Dialogues in health最新文献_第6页

Erratum regarding missing declaration of non-involvement of the Editor-in-Chief (EIC) in Peer review of Editor-Co-Authored papers 关于主编（EIC）在编辑合著论文的同行评议中未参与声明的勘误

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-11-13 DOI: 10.1016/j.dialog.2025.100255

引用次数: 0

Prevention and control of dengue and Aedes mosquitoes in South and Southeast Asia: Interventions, challenges, and future recommendations 南亚和东南亚登革热和伊蚊的预防和控制：干预措施、挑战和未来建议

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1016/j.dialog.2025.100253

Iskandar Arfan , Lilis Sulistyorini , Muji Sulistyowati , Ayu Rizky , Saliza Mohd Elias

Dengue fever, caused by a virus transmitted through Aedes mosquitoes, has become a major health issue in South and Southeast Asia. This review explores various preventive and control interventions for dengue implemented in South and Southeast Asia, the challenges faced, and recommendations to enhance the sustainability and effectiveness of these control efforts. The scoping review was conducted by searching articles published between 2014 and 2024 through databases such as PubMed, Scopus, ScienceDirect, Web of Science, and ProQuest. A total of 1599 studies were identified, and 25 articles were eventually analyzed. The findings indicate various intervention approaches in both regions. Key challenges identified in this review include community engagement and participation, resource, logistics, and data management issues, public perceptions and knowledge, control methods and evaluation of effectiveness, and social and economic issues. These challenges hinder the effectiveness of interventions. Recommendations to strengthen future interventions include: enhancing community involvement through continuous training, improving monitoring and evaluation with technology-based solutions, and expanding the use of technologies like Wolbachia-infected mosquitoes and spatial repellents. Expanding public awareness campaigns, strengthening school and community-based education, and improving training for health workers are also essential. Lastly, adopting a combined approach is crucial for achieving more effective and sustainable results in dengue prevention.

登革热由一种通过伊蚊传播的病毒引起，已成为南亚和东南亚的一个主要卫生问题。本综述探讨了在南亚和东南亚实施的各种登革热预防和控制干预措施，面临的挑战，以及加强这些控制工作的可持续性和有效性的建议。范围审查是通过PubMed、Scopus、ScienceDirect、Web of Science和ProQuest等数据库检索2014年至2024年间发表的文章进行的。总共确定了1599项研究，最终分析了25篇文章。研究结果表明，在这两个地区有不同的干预方法。本次审查确定的主要挑战包括社区参与、资源、后勤和数据管理问题、公众认知和知识、控制方法和有效性评估以及社会和经济问题。这些挑战阻碍了干预措施的有效性。关于加强未来干预措施的建议包括：通过持续培训加强社区参与，利用基于技术的解决办法改进监测和评价，以及扩大使用感染沃尔巴克氏体的蚊子和空间驱蚊剂等技术。扩大公众认识运动、加强学校和社区教育以及改进对卫生工作者的培训也至关重要。最后，采取综合办法对于在登革热预防方面取得更有效和可持续的成果至关重要。

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引用次数: 0

Home-learning environment and cognitive and academic outcomes among children aged 4–8 years: A cross-sectional study from South India 4-8岁儿童的家庭学习环境与认知和学业成绩：来自南印度的横断面研究

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-09-06 DOI: 10.1016/j.dialog.2025.100238

Eunice Lobo , Debarati Mukherjee , Pradeep Kumar Choudhury , Giridhara Rathnaiah Babu , Prashanth Nuggehalli Srinivas , Onno C.P. van Schayck

Purpose

Home-learning environment is critical for cognitive and academic outcomes; yet its impact during the 4–8 years' period remains underexplored, especially in the Global South. This study examines the relationship between the home-learning environment and children's fluid intelligence and early language numeracy outcomes in urban poor households in Bangalore, South India.

Methods

We analysed data from 940 mother-child dyads from the MAASTHI birth cohort when children were 4–8-years old. The Family Care Indicators (FCI) tool assessed the home-learning environment, Raven's Coloured Progressive Matrices (RCPM) measured children's fluid-intelligence, and the preschool Annual Status of Education Report (ASER) tool measured literacy-numeracy skills. Multilevel linear regression models, adjusted for household, maternal, and child factors, were used to examine the associations.

Results

Higher levels of parental education, maternal Intelligence Quotient, and lower maternal depressive symptoms were significantly associated with better cognitive and early language outcomes. A stimulating home-learning environment characterized by the availability of ≥6 age-appropriate books, higher levels of caregiver engagement, and higher overall home environment scores (FCI-Total) was linked to better non-verbal fluid intelligence and early language scores during 4–8 years of age. However, these factors were not significantly associated with numeracy.

Conclusion

This study underscores the sustained benefits of a stimulating home-learning environment in urban poor settings on children's cognitive and academic outcomes between 4 and 8 years of age. Our results reinforce the need for interventions that promote caregiver engagement and access to a variety of books and toys to optimize child outcomes in marginalized settings.

目的：家庭学习环境对认知和学业成绩至关重要；但其在4-8年期间的影响仍未得到充分探讨，特别是在全球南方。本研究考察了印度南部班加罗尔城市贫困家庭的家庭学习环境与儿童流动智力和早期语言计算能力之间的关系。方法我们分析了940对出生队列中4 - 8岁儿童的母婴数据。家庭护理指标（FCI）工具评估了家庭学习环境，瑞文彩色递进矩阵（RCPM）测量了儿童的流体智力，学前教育年度状况报告（ASER）工具测量了识字和计算技能。采用多水平线性回归模型，对家庭、母亲和儿童因素进行调整，以检验其相关性。结果较高的父母教育水平、较高的母亲智商和较低的母亲抑郁症状与较好的认知和早期语言结局显著相关。一个以≥6本适龄书籍、更高水平的照顾者参与和更高的整体家庭环境得分（FCI-Total）为特征的激进性家庭学习环境与4-8岁期间更好的非言语流体智力和早期语言得分有关。然而，这些因素与计算能力并没有显著的联系。结论：本研究强调了在城市贫困环境中，刺激的家庭学习环境对4至8岁儿童的认知和学业成绩的持续益处。我们的研究结果强调了干预措施的必要性，这些干预措施可以促进护理人员的参与，并使他们能够获得各种书籍和玩具，以优化边缘化环境中的儿童结果。

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引用次数: 0

Erratum regarding Missing Ethical / Consent statement in previously published articles 关于先前发表的文章中缺少伦理/同意声明的勘误

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/j.dialog.2025.100257

引用次数: 0

Beyond technical skills: How communication shapes patient satisfaction in Ghana's healthcare system 超越技术技能：加纳医疗保健系统中沟通如何塑造患者满意度

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-11-03 DOI: 10.1016/j.dialog.2025.100254

Mohammed Saani Abdulai, Eliasu Mumuni, Muhammed Abdulai

Purpose

Effective healthcare delivery depends not only on clinical expertise but also on the quality of communication and interpersonal relationships between healthcare providers and patients. Despite the recognized importance of these human-centered factors, limited research has explored their impact on patient satisfaction and service quality within the Ghanaian context. This study aims to examine the influence of communication competence and interpersonal relationships on patient satisfaction. This study examines how healthcare providers' communication competence and interpersonal relationships influence their perceived patient satisfaction with service delivery, thereby shifting attention from technical skills to the relational aspects of care.

Methods

A sequential mixed-methods design was employed. The quantitative phase involved a survey of 250 healthcare professionals. The qualitative phase comprised in-depth interviews with 20 participants,10 patients, and 10 healthcare staff. Data was analyzed using multiple regression techniques for the quantitative component and thematic analysis for the qualitative component.

Results

Verbal communication emerged as the most used method (70.4 %), followed by a combination of verbal and non-verbal strategies (19.6 %). Regression analysis revealed that both communication competence and interpersonal relationships had a significant impact on service quality and patient satisfaction. While interpersonal relationships displayed a negative coefficient in the regression model (B = −0.098) due to overlap with communication competence, qualitative findings confirmed that positive interpersonal interactions enhanced patient satisfaction. While technical skills contributed a smaller increase of 0.029. The Qualitative findings revealed that patients highly value empathetic communication, timely interactions, and non-verbal cues, such as physical touch and facial expressions, which enhance trust and satisfaction.

Conclusions

The findings highlight the importance of integrating communication and interpersonal skills development into healthcare training and professional practice in Ghana. Strengthening these competencies can enhance patient experiences, improve health outcomes, and contribute to the overall quality of care delivery.

目的：有效的医疗服务不仅取决于临床专业知识，还取决于医疗服务提供者和患者之间的沟通质量和人际关系。尽管认识到这些以人为中心的因素的重要性，有限的研究已经探讨了他们对患者满意度和加纳的服务质量的影响。本研究旨在探讨沟通能力和人际关系对患者满意度的影响。本研究探讨医疗保健提供者的沟通能力和人际关系如何影响他们对服务提供的感知患者满意度，从而将注意力从技术技能转移到护理的关系方面。方法采用顺序混合方法设计。定量阶段涉及对250名医疗保健专业人员的调查。定性阶段包括对20名参与者、10名患者和10名医护人员的深入访谈。数据分析使用多元回归技术的定量成分和专题分析的定性成分。结果使用最多的是言语交际（70.4%），其次是言语和非言语结合策略（19.6%）。回归分析显示，沟通能力和人际关系对服务质量和患者满意度均有显著影响。虽然人际关系在回归模型中由于与沟通能力重叠而呈现负系数（B = - 0.098），但定性研究结果证实，积极的人际互动提高了患者满意度。而技术技能贡献了0.029的小幅增长。定性研究结果显示，患者高度重视移情沟通、及时互动和非语言提示，如身体接触和面部表情，这增强了信任和满意度。结论研究结果强调了将沟通和人际交往技能发展纳入加纳医疗保健培训和专业实践的重要性。加强这些能力可以改善患者体验，改善健康结果，并有助于提高护理服务的整体质量。

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引用次数: 0

Strengthening cancer care for the LGBTQIA+ population in Nepal: A narrative review to set priorities for equitable oncology services 加强尼泊尔LGBTQIA+人群的癌症护理：为公平的肿瘤服务设定优先事项的叙述性审查

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-07-05 DOI: 10.1016/j.dialog.2025.100229

Sunil Shrestha , Nabin Pathak , Simit Sapkota , Sudip Thapa , Subhas Pandit , Jeebana Bhandari , Pankaj Barman , Pratik Khanal , Kamal Ranabhat , Vibhu Paudyal , Deependra Singh

Cancer epidemiology and care services in low- and middle-income countries, has traditionally overlooked the specific needs of the lesbian, gay, bisexual, transgender, queer, intersex, and asexual community, including people who identify with diverse gender identities and sexual orientations (LGBTQIA+). This narrative review examines the intersection of LGBTQIA+ individual's health and oncology cases in Nepal, highlighting disparities in cancer risk factors, delayed diagnosis, limited screening access and the compounding effects of social stigma and discrimination. Drawing from regional data and global insights, we identify systemic barriersincluding heteronormative healthcare environments, lack of provider training in LGBTQIA+-inclusive oncology, and policy gaps that hinder equitable cancer care access. We also outline targeted strategies to improve cancer outcomes for LGBTQIA+ individuals, including stakeholder engagement, culturally competent oncology training for healthcare providers and students, and community-led education and advocacy. This review underscores the urgent need to integrate LGBTQIA+-specific priorities into Nepal's national cancer strategies to advance equity in oncology care delivery.

传统上，低收入和中等收入国家的癌症流行病学和护理服务忽视了女同性恋、男同性恋、双性恋、变性人、酷儿、双性人和无性恋群体的特殊需求，包括具有不同性别认同和性取向的人群（LGBTQIA+）。这篇叙事综述考察了尼泊尔LGBTQIA+个体健康与肿瘤病例的交集，强调了癌症风险因素、诊断延迟、筛查机会有限以及社会污名和歧视的综合影响方面的差异。根据区域数据和全球见解，我们确定了系统性障碍，包括异性规范的医疗环境，缺乏LGBTQIA+包容性肿瘤学的提供者培训，以及阻碍公平获得癌症护理的政策差距。我们还概述了有针对性的策略，以改善LGBTQIA+个体的癌症预后，包括利益相关者的参与，医疗保健提供者和学生的文化能力肿瘤学培训，以及社区主导的教育和宣传。这项审查强调了迫切需要将LGBTQIA+特定的优先事项纳入尼泊尔的国家癌症战略，以促进肿瘤护理提供的公平性。

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引用次数: 0

Prevalence of thyroid disorders in a tertiary care hospital in Al Batinah North Governorate, Oman 阿曼北巴蒂纳省一家三级保健医院甲状腺疾病的患病率

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-10-02 DOI: 10.1016/j.dialog.2025.100246

Vijaya Marakala , Gulam Saidunnisa Begum , Salima Al Maqbali , Elham Said Ahmed Al Risi

Objectives

To assess the prevalence and demographic distribution of thyroid dysfunction in the Al Batinah North Governorate, Oman, and to examine associations between thyroid hormone levels and lipid profiles.

Methods

This retrospective observational study was conducted at Sohar Hospital, a major referral centre in Al Batinah North. Electronic medical records of 40,390 patients who underwent thyroid function testing between 2020 and 2024 were reviewed. The prevalence of subclinical and overt hypothyroidism and hyperthyroidism, demographic distribution (age, gender), and associations between thyroid hormone levels and lipid profiles were analyzed. Only the first thyroid panel per patient was included to avoid duplication.

Results

Of the 40,390 patients, 78.7 % were euthyroid, 13.9 % had subclinical hypothyroidism, 3.4 % had subclinical hyperthyroidism, 2.1 % had overt hyperthyroidism, and 2.0 % had overt hypothyroidism. Thyroid dysfunction was more prevalent among females (67.5 %) than males (32.5 %). Hypothyroidism was most frequent in individuals aged 0–17 years, while hyperthyroidism was more common in adults aged 36–50 years. A statistically significant inverse correlation was observed between free thyroxine (FT4) and serum lipid levels (cholesterol: r = −0.12, p < 0.001; triglycerides: r = −0.10, p < 0.001).

Conclusions

Thyroid dysfunction, particularly subclinical hypothyroidism, was common in this hospital-based Omani cohort and disproportionately affected females. Associations with lipid abnormalities were statistically significant but weak. Findings should be interpreted with caution due to the retrospective design, hospital-based sampling, and incomplete adjustment for confounders. Population-based studies are required to establish true prevalence and long-term metabolic outcomes.

目的评估阿曼Al Batinah北省甲状腺功能障碍的患病率和人口分布，并研究甲状腺激素水平和血脂之间的关系。方法本回顾性观察研究在Al Batinah北部主要转诊中心Sohar医院进行。对2020年至2024年间接受甲状腺功能检测的40390名患者的电子病历进行了回顾。分析了亚临床和显性甲状腺功能减退和甲状腺功能亢进的患病率、人口分布（年龄、性别）以及甲状腺激素水平和血脂之间的关系。为避免重复，仅包括每位患者的第一次甲状腺检查。结果40390例患者中，78.7%为甲状腺功能正常，13.9%为亚临床甲状腺功能减退，3.4%为亚临床甲状腺功能亢进，2.1%为显性甲状腺功能亢进，2.0%为显性甲状腺功能减退。甲状腺功能障碍在女性（67.5%）中比男性（32.5%）更为普遍。甲状腺功能减退最常见于0-17岁的个体，而甲状腺功能亢进更常见于36-50岁的成年人。游离甲状腺素（FT4）与血脂水平呈显著负相关（胆固醇：r = - 0.12, p < 0.001；甘油三酯：r = - 0.10, p < 0.001）。结论：甲状腺功能障碍，特别是亚临床甲状腺功能减退，在阿曼医院队列中很常见，且不成比例地影响女性。与脂质异常的相关性有统计学意义，但较弱。由于回顾性设计、基于医院的抽样和混杂因素的不完全调整，研究结果应谨慎解释。需要基于人群的研究来确定真正的患病率和长期代谢结果。

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引用次数: 0

The medical community must not remain silent about healthcare and water access denial in Palestine 医学界绝不能对巴勒斯坦的医疗保健和供水受阻保持沉默

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-10-15 DOI: 10.1016/j.dialog.2025.100251

Jade Pagkas-Bather , Sabrina Imam , Rachel Bender Ignacio , Asim Farooq , Baddr Shakhsheer , Feroze Sidhwa , Omar Al-Heeti , Thaer Ahmad , Tamathor Abughnaim , John Schneider

Physicians have a duty to oppose the human suffering and human rights abuses occurring in Gaza, particularly the violations of international humanitarian law (IHL). We especially call attention to the scarcity of potable water in Gaza, which has fueled outbreaks of hepatitis A, polio, and skin infections and has created a public health crisis that is further exacerbated by the destruction of healthcare infrastructure and targeting of healthcare workers. The time is long overdue for physicians to affirm that IHL, including guaranteed access to healthcare and potable water, must be upheld to protect the health and safety of all Palestinians. Moreover, as violence against Palestinians and mass displacement campaigns are escalating in the West Bank, this is a pivotal moment for action to prevent further harms.

医生有责任反对加沙发生的人类苦难和侵犯人权行为，特别是违反国际人道主义法的行为。我们特别提请注意加沙饮用水短缺的问题，这加剧了甲型肝炎、小儿麻痹症和皮肤感染的爆发，并造成了一场公共卫生危机，而破坏医疗基础设施和以医疗工作者为目标，进一步加剧了这一危机。医生早就应该申明，必须遵守国际人道法，包括保证获得医疗保健和饮用水，以保护所有巴勒斯坦人的健康和安全。此外，随着针对巴勒斯坦人的暴力和大规模流离失所运动在西岸不断升级，现在是采取行动防止进一步伤害的关键时刻。

引用次数: 0

Coping strategies and resilient behavior among frontline healthcare workers: A scoping review 一线医护人员的应对策略和弹性行为：范围审查

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-10-23 DOI: 10.1016/j.dialog.2025.100252

Bilal Ahmad , Khalid Rehman , Shawana Bangash , Rida Zarkaish , Mahdia Babak , Sana Rehman , Samina Ihsan , Farhad Ali Khattak , Muhammad Irfan , Asif Rehman , Abdul Jalil Khan , Zohaib Khan

This scoping review aimed to examine coping strategies and resilient behaviours for stress management among frontline healthcare workers as per the Sustainable Development Goal 3 (Ensure healthy lives and promote well-being for all). Five major databases (APA PsychInfo, Embase, MEDLINE, CINAHL, and Cochrane Library) were searched from their inception until December 2024, including peer-reviewed articles and the first three hundred results on Google Scholar. The review followed the JBI methodology for scoping reviews and PRISMA-ScR guidelines. The inclusion criteria were experimental and observational studies examining coping strategies and stress management interventions for frontline healthcare workers in any healthcare setting. Non-empirical studies, those without a clear methodology, and non-English-language studies were excluded. Data screening and selection were conducted using Rayyan software by two independent teams, with disagreements resolved through consensus with a third reviewer. Data extraction captured the study characteristics, population demographics, settings, and key findings. The cumulative sample size across all studies was 33,889 healthcare professionals, with significant gender disparity favouring female participants. This study spanned thirty countries across multiple continents, with the United States contributing the largest subset.

这项范围审查的目的是根据可持续发展目标3（确保健康生活和促进所有人的福祉），检查一线卫生保健工作者的压力管理应对策略和弹性行为。五个主要数据库（APA PsychInfo, Embase， MEDLINE， CINAHL和Cochrane Library）从成立到2024年12月进行了检索，包括同行评议的文章和谷歌Scholar上的前300个结果。审查遵循JBI的范围审查方法和PRISMA-ScR指南。纳入标准是实验性和观察性研究，检查任何医疗保健环境中一线医护人员的应对策略和压力管理干预措施。非实证研究、没有明确方法论的研究和非英语研究被排除在外。数据筛选和选择由两个独立的团队使用Rayyan软件进行，分歧通过与第三审稿人达成共识来解决。数据提取捕获了研究特征、人口统计、设置和主要发现。所有研究的累积样本量为33,889名医疗保健专业人员，女性参与者的性别差异明显。这项研究跨越了多个大洲的30个国家，其中美国贡献了最大的子集。

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引用次数: 0

Impact of philanthropic investment on integrating social determinants of health into diabetes care at US federally qualified health centers 慈善投资对将健康的社会决定因素纳入美国联邦合格医疗中心糖尿病护理的影响

Dialogues in health

Pub Date : 2025-12-01 Epub Date: 2025-10-08 DOI: 10.1016/j.dialog.2025.100248

Sonak D. Pastakia , Alycia Clark , Katie Lewis , Damon Taugher , Omolola Adeoye-Olatunde , Kourtney Byrd , Kay Johnson , Andrew M. Gonzales , Nader Tossoun , Danielle Cortez , Alejandra Mata , Christy Ward , Pua Akana , Rachel Randall , Rina Ramirez

Study objective

Assess the impact of a change in a philanthropic funding strategy toward focusing on the inclusion of responses to the social determinants of health (SDOH) in diabetes care.

Design

Retrospective analysis of routinely collected clinical and social determinants of health data.

Setting

Federally Qualified Health Centers Across the United States who were selected to receive funding after applying.

Participants

People living with diabetes who received care support that was partially or wholly supported from philanthropic funding provided by Direct Relief.

Interventions

The primary intervention was the injection of funding from Direct Relief to support the integration of interventions responsive to the SDOH. Example interventions include referral to SDOH support, home based monitoring, inclusion of community health workers, virtual care, and community-based care.

Main outcome measures

The primary outcome measure was the change in HbA1c from baseline to two to four months for all patients contributing data.

Results

Participants in the HBHC program demonstrated a reduction in glycosylated hemoglobin of −1.25 points ([95 % CI, −1.45 - -1.06], p < 0.01) after 60-to-119-days. Participants with family and housing needs, nutrition needs, and social and emotional health needs had statistically significantly higher baseline HbA1c's than patients without these needs.

Conclusion

Future philanthropically supported efforts should encourage integration of SDOH interventions into clinical services for under-resourced patients living with diabetes. Additional prospective, controlled studies should be completed to more definitively determine the impact of investment on specific interventions designed to respond to the most frequently encountered SDOH needs.

研究目的：评估慈善资助策略的改变对糖尿病护理中健康社会决定因素（SDOH）响应的影响。设计对常规收集的临床和社会健康数据决定因素进行回顾性分析。在美国各地设立联邦合格的医疗中心，这些中心在申请后被选中接受资助。参与者：接受直接救济组织部分或全部慈善资金支持的糖尿病患者。干预措施主要的干预措施是直接救济组织的资金注入，以支持对SDOH作出反应的干预措施的整合。干预措施的例子包括转诊到SDOH支持、家庭监测、社区卫生工作者参与、虚拟护理和社区护理。主要结局指标主要结局指标是所有提供数据的患者的HbA1c从基线到2至4个月的变化。结果：HBHC项目的参与者在60- 119天后，糖化血红蛋白降低了- 1.25点（[95% CI, - 1.45 - -1.06], p < 0.01）。与没有这些需求的患者相比，有家庭和住房需求、营养需求、社会和情感健康需求的参与者的基线HbA1c有统计学意义上的显著提高。结论：未来慈善支持的努力应鼓励将SDOH干预纳入资源不足的糖尿病患者的临床服务中。应该完成更多的前瞻性对照研究，以更明确地确定投资对旨在应对最常见的SDOH需求的具体干预措施的影响。

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引用次数: 0