Dialogues in health最新文献

{"title":"Workplace menstrual product policies and worker well-being: Insights from Queensland, Australia","authors":"Melissa Judith Chalada","doi":"10.1016/j.dialog.2025.100219","DOIUrl":"10.1016/j.dialog.2025.100219","url":null,"abstract":"<div><div>In 2022, the World Health Organization acknowledged menstrual health as a global human right and encouraged a shift in responsibility from individuals to the community. Globally, menstrual products are rarely included in workplace policies, hindering equitable well-being by placing disproportionate burden on menstruating workers. This exploratory study in Queensland, Australia supplied a public sector workplace with menstrual products for two months in 2023. A questionnaire with qualitative and quantitative aspects assessed the experiences of 21 menstruating workers. Before the supply, 94.7 % had experienced menstruation at work without access to products, leading to mental distress. Additionally, 71.4 % worried about lacking products when needed and 38.1 % believed this worry decreased their mental well-being or concentration. After the supply, 94.1 % reported improved emotions, 70.6 % perceived improved concentration and 64.7 % felt improved mental well-being. However, only 57.1 % believed that menstrual product supply should be mandated by workplace policy. Factors contributing to exclusion of menstrual products from global workplace policies are discussed, such as limited awareness, poor workplace infrastructure and persistent stigma. This study was limited by a small sample size and self-reporting bias. Regardless, the findings highlight the respective positive and negative impacts of including or omitting menstrual products in workplace policy, even in a socioeconomically privileged country like Australia. This emphasises the underestimation of menstrual health as a basic human right in workplace health and safety, urging more research on workplace menstrual product provision and related feminine sanitary infrastructure especially in low-resourced nations.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100219"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring public perceptions of college education on TikTok: A content analysis through the lens of the social determinants of health","authors":"Erin Toussaint Jacques ,&nbsp;Vincent Jones II ,&nbsp;Erela Datuowei ,&nbsp;Arijit Chatterjee ,&nbsp;Carlee Denholtz ,&nbsp;Corey H. Basch","doi":"10.1016/j.dialog.2025.100213","DOIUrl":"10.1016/j.dialog.2025.100213","url":null,"abstract":"<div><div>This study examines the value of a college degree within the context of the Social Determinants of Health (SDH) framework, analyzing 100 TikTok videos and their respective comments through two separate analyses. The first focused on the video characteristics, including engagement metrics such as likes, comments, shares, and saves, while the second analyzed comment threads for themes within the SDH framework. Data were analyzed using descriptive statistics and the Mann-Whitney <em>U</em> test to evaluate differences in engagement metrics based on the presence or absence of the themes. Videos addressing Employment Opportunities (76 %), Economic Mobility (68 %), and Education Quality (65 %) received the highest engagement. The comment analysis showed significant associations between themes such as Income Potential, Employment Opportunities, Economic Mobility, Social Capital, Debt and Financial Stress with higher video likes. However, health related themes, despite being integral to the SDH framework, were either absent or insignificant in comment discussions. These findings underscore the public's emphasis on financial and career-related concerns over broader health implications. Future research should explore the extent to which SDH-related benefits—such as health resources, access, and literacy—influence decisions about pursuing higher education.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100213"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The overlooked burden: Vaginismus and its greater prevalence in eastern women","authors":"Hafsa Nasim ,&nbsp;Abdulqadir J. Nashwan","doi":"10.1016/j.dialog.2025.100205","DOIUrl":"10.1016/j.dialog.2025.100205","url":null,"abstract":"","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100205"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157644","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":"Impact of Heat on Human and Animal Health in India: A Landscape Review","authors":"Sandul Yasobant ,&nbsp;K. Shruti Lekha ,&nbsp;Poonam Trivedi ,&nbsp;Shruti Krishnan ,&nbsp;Chinmayee Kator ,&nbsp;Harleen Kaur ,&nbsp;Mudita Adaniya ,&nbsp;Anish Sinha ,&nbsp;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":"2025-06-01","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}

{"title":"Digital and social media use among adolescents in Arctic Norway: Exploring risk and protective factors in Finnmark County","authors":"Shiho Hansen","doi":"10.1016/j.dialog.2025.100212","DOIUrl":"10.1016/j.dialog.2025.100212","url":null,"abstract":"<div><div>Digital and social media use among adolescents in Finnmark County, Arctic Norway, has increased significantly over the past decade. However, the mechanisms linking risk and protective factors to these behaviors remain underexplored. This study examines the associations between individual, environmental, and behavioral factors influencing digital and social media use among high school students in Finnmark. Using data from the 2021 Ungdata survey, which included responses from 2086 high school students in Finnmark County, the research examined associations between individual factors, environmental influences (e.g., family, peers, schools), and risk behaviors (e.g., substance use, antisocial behavior) through partial least squares structural equation modeling with stepwise regression. The findings revealed distinct patterns: digital media use was associated with environmental factors such as relationships with parents, school connectedness, and satisfaction with the local area. In contrast, social media use was associated with peer dynamics, internal feelings, and negative experiences, including depression and sexual harassment. While media use fostered social connections, heavy use was associated with reduced physical activity and face-to-face interactions, exacerbating regional challenges like geographic isolation and cultural diversity. These findings underscore the importance of distinguishing between digital and social media in research and interventions, integrating the unique sociocultural context of Finnmark. Future studies should explore the behavioral dimensions of media use and incorporate ethnicity-related factors to deepen the understanding of adolescent media behaviors in Arctic regions.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100212"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768521","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":"Incidence rates of prediabetes and diabetes associated with sedentary behavior and night shifts among peruvian workers (2014–2021)","authors":"Víctor Juan Vera-Ponce ,&nbsp;Fiorella E. Zuzunaga-Montoya ,&nbsp;Nataly Mayely Sanchez-Tamay ,&nbsp;Juan Carlos Bustamante-Rodríguez ,&nbsp;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":"2025-06-01","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}

{"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 ,&nbsp;Neelaveni Padayachee ,&nbsp;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> &lt; 0.001), and health status (<em>Ꞵ</em> = 1.68; <em>p</em> &lt; 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":"2025-06-01","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}

{"title":"Addressing the challenge of rheumatic heart disease in Pakistan: A call to action","authors":"Abdul Hakeem ,&nbsp;Masood Sadiq ,&nbsp;Javerya Hassan ,&nbsp;Isbaah Tejani ,&nbsp;Ijaz Hussain ,&nbsp;Jalil Khan ,&nbsp;Mohammad Waleed ,&nbsp;Sabha Bhatti ,&nbsp;Sana Sheikh ,&nbsp;Sobia Masood ,&nbsp;Ali H. Mokdad ,&nbsp;Aziz Sheikh ,&nbsp;Zafar Mirza ,&nbsp;Zainab Samad","doi":"10.1016/j.dialog.2025.100221","DOIUrl":"10.1016/j.dialog.2025.100221","url":null,"abstract":"<div><div>Despite its high prevalence, Acute rheumatic fever (ARF) and Rheumatic heart disease (RHD) is underrepresented in Pakistan's national and federal health plans. To address this gap, we gathered multi-geographic and specialty perspectives from frontline clinicians in Pakistan'. Major challenges in RHD diagnosis and care include regional healthcare disparities, diagnostic limitations, scarcity of Benzathine Penicillin G (BPG) for prophylaxis, and lack of multidisciplinary RHD teams.</div><div>Our practitioner-informed recommendations emphasize community outreach, targeted screening, and surveillance, and comprehensive training for healthcare providers in the diagnosis and management of GAS infections and ARF. Strengthening multidisciplinary care and ensuring stable BPG supplies are essential, as is integrating RHD care into Universal Health Coverage (UHC) models currently being implemented to reduce patient financial burdens. Improving RHD management requires systemic changes to healthcare infrastructure, practitioner training, and coordinated policy efforts. Crucially, these proposals align with WHO's latest RHD guidelines on primary (treating GAS infections) and secondary prevention (antibiotic prophylaxis and screening). By translating local clinical wisdom into actionable policies, this viewpoint yields practical interventions tailored to Pakistan that are also adaptable to similar LMIC settings.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100221"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying user-centred techniques and expert feedback to refine an AI-based app for addressing mobile gaming addiction in adolescents","authors":"Anna Khoziasheva","doi":"10.1016/j.dialog.2025.100220","DOIUrl":"10.1016/j.dialog.2025.100220","url":null,"abstract":"<div><h3>Background</h3><div>The prevalent use of smartphones has contributed to a rise in mobile gaming addiction, especially in young people. This study aimed to describe the design of an enhanced version of the AI-based mGaming Wellness mobile app, to support young individuals in developing healthy mobile gaming habits.</div></div><div><h3>Methods</h3><div>The study utilised a 4-phased methodology, based on user-centred design principles, the Mobile App Rating Scale, a focus group and in-depth interviews with the app's target audience, and a think-aloud method.</div></div><div><h3>Results</h3><div>The first round of refinement of mGaming Wellness, guided by input from an expert panel, focused on enhancing engagement and information quality. Feedback led to the identification of 5 key components for digital interventions, including mood and sleep trackers, a statistics dashboard, and educational modules tailored to young users' needs. Subsequent user research prompted the simplification of mood trackers and adjustments in educational content to align closely with adolescents' experiences. Usability testing of a high-fidelity prototype highlighted the app's ease of use and identified areas for further improvement, particularly in understanding how to reduce gaming time and effectively manage gaming-related notifications. The refined mGaming Wellness app can be a valuable resource for mental health professionals, educators, and youngsters seeking support with problematic mobile gaming or interested in building healthy digital habits.</div></div><div><h3>Discussion</h3><div>The findings advocate for the user-centred techniques in developing digital health interventions, contributing valuable input for research in mental health app development targeted at adolescents. Future research will evaluate the app's effectiveness in reducing problematic gaming behaviour.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100220"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal photovoice examination of workplace experiences for Congolese refugee women in the United States","authors":"Shannon McMorrow ,&nbsp;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":"2025-06-01","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}