends carry substantial economic ramifications, with obesity-related costs expected to rise significantly. Addressing these challenges requires enhanced policy execution and strategic collaboration. This article seeks to help overcome policy inertia in addressing the other end of the malnutrition spectrum—overnutrition.</div></div><div><h3>Methods</h3><div>The National Family Health Survey (NFHS), a large-scale survey conducted by the Ministry of Health and Family Welfare, Government of India, provides high-quality data on population dynamics and health indicators. Data for relevant health indicators were extracted from NFHS-3 to NFHS-5 to identify trends and shifting paradigms in malnutrition profiles. Data from the latest NFHS (NFHS-5) were briefly analyzed to highlight the malnutrition dichotomy and perform linear regression analysis.</div></div><div><h3>Results</h3><div>The data revealed a declining trend in stunting and underweight prevalence alongside a rise in overweight prevalence. Linear regression analyses on NFHS-5 data showed a positive association between literacy and obesity in both men and women. The findings also indicated that children fed with minimum dietary diversity were more likely to be overweight, and revealed a significant association between elevated random blood glucose levels and obesity in women.</div></div><div><h3>Conclusions</h3><div>By implementing the necessary interventions and strategies, India can establish a holistic approach to addressing both undernutrition and overnutrition effectively, thus contributing to Sustainable Development Goal-2 and paving the way for a healthier and more productive future for India's population.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100209"},"PeriodicalIF":0.0,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510818","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

Medical provider perspectives on children with incarcerated parents: A mixed-methods study 医疗服务提供者对父母被监禁儿童的看法：混合方法研究

Dialogues in health

Pub Date : 2025-02-19 DOI: 10.1016/j.dialog.2025.100208

Laurel Davis , Marvin So , Andrew J. Barnes , Rebecca J. Shlafer

Purpose

To understand health care providers' perceptions, clinical considerations, and clinical actions towards children with incarcerated parents.

Methods

We implemented an experimental vignette study in which health care provider participants were randomly assigned a patient case describing a child with a parent absent for unspecified reasons (control) vs. incarceration (experimental). Participants completed a survey of closed- and open-ended items regarding their clinical approach. Groups were compared with chi-square and ANOVA. Qualitative data were analyzed inductively.

Results

Medical providers (N = 391) were predominantly non-Hispanic white, male, and physicians who had not received training on social determinants of health. There were no significant differences between the experimental and control groups in comfort with or approach towards the patient; specific conditions of concern; or number of concerns. Across groups, providers commonly endorsed intentions for additional emotional-behavioral screening and concerns for ADHD and adjustment disorders. Providers responding to the experimental vignette indicated interest in the child's psychosocial context (e.g., behavior/attention at home), current experiences (e.g., with trauma or abuse), relationships (e.g., with grandparents), perspectives of other reporters (e.g., teachers), and additional clinical actions (e.g., in-depth medical or developmental history).

Conclusion

Medical providers' approach to children of incarcerated parents may be similar to that of any child with an absentee parent, contrasting existing literature on teachers. When signaled about parental incarceration, providers evidenced attention to children's holistic contexts and needs.

{"title":"Medical provider perspectives on children with incarcerated parents: A mixed-methods study","authors":"Laurel Davis , Marvin So , Andrew J. Barnes , Rebecca J. Shlafer","doi":"10.1016/j.dialog.2025.100208","DOIUrl":"10.1016/j.dialog.2025.100208","url":null,"abstract":"<div><h3>Purpose</h3><div>To understand health care providers' perceptions, clinical considerations, and clinical actions towards children with incarcerated parents.</div></div><div><h3>Methods</h3><div>We implemented an experimental vignette study in which health care provider participants were randomly assigned a patient case describing a child with a parent absent for unspecified reasons (control) vs. incarceration (experimental). Participants completed a survey of closed- and open-ended items regarding their clinical approach. Groups were compared with chi-square and ANOVA. Qualitative data were analyzed inductively.</div></div><div><h3>Results</h3><div>Medical providers (<em>N</em> = 391) were predominantly non-Hispanic white, male, and physicians who had not received training on social determinants of health. There were no significant differences between the experimental and control groups in comfort with or approach towards the patient; specific conditions of concern; or number of concerns. Across groups, providers commonly endorsed intentions for additional emotional-behavioral screening and concerns for ADHD and adjustment disorders. Providers responding to the experimental vignette indicated interest in the child's psychosocial context (e.g., behavior/attention at home), current experiences (e.g., with trauma or abuse), relationships (e.g., with grandparents), perspectives of other reporters (e.g., teachers), and additional clinical actions (e.g., in-depth medical or developmental history).</div></div><div><h3>Conclusion</h3><div>Medical providers' approach to children of incarcerated parents may be similar to that of any child with an absentee parent, contrasting existing literature on teachers. When signaled about parental incarceration, providers evidenced attention to children's holistic contexts and needs.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100208"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535113","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

Beyond antiretroviral treatment: Health-related quality of life of patients receiving antiretroviral treatment at a tertiary hospital in South Africa

Dialogues in health

Pub Date : 2025-01-27 DOI: 10.1016/j.dialog.2025.100207

Govinda Rajan Gudala , Neelaveni Padayachee , Rajesh Vikram Vagiri

Antiretroviral therapy (ART) has significantly transformed the management of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), positively impacting the health-related quality of life (HRQoL) and life expectancy of people living with HIV and AIDS (PLWHA). HRQoL is a critical consideration for HIV and AIDS patients as it reflects their overall well-being and treatment outcomes. This study aimed to investigate the HRQoL of PLWHA receiving an ART regimen containing tenofovir, lamivudine, and dolutegravir at a tertiary hospital in Johannesburg, South Africa. This descriptive, quantitative, cross-sectional study included 103 patients who consented in writing to participate. Data was collected using WHOQOL HIV-BREF, socio-demographic, health characteristics, and adherence questionnaires. Participants who reported ‘excellent’ and ‘very good’ on the descriptive rating scale were considered to have optimal adherence (≥95 %). This study's statistical significance was set at p ≤ 0.05. More than half of the participants were male (n = 53; 51.5 %), employed (n = 54; 52.4 %) had an income less than 2000 South African Rands (n = 59; 57.3 %), and reported high levels of adherence over a 7-day (n = 71; 68.9 %) and 4-week (n = 70; 67.9 %) reporting period. Majority of the sample considered their health as ‘good’ (n = 82; 79.6 %) and did not consider themselves ill (n = 85; 82.5 %). This study found that education level, income, health status, and perception of illness significantly (p ≤ 0.05) affected most domains of HRQoL and Overall HRQoL. While adherent (≥95 %) patients indicated superior HRQoL across most dimensions relative to non-adherent (≥95 %) patients, significant disparities in mean scores were exclusively noted only in the psychological domain (p = 0.01). Multivariate linear regression analysis revealed that level of education (Ꞵ = 1.18; p = 0.01), income (Ꞵ = 0.72; p = 0.00), perception of illness (Ꞵ = 1.75; p < 0.001), and health status (Ꞵ = 1.68; p < 0.001) are the predictors of overall HRQoL. Monitoring HRQoL in HIV patients is essential for providing holistic care and improving outcomes. By addressing comorbidities, psychosocial challenges, and unmet needs, healthcare providers can enhance the overall well-being and HRQoL of PLWHA.

{"title":"Beyond antiretroviral treatment: Health-related quality of life of patients receiving antiretroviral treatment at a tertiary hospital in South Africa","authors":"Govinda Rajan Gudala , Neelaveni Padayachee , Rajesh Vikram Vagiri","doi":"10.1016/j.dialog.2025.100207","DOIUrl":"10.1016/j.dialog.2025.100207","url":null,"abstract":"<div><div>Antiretroviral therapy (ART) has significantly transformed the management of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), positively impacting the health-related quality of life (HRQoL) and life expectancy of people living with HIV and AIDS (PLWHA). HRQoL is a critical consideration for HIV and AIDS patients as it reflects their overall well-being and treatment outcomes. This study aimed to investigate the HRQoL of PLWHA receiving an ART regimen containing tenofovir, lamivudine, and dolutegravir at a tertiary hospital in Johannesburg, South Africa. This descriptive, quantitative, cross-sectional study included 103 patients who consented in writing to participate. Data was collected using WHOQOL HIV-BREF, socio-demographic, health characteristics, and adherence questionnaires. Participants who reported ‘excellent’ and ‘very good’ on the descriptive rating scale were considered to have optimal adherence (≥95 %). This study's statistical significance was set at <em>p</em> ≤ 0.05. More than half of the participants were male (n = 53; 51.5 %), employed (n = 54; 52.4 %) had an income less than 2000 South African Rands (n = 59; 57.3 %), and reported high levels of adherence over a 7-day (n = 71; 68.9 %) and 4-week (n = 70; 67.9 %) reporting period. Majority of the sample considered their health as ‘good’ (n = 82; 79.6 %) and did not consider themselves ill (n = 85; 82.5 %). This study found that education level, income, health status, and perception of illness significantly (<em>p</em> ≤ 0.05) affected most domains of HRQoL and Overall HRQoL. While adherent (≥95 %) patients indicated superior HRQoL across most dimensions relative to non-adherent (≥95 %) patients, significant disparities in mean scores were exclusively noted only in the psychological domain (<em>p</em> = 0.01). Multivariate linear regression analysis revealed that level of education (<em>Ꞵ</em> = 1.18; <em>p</em> = 0.01), income (<em>Ꞵ</em> = 0.72; <em>p</em> = 0.00), perception of illness (<em>Ꞵ</em> = 1.75; <em>p</em> < 0.001), and health status (<em>Ꞵ</em> = 1.68; <em>p</em> < 0.001) are the predictors of overall HRQoL. Monitoring HRQoL in HIV patients is essential for providing holistic care and improving outcomes. By addressing comorbidities, psychosocial challenges, and unmet needs, healthcare providers can enhance the overall well-being and HRQoL of PLWHA.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100207"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157892","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

Modeling environmental interactions and collaborative interventions for childhood stunting: A case from Indonesia

Dialogues in health

Pub Date : 2025-01-18 DOI: 10.1016/j.dialog.2025.100206

Sri Juni Woro Astuti , Sayekti Suindyah Dwiningwarni , Suryo Atmojo

Child stunting is a significant problem in Indonesia and requires special attention even though the government has implemented various programs to overcome it. The formulation of this study is: 1) How is the management of stunting handling based on the government's perspective? 2) What is the role of parties involved in the prevention and handling of stunting? 3) What is an effective stunting management model? The objectives of this research are: 1) The implementation of local government stunting handling policies; 2) Analyze cross-sector collaboration and active participation of all stakeholders; and 3) Formulate an integrated model for handling stunting and the implementation of system synergy. The design of this study uses a qualitative approach with a phenomenological which was carried out in the period from January 2023 to September 2024 in Indonesia. The informants interviewed in this study were 60 people recruited using the purposive sampling method also involving Focus Group Discussions (FGD). The results of this study identify that the success of stunting reduction efforts depends on effective collaboration between various stakeholders. The study highlights that social capital, which consists of social networks, collective norms, and trusts, plays an important role in strengthening stunting reduction efforts. Further research is needed to explore the specific impacts of social capital in other contexts in Indonesia and to develop more adaptive intervention models to local social and cultural dynamics.

{"title":"Modeling environmental interactions and collaborative interventions for childhood stunting: A case from Indonesia","authors":"Sri Juni Woro Astuti , Sayekti Suindyah Dwiningwarni , Suryo Atmojo","doi":"10.1016/j.dialog.2025.100206","DOIUrl":"10.1016/j.dialog.2025.100206","url":null,"abstract":"<div><div>Child stunting is a significant problem in Indonesia and requires special attention even though the government has implemented various programs to overcome it. The formulation of this study is: 1) How is the management of stunting handling based on the government's perspective? 2) What is the role of parties involved in the prevention and handling of stunting? 3) What is an effective stunting management model? The objectives of this research are: 1) The implementation of local government stunting handling policies; 2) Analyze cross-sector collaboration and active participation of all stakeholders; and 3) Formulate an integrated model for handling stunting and the implementation of system synergy. The design of this study uses a qualitative approach with a phenomenological which was carried out in the period from January 2023 to September 2024 in Indonesia. The informants interviewed in this study were 60 people recruited using the purposive sampling method also involving Focus Group Discussions (FGD). The results of this study identify that the success of stunting reduction efforts depends on effective collaboration between various stakeholders. The study highlights that social capital, which consists of social networks, collective norms, and trusts, plays an important role in strengthening stunting reduction efforts. Further research is needed to explore the specific impacts of social capital in other contexts in Indonesia and to develop more adaptive intervention models to local social and cultural dynamics.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100206"},"PeriodicalIF":0.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The overlooked burden: Vaginismus and its greater prevalence in eastern women

Dialogues in health

Pub Date : 2025-01-17 DOI: 10.1016/j.dialog.2025.100205

Hafsa Nasim , Abdulqadir J. Nashwan

引用次数: 0

Incidence rates of prediabetes and diabetes associated with sedentary behavior and night shifts among peruvian workers (2014–2021)

Dialogues in health

Pub Date : 2025-01-06 DOI: 10.1016/j.dialog.2025.100204

Víctor Juan Vera-Ponce , Fiorella E. Zuzunaga-Montoya , Nataly Mayely Sanchez-Tamay , Juan Carlos Bustamante-Rodríguez , Carmen Inés Gutierrez De Carrillo

Introduction

Type 2 diabetes mellitus (T2DM) and prediabetes represent a global public health concern, with increasing prevalence in developing countries. Occupational factors such as sedentary behavior and night shift work may play a significant role in their development; however, there is limited information on their impact on Latin American populations.

Objectives

To determine the incidence of T2DM and prediabetes and to evaluate the association between prolonged sitting time and night shift work with glycemic changes in Peruvian workers.

Methods

A retrospective cohort study was conducted with 4200 workers evaluated between 2014 and 2021. Incidence rates of T2DM and prediabetes were calculated, and Cox regression models were used to assess the association between prolonged sitting time and night shift work with glycemic changes. The measure of association was the crude and adjusted hazard ratio (aHR), presented with its respective 95 % confidence interval (95 % CI).

Results

The incidence of T2DM was 33.1 per 1000 person-years, and that of prediabetes was 77.11 per 1000 person-years. Sitting time (≥ 4 h/day) was associated with a higher hazard of diabetes (aHR: 2.84, 95 % CI: 1.58–5.12). Night shift work also significantly increased the hazard of diabetes (aHR: 3.24, 95 % CI: 1.97–5.35).

Conclusion

This study reveals a high incidence of T2DM and prediabetes among Peruvian workers, with significant associations between prolonged sitting time and night shift work with glycemic changes. The results underscore the importance of considering these occupational factors in T2DM prevention strategies. Implementing workplace prevention and early detection programs focused on reducing sedentary time and mitigating the effects of night shift work is recommended.

{"title":"Incidence rates of prediabetes and diabetes associated with sedentary behavior and night shifts among peruvian workers (2014–2021)","authors":"Víctor Juan Vera-Ponce , Fiorella E. Zuzunaga-Montoya , Nataly Mayely Sanchez-Tamay , Juan Carlos Bustamante-Rodríguez , Carmen Inés Gutierrez De Carrillo","doi":"10.1016/j.dialog.2025.100204","DOIUrl":"10.1016/j.dialog.2025.100204","url":null,"abstract":"<div><h3>Introduction</h3><div>Type 2 diabetes mellitus (T2DM) and prediabetes represent a global public health concern, with increasing prevalence in developing countries. Occupational factors such as sedentary behavior and night shift work may play a significant role in their development; however, there is limited information on their impact on Latin American populations.</div></div><div><h3>Objectives</h3><div>To determine the incidence of T2DM and prediabetes and to evaluate the association between prolonged sitting time and night shift work with glycemic changes in Peruvian workers.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted with 4200 workers evaluated between 2014 and 2021. Incidence rates of T2DM and prediabetes were calculated, and Cox regression models were used to assess the association between prolonged sitting time and night shift work with glycemic changes. The measure of association was the crude and adjusted hazard ratio (aHR), presented with its respective 95 % confidence interval (95 % CI).</div></div><div><h3>Results</h3><div>The incidence of T2DM was 33.1 per 1000 person-years, and that of prediabetes was 77.11 per 1000 person-years. Sitting time (≥ 4 h/day) was associated with a higher hazard of diabetes (aHR: 2.84, 95 % CI: 1.58–5.12). Night shift work also significantly increased the hazard of diabetes (aHR: 3.24, 95 % CI: 1.97–5.35).</div></div><div><h3>Conclusion</h3><div>This study reveals a high incidence of T2DM and prediabetes among Peruvian workers, with significant associations between prolonged sitting time and night shift work with glycemic changes. The results underscore the importance of considering these occupational factors in T2DM prevention strategies. Implementing workplace prevention and early detection programs focused on reducing sedentary time and mitigating the effects of night shift work is recommended.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100204"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082459","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

Impact of Heat on Human and Animal Health in India: A Landscape Review

Dialogues in health

Pub Date : 2025-01-03 DOI: 10.1016/j.dialog.2024.100203

Sandul Yasobant , K. Shruti Lekha , Poonam Trivedi , Shruti Krishnan , Chinmayee Kator , Harleen Kaur , Mudita Adaniya , Anish Sinha , Deepak Saxena

Climate change presents a significant global public health challenge for animals and humans. Due to geography, climate, population, and urbanization, India is vulnerable to extreme heat. This review aims to explore the impact of heat on human and animal health in India. The publications on this topic were retrieved from PubMed and Google Scholar using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Out of 219 articles extracted, 44 were reviewed. The review included articles published in the last ten years, regardless of design. Half of the 44 articles were original studies; the rest were perspective, opinion, review studies, editorial, or commentary papers. The present review shows how heat adversely affects human health, increasing mortality and morbidity, especially during heat waves. Heat-related health issues in India include increased hospital admissions for cardiorespiratory diseases, mental health problems, reduced productivity, and agricultural yields. Vulnerable groups like workers, pregnant women, and children require targeted interventions. Limited evidence exists on the impact of heat on animals, but studies show increased health problems due to high temperatures. Targeted interventions are needed to prevent heat-related mortality and morbidity in India.

{"title":"Impact of Heat on Human and Animal Health in India: A Landscape Review","authors":"Sandul Yasobant , K. Shruti Lekha , Poonam Trivedi , Shruti Krishnan , Chinmayee Kator , Harleen Kaur , Mudita Adaniya , Anish Sinha , Deepak Saxena","doi":"10.1016/j.dialog.2024.100203","DOIUrl":"10.1016/j.dialog.2024.100203","url":null,"abstract":"<div><div>Climate change presents a significant global public health challenge for animals and humans. Due to geography, climate, population, and urbanization, India is vulnerable to extreme heat. This review aims to explore the impact of heat on human and animal health in India. The publications on this topic were retrieved from PubMed and Google Scholar using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Out of 219 articles extracted, 44 were reviewed. The review included articles published in the last ten years, regardless of design. Half of the 44 articles were original studies; the rest were perspective, opinion, review studies, editorial, or commentary papers. The present review shows how heat adversely affects human health, increasing mortality and morbidity, especially during heat waves. Heat-related health issues in India include increased hospital admissions for cardiorespiratory diseases, mental health problems, reduced productivity, and agricultural yields. Vulnerable groups like workers, pregnant women, and children require targeted interventions. Limited evidence exists on the impact of heat on animals, but studies show increased health problems due to high temperatures. Targeted interventions are needed to prevent heat-related mortality and morbidity in India.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100203"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061545","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

Longitudinal photovoice examination of workplace experiences for Congolese refugee women in the United States

Dialogues in health

Pub Date : 2024-12-27 DOI: 10.1016/j.dialog.2024.100202

Shannon McMorrow , Jyotika Saksena

Refugees fleeing the Democratic Republic of Congo are vulnerable to health and social inequities. Women from the DRC are at unique risk within the social and cultural milieu of the U.S., but there is insufficient evidence to inform tailored programs and policies for this population. This article describes results from a longitudinal, qualitative Photovoice study with women refugees from the DRC between 2016 and 2023. Participatory analysis with participant co-researchers and inductive manual analysis revealed four themes illustrating experiences with employment and the workplace: job (in)security, discrimination, injuries, and workplace potential. Evidence from this study demonstrates the need for more intentional, tailored public health and social service interventions centering on the workplace for Congolese refugee women resettled in the U.S. The federal policy pushes refugees toward early self-sufficiency. Our findings suggest this is problematic as it negatively impacts language acquisition, which in turn creates a ripple effect of negative outcomes, including insufficient access to jobs offering a living wage, limited access to jobs with health insurance, and exposure to jobs with high risk of injury or social settings enhancing discrimination. These experiences can be further exacerbated for women refugees from Africa standing at the intersection of race, gender, and refugee status. Study results also show opportunities for the workplace to be an outlet for positive health impacts and advocacy for social justice for this population and potentially other refugee groups that are marginalized in the U.S.

{"title":"Longitudinal photovoice examination of workplace experiences for Congolese refugee women in the United States","authors":"Shannon McMorrow , Jyotika Saksena","doi":"10.1016/j.dialog.2024.100202","DOIUrl":"10.1016/j.dialog.2024.100202","url":null,"abstract":"<div><div>Refugees fleeing the Democratic Republic of Congo are vulnerable to health and social inequities. Women from the DRC are at unique risk within the social and cultural milieu of the U.S., but there is insufficient evidence to inform tailored programs and policies for this population. This article describes results from a longitudinal, qualitative Photovoice study with women refugees from the DRC between 2016 and 2023. Participatory analysis with participant co-researchers and inductive manual analysis revealed four themes illustrating experiences with employment and the workplace: job (in)security, discrimination, injuries, and workplace potential. Evidence from this study demonstrates the need for more intentional, tailored public health and social service interventions centering on the workplace for Congolese refugee women resettled in the U.S. The federal policy pushes refugees toward early self-sufficiency. Our findings suggest this is problematic as it negatively impacts language acquisition, which in turn creates a ripple effect of negative outcomes, including insufficient access to jobs offering a living wage, limited access to jobs with health insurance, and exposure to jobs with high risk of injury or social settings enhancing discrimination. These experiences can be further exacerbated for women refugees from Africa standing at the intersection of race, gender, and refugee status. Study results also show opportunities for the workplace to be an outlet for positive health impacts and advocacy for social justice for this population and potentially other refugee groups that are marginalized in the U.S.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100202"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157891","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 panel data study on the role of clean energy in promoting life expectancy 关于清洁能源在提高预期寿命中的作用的面板数据研究。

Dialogues in health

Pub Date : 2024-12-20 DOI: 10.1016/j.dialog.2024.100201

Amit Roy

Purpose

Energy is a health issue. Energy intersects with health outcomes, as evidenced by the relationship between access to clean fuels and technologies and population health measured by life expectancy at birth.

Methods

Utilizing a comprehensive dataset spanning 190 countries from 2000 to 2022, this paper employs a range of static and dynamic panel data models to analyze this empirical relationship, while effectively managing unobserved country-specific heterogeneity and endogeneity issues.

Results

The primary finding underscores that improved access to clean fuels and technologies positively correlates with increased life expectancy for both genders, males and females, on a global scale. Additionally, the study identifies a significant negative impact of food and nutritional deficiencies on human health, while highlighting positive associations between health outcomes and increased per capita health spending, immunization rates, education levels, and access to safe drinking water and sanitation facilities.

Conclusion

Findings underscore the importance of policy interventions aimed at alleviating clean energy poverty and scaling up access to clean fuels and technologies to enhance both the duration and quality of life, thus fostering sustainable development efforts at both national and global levels.

目的：能量是一个健康问题。能源与健康结果相交，获得清洁燃料和技术与以出生时预期寿命衡量的人口健康之间的关系证明了这一点。方法：利用2000年至2022年190个国家的综合数据集，采用一系列静态和动态面板数据模型分析这一实证关系，同时有效管理未观察到的国家特异性异质性和内生性问题。结果：主要发现强调，在全球范围内，改善清洁燃料和技术的获取与男女预期寿命的增加呈正相关。此外，该研究确定了食物和营养缺乏对人类健康的重大负面影响，同时强调了健康结果与人均卫生支出、免疫率、教育水平以及获得安全饮用水和卫生设施之间的积极联系。结论：研究结果强调了旨在减轻清洁能源贫困和扩大获得清洁燃料和技术的机会的政策干预的重要性，以延长寿命和提高生活质量，从而促进国家和全球层面的可持续发展努力。

{"title":"A panel data study on the role of clean energy in promoting life expectancy","authors":"Amit Roy","doi":"10.1016/j.dialog.2024.100201","DOIUrl":"10.1016/j.dialog.2024.100201","url":null,"abstract":"<div><h3>Purpose</h3><div>Energy is a health issue. Energy intersects with health outcomes, as evidenced by the relationship between access to clean fuels and technologies and population health measured by life expectancy at birth.</div></div><div><h3>Methods</h3><div>Utilizing a comprehensive dataset spanning 190 countries from 2000 to 2022, this paper employs a range of static and dynamic panel data models to analyze this empirical relationship, while effectively managing unobserved country-specific heterogeneity and endogeneity issues.</div></div><div><h3>Results</h3><div>The primary finding underscores that improved access to clean fuels and technologies positively correlates with increased life expectancy for both genders, males and females, on a global scale. Additionally, the study identifies a significant negative impact of food and nutritional deficiencies on human health, while highlighting positive associations between health outcomes and increased per capita health spending, immunization rates, education levels, and access to safe drinking water and sanitation facilities.</div></div><div><h3>Conclusion</h3><div>Findings underscore the importance of policy interventions aimed at alleviating clean energy poverty and scaling up access to clean fuels and technologies to enhance both the duration and quality of life, thus fostering sustainable development efforts at both national and global levels.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100201"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017383","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