Henriette Usanzineza, E. Nsereko, Jean Pierre Niyitegeka, Aline Uwase, Jean de Dieu H. Tuyishime, Francois Xavier Sunday, Christian Mazimpaka, J. Ahishakiye
Anemia in children is a significant health issue globally, with developing countries, notably Africa, being disproportionately affected. This condition can result in detrimental and irreversible impacts on a child's neurological development. Despite its relevance, research on anemia prevalence and risk factors in Rwandan children aged 6–23 months is limited. Our study aimed to ascertain the prevalence and potential risk factors associated with anemia in this defined population.This is a cross‐sectional study that used secondary data analysis on a weighed sample of 1247 children aged 6–23 months, sourced from the 2019–2020 Rwanda Demographic Health Survey. We used descriptive statistics and binary logistic regression to identify the links between anemia and various factors.The study revealed a high prevalence of anemia at 52.79%. Among anemic children aged 6–23 months, most (52.82%) had mild anemia, 46.12% had moderate anemia, and 1.06% had severe anemia. Key contributors to childhood anemia included maternal anemia (adjusted odds ratio [AOR] = 1.62, 95% confidence intervals (95% CI): [1.11, 2.33]) and history of coughing in the 2 weeks before the survey (AOR = 1.42, 95% CI: [1.12, 1.81]). Vitamin A supplementation and antiparasitic medication were identified as protective factors (AOR = 0.70, 95% CI: [0.50, 0.97]) and (AOR = 0.59, 95% CI: [0.45, 0.77]), respectively.Given the high anemia prevalence among Rwandan children aged 6–23 months, targeted public health interventions are critically needed. A comprehensive strategy throughout the health system is essential for reducing childhood anemia, involving measures such as addressing maternal anemia, managing childhood illnesses, and enhancing existing interventions like vitamin A supplementation and deworming.
{"title":"Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020","authors":"Henriette Usanzineza, E. Nsereko, Jean Pierre Niyitegeka, Aline Uwase, Jean de Dieu H. Tuyishime, Francois Xavier Sunday, Christian Mazimpaka, J. Ahishakiye","doi":"10.1002/puh2.159","DOIUrl":"https://doi.org/10.1002/puh2.159","url":null,"abstract":"Anemia in children is a significant health issue globally, with developing countries, notably Africa, being disproportionately affected. This condition can result in detrimental and irreversible impacts on a child's neurological development. Despite its relevance, research on anemia prevalence and risk factors in Rwandan children aged 6–23 months is limited. Our study aimed to ascertain the prevalence and potential risk factors associated with anemia in this defined population.This is a cross‐sectional study that used secondary data analysis on a weighed sample of 1247 children aged 6–23 months, sourced from the 2019–2020 Rwanda Demographic Health Survey. We used descriptive statistics and binary logistic regression to identify the links between anemia and various factors.The study revealed a high prevalence of anemia at 52.79%. Among anemic children aged 6–23 months, most (52.82%) had mild anemia, 46.12% had moderate anemia, and 1.06% had severe anemia. Key contributors to childhood anemia included maternal anemia (adjusted odds ratio [AOR] = 1.62, 95% confidence intervals (95% CI): [1.11, 2.33]) and history of coughing in the 2 weeks before the survey (AOR = 1.42, 95% CI: [1.12, 1.81]). Vitamin A supplementation and antiparasitic medication were identified as protective factors (AOR = 0.70, 95% CI: [0.50, 0.97]) and (AOR = 0.59, 95% CI: [0.45, 0.77]), respectively.Given the high anemia prevalence among Rwandan children aged 6–23 months, targeted public health interventions are critically needed. A comprehensive strategy throughout the health system is essential for reducing childhood anemia, involving measures such as addressing maternal anemia, managing childhood illnesses, and enhancing existing interventions like vitamin A supplementation and deworming.","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"391 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139837164","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}
Yaa Nyarko Addai, Samuel E. K. Acquah, H. Ganu, E. K. Vicar, David Zeyeh, Abass Abdul Karim, Walana Williams, Israel Mensah Attipoe, Lawrence Quaye
Extrapulmonary tuberculosis (EPTB) is a major component of the total tuberculosis cases reported by the World Health Organization. This is a study conducted to compare microscopy and molecular techniques to determine the prevalence of Mycobacterium tuberculosis complex (MTBC) in EPTB patients.Smear microscopy and genotype MTBDRplus line probe assay (LiPA) were applied to concentrated extrapulmonary clinical specimens from different anatomic sites to determine the presence of M. tuberculosis and their susceptibility to isoniazid (INH) and/or rifampin (RIF).A total of 251 specimens comprising 108 (43%) ascitic fluid, 54 (21.5%) pleural aspirate, 24 (9.6%) gastric lavage, 15 (6.0%) pus, 9 (3.6%) synovial fluid, 5 (2%) cerebrospinal fluid, 2 (0.8%) breast aspirate and 34 (13.5%) aspirates from unindicated sites obtained from patients with suspected EPTB attending the Tamale Teaching Hospital were analysed. Microscopically, acid fast bacilli (AFB) were detected in one ascitic fluid and a pus specimen. Using the LiPA, MTBC was observed in four (2.6%) samples; three (3) ascitic fluid and one aspirate.M. tuberculosis complex was confirmed in four (2.6%) patients. The most common specimens suspected of EPTB were ascitic fluid, pleural aspirate and gastric lavage. However, MTBC was predominantly detected in ascitic fluid. This result indicates that the LiPA can improve the detection of EPTB in the region and similar settings globally.
{"title":"Extrapulmonary tuberculosis in Africa: Molecular analysis of clinical specimens of suspected cases in Northern Ghana","authors":"Yaa Nyarko Addai, Samuel E. K. Acquah, H. Ganu, E. K. Vicar, David Zeyeh, Abass Abdul Karim, Walana Williams, Israel Mensah Attipoe, Lawrence Quaye","doi":"10.1002/puh2.160","DOIUrl":"https://doi.org/10.1002/puh2.160","url":null,"abstract":"Extrapulmonary tuberculosis (EPTB) is a major component of the total tuberculosis cases reported by the World Health Organization. This is a study conducted to compare microscopy and molecular techniques to determine the prevalence of Mycobacterium tuberculosis complex (MTBC) in EPTB patients.Smear microscopy and genotype MTBDRplus line probe assay (LiPA) were applied to concentrated extrapulmonary clinical specimens from different anatomic sites to determine the presence of M. tuberculosis and their susceptibility to isoniazid (INH) and/or rifampin (RIF).A total of 251 specimens comprising 108 (43%) ascitic fluid, 54 (21.5%) pleural aspirate, 24 (9.6%) gastric lavage, 15 (6.0%) pus, 9 (3.6%) synovial fluid, 5 (2%) cerebrospinal fluid, 2 (0.8%) breast aspirate and 34 (13.5%) aspirates from unindicated sites obtained from patients with suspected EPTB attending the Tamale Teaching Hospital were analysed. Microscopically, acid fast bacilli (AFB) were detected in one ascitic fluid and a pus specimen. Using the LiPA, MTBC was observed in four (2.6%) samples; three (3) ascitic fluid and one aspirate.M. tuberculosis complex was confirmed in four (2.6%) patients. The most common specimens suspected of EPTB were ascitic fluid, pleural aspirate and gastric lavage. However, MTBC was predominantly detected in ascitic fluid. This result indicates that the LiPA can improve the detection of EPTB in the region and similar settings globally.","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"137 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139838872","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}
Henriette Usanzineza, E. Nsereko, Jean Pierre Niyitegeka, Aline Uwase, Jean de Dieu H. Tuyishime, Francois Xavier Sunday, Christian Mazimpaka, J. Ahishakiye
Anemia in children is a significant health issue globally, with developing countries, notably Africa, being disproportionately affected. This condition can result in detrimental and irreversible impacts on a child's neurological development. Despite its relevance, research on anemia prevalence and risk factors in Rwandan children aged 6–23 months is limited. Our study aimed to ascertain the prevalence and potential risk factors associated with anemia in this defined population.This is a cross‐sectional study that used secondary data analysis on a weighed sample of 1247 children aged 6–23 months, sourced from the 2019–2020 Rwanda Demographic Health Survey. We used descriptive statistics and binary logistic regression to identify the links between anemia and various factors.The study revealed a high prevalence of anemia at 52.79%. Among anemic children aged 6–23 months, most (52.82%) had mild anemia, 46.12% had moderate anemia, and 1.06% had severe anemia. Key contributors to childhood anemia included maternal anemia (adjusted odds ratio [AOR] = 1.62, 95% confidence intervals (95% CI): [1.11, 2.33]) and history of coughing in the 2 weeks before the survey (AOR = 1.42, 95% CI: [1.12, 1.81]). Vitamin A supplementation and antiparasitic medication were identified as protective factors (AOR = 0.70, 95% CI: [0.50, 0.97]) and (AOR = 0.59, 95% CI: [0.45, 0.77]), respectively.Given the high anemia prevalence among Rwandan children aged 6–23 months, targeted public health interventions are critically needed. A comprehensive strategy throughout the health system is essential for reducing childhood anemia, involving measures such as addressing maternal anemia, managing childhood illnesses, and enhancing existing interventions like vitamin A supplementation and deworming.
{"title":"Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020","authors":"Henriette Usanzineza, E. Nsereko, Jean Pierre Niyitegeka, Aline Uwase, Jean de Dieu H. Tuyishime, Francois Xavier Sunday, Christian Mazimpaka, J. Ahishakiye","doi":"10.1002/puh2.159","DOIUrl":"https://doi.org/10.1002/puh2.159","url":null,"abstract":"Anemia in children is a significant health issue globally, with developing countries, notably Africa, being disproportionately affected. This condition can result in detrimental and irreversible impacts on a child's neurological development. Despite its relevance, research on anemia prevalence and risk factors in Rwandan children aged 6–23 months is limited. Our study aimed to ascertain the prevalence and potential risk factors associated with anemia in this defined population.This is a cross‐sectional study that used secondary data analysis on a weighed sample of 1247 children aged 6–23 months, sourced from the 2019–2020 Rwanda Demographic Health Survey. We used descriptive statistics and binary logistic regression to identify the links between anemia and various factors.The study revealed a high prevalence of anemia at 52.79%. Among anemic children aged 6–23 months, most (52.82%) had mild anemia, 46.12% had moderate anemia, and 1.06% had severe anemia. Key contributors to childhood anemia included maternal anemia (adjusted odds ratio [AOR] = 1.62, 95% confidence intervals (95% CI): [1.11, 2.33]) and history of coughing in the 2 weeks before the survey (AOR = 1.42, 95% CI: [1.12, 1.81]). Vitamin A supplementation and antiparasitic medication were identified as protective factors (AOR = 0.70, 95% CI: [0.50, 0.97]) and (AOR = 0.59, 95% CI: [0.45, 0.77]), respectively.Given the high anemia prevalence among Rwandan children aged 6–23 months, targeted public health interventions are critically needed. A comprehensive strategy throughout the health system is essential for reducing childhood anemia, involving measures such as addressing maternal anemia, managing childhood illnesses, and enhancing existing interventions like vitamin A supplementation and deworming.","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139777440","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}
Yaa Nyarko Addai, Samuel E. K. Acquah, H. Ganu, E. K. Vicar, David Zeyeh, Abass Abdul Karim, Walana Williams, Israel Mensah Attipoe, Lawrence Quaye
Extrapulmonary tuberculosis (EPTB) is a major component of the total tuberculosis cases reported by the World Health Organization. This is a study conducted to compare microscopy and molecular techniques to determine the prevalence of Mycobacterium tuberculosis complex (MTBC) in EPTB patients.Smear microscopy and genotype MTBDRplus line probe assay (LiPA) were applied to concentrated extrapulmonary clinical specimens from different anatomic sites to determine the presence of M. tuberculosis and their susceptibility to isoniazid (INH) and/or rifampin (RIF).A total of 251 specimens comprising 108 (43%) ascitic fluid, 54 (21.5%) pleural aspirate, 24 (9.6%) gastric lavage, 15 (6.0%) pus, 9 (3.6%) synovial fluid, 5 (2%) cerebrospinal fluid, 2 (0.8%) breast aspirate and 34 (13.5%) aspirates from unindicated sites obtained from patients with suspected EPTB attending the Tamale Teaching Hospital were analysed. Microscopically, acid fast bacilli (AFB) were detected in one ascitic fluid and a pus specimen. Using the LiPA, MTBC was observed in four (2.6%) samples; three (3) ascitic fluid and one aspirate.M. tuberculosis complex was confirmed in four (2.6%) patients. The most common specimens suspected of EPTB were ascitic fluid, pleural aspirate and gastric lavage. However, MTBC was predominantly detected in ascitic fluid. This result indicates that the LiPA can improve the detection of EPTB in the region and similar settings globally.
{"title":"Extrapulmonary tuberculosis in Africa: Molecular analysis of clinical specimens of suspected cases in Northern Ghana","authors":"Yaa Nyarko Addai, Samuel E. K. Acquah, H. Ganu, E. K. Vicar, David Zeyeh, Abass Abdul Karim, Walana Williams, Israel Mensah Attipoe, Lawrence Quaye","doi":"10.1002/puh2.160","DOIUrl":"https://doi.org/10.1002/puh2.160","url":null,"abstract":"Extrapulmonary tuberculosis (EPTB) is a major component of the total tuberculosis cases reported by the World Health Organization. This is a study conducted to compare microscopy and molecular techniques to determine the prevalence of Mycobacterium tuberculosis complex (MTBC) in EPTB patients.Smear microscopy and genotype MTBDRplus line probe assay (LiPA) were applied to concentrated extrapulmonary clinical specimens from different anatomic sites to determine the presence of M. tuberculosis and their susceptibility to isoniazid (INH) and/or rifampin (RIF).A total of 251 specimens comprising 108 (43%) ascitic fluid, 54 (21.5%) pleural aspirate, 24 (9.6%) gastric lavage, 15 (6.0%) pus, 9 (3.6%) synovial fluid, 5 (2%) cerebrospinal fluid, 2 (0.8%) breast aspirate and 34 (13.5%) aspirates from unindicated sites obtained from patients with suspected EPTB attending the Tamale Teaching Hospital were analysed. Microscopically, acid fast bacilli (AFB) were detected in one ascitic fluid and a pus specimen. Using the LiPA, MTBC was observed in four (2.6%) samples; three (3) ascitic fluid and one aspirate.M. tuberculosis complex was confirmed in four (2.6%) patients. The most common specimens suspected of EPTB were ascitic fluid, pleural aspirate and gastric lavage. However, MTBC was predominantly detected in ascitic fluid. This result indicates that the LiPA can improve the detection of EPTB in the region and similar settings globally.","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"53 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139779026","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}
E. Anto, W. I. O. Boadu, Lovelace Kwaku Gyamfi, E. E. Korsah, Ezekiel Ansah, Joseph Frimpong, V. C. K. T. Tamakloe, A. Tawiah, Elizabeth Aboagye, Albright Etwi‐Mensah, Agartha Odame Anto, C. Obirikorang
Despite significant improvements in its management, preeclampsia continues to be one of the frequent causes of postpartum readmission. Increased awareness of the risk factors for postpartum readmission is required to reduce its incidence and related complications. This study determined the prevalence and associated risk factors for postpartum readmission among women with preexisting preeclampsia in a Ghanaian population.This hospital‐based retrospective study was conducted at the obstetrics and gynaecology units of Komfo Anokye Teaching Hospital in Ghana. We reviewed the medical records including sociodemographic and obstetric characteristics of preeclampsia patients. Statistical analyses were performed using Statistical Package for Social Sciences Version 26.0 and GraphPad Prism version 8.0. p‐Value <0.05 was considered statistically significant.A total of 208 preeclampsia patients were considered in this study. The rate of postpartum readmission for a hypertensive disorder among women with preeclampsia was 46%. After adjusting for multiple confounders in the multivariate logistic model, having a family history of hypertension [aOR = 3.512, 95% CI (1.669–7.394), p = 0.0028] was associated with increased odds for postpartum readmission. However, being nulliparous [aOR = 0.321, 95% CI (0.116–0.887), p = 0.0028] was independently associated with a reduced odd for postpartum readmission.The rates of postpartum readmission are significantly high among preeclampsia women. Our findings highlight the importance of continued efforts to improve the health outcomes of both mother and newborn, including heightened monitoring of at‐risk patients in the Ghanaian population.
{"title":"Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region","authors":"E. Anto, W. I. O. Boadu, Lovelace Kwaku Gyamfi, E. E. Korsah, Ezekiel Ansah, Joseph Frimpong, V. C. K. T. Tamakloe, A. Tawiah, Elizabeth Aboagye, Albright Etwi‐Mensah, Agartha Odame Anto, C. Obirikorang","doi":"10.1002/puh2.154","DOIUrl":"https://doi.org/10.1002/puh2.154","url":null,"abstract":"Despite significant improvements in its management, preeclampsia continues to be one of the frequent causes of postpartum readmission. Increased awareness of the risk factors for postpartum readmission is required to reduce its incidence and related complications. This study determined the prevalence and associated risk factors for postpartum readmission among women with preexisting preeclampsia in a Ghanaian population.This hospital‐based retrospective study was conducted at the obstetrics and gynaecology units of Komfo Anokye Teaching Hospital in Ghana. We reviewed the medical records including sociodemographic and obstetric characteristics of preeclampsia patients. Statistical analyses were performed using Statistical Package for Social Sciences Version 26.0 and GraphPad Prism version 8.0. p‐Value <0.05 was considered statistically significant.A total of 208 preeclampsia patients were considered in this study. The rate of postpartum readmission for a hypertensive disorder among women with preeclampsia was 46%. After adjusting for multiple confounders in the multivariate logistic model, having a family history of hypertension [aOR = 3.512, 95% CI (1.669–7.394), p = 0.0028] was associated with increased odds for postpartum readmission. However, being nulliparous [aOR = 0.321, 95% CI (0.116–0.887), p = 0.0028] was independently associated with a reduced odd for postpartum readmission.The rates of postpartum readmission are significantly high among preeclampsia women. Our findings highlight the importance of continued efforts to improve the health outcomes of both mother and newborn, including heightened monitoring of at‐risk patients in the Ghanaian population.","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"47 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139600995","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}
D. Weerakoon, E. P. E. D. Z. Siriwardana, J. Jayasekara, H. Damayanthi, T. Dorji, D. Lucero‐Prisno
Chronic kidney disease has now attained epidemic proportions, placing a significant strain on Sri Lanka's healthcare system. The North Central Province of Sri Lanka has been afflicted by this disease for decades, confronting multiple challenges. Hemodialysis is the primary form of renal replacement therapy available to end‐stage renal disease patients in Sri Lanka. Providing hemodialysis sessions free of cost in the government health sector comes with major costs on the healthcare system. As a country with a low‐to‐middle income status undergoing through reeling economic crisis, providing free healthcare in government hospitals and increasing the capacity and quality of treatment facilities for the growing number of patients with chronic kidney disease will remain a major challenge for the coming decade. The high cost for a single dialysis session, lack of resources and workforce to meet demand, occupational barriers of patients, and the economic burdens including out‐of‐pocket expenditures significant barriers in achieving quality treatment sessions and the quality of life of patients. In addition, the absence of a consistent screening program has contributed to the progression of the disease ending up requiring renal replacement therapy. This article suggests potential strategies that can be implemented to mitigate the aforementioned problems and enhance the overall health, quality of life, and survival of patients with chronic kidney disease and those who receive hemodialysis.
{"title":"Chronic kidney disease in Sri Lanka: Health systems challenges of patients on hemodialysis","authors":"D. Weerakoon, E. P. E. D. Z. Siriwardana, J. Jayasekara, H. Damayanthi, T. Dorji, D. Lucero‐Prisno","doi":"10.1002/puh2.155","DOIUrl":"https://doi.org/10.1002/puh2.155","url":null,"abstract":"Chronic kidney disease has now attained epidemic proportions, placing a significant strain on Sri Lanka's healthcare system. The North Central Province of Sri Lanka has been afflicted by this disease for decades, confronting multiple challenges. Hemodialysis is the primary form of renal replacement therapy available to end‐stage renal disease patients in Sri Lanka. Providing hemodialysis sessions free of cost in the government health sector comes with major costs on the healthcare system. As a country with a low‐to‐middle income status undergoing through reeling economic crisis, providing free healthcare in government hospitals and increasing the capacity and quality of treatment facilities for the growing number of patients with chronic kidney disease will remain a major challenge for the coming decade. The high cost for a single dialysis session, lack of resources and workforce to meet demand, occupational barriers of patients, and the economic burdens including out‐of‐pocket expenditures significant barriers in achieving quality treatment sessions and the quality of life of patients. In addition, the absence of a consistent screening program has contributed to the progression of the disease ending up requiring renal replacement therapy. This article suggests potential strategies that can be implemented to mitigate the aforementioned problems and enhance the overall health, quality of life, and survival of patients with chronic kidney disease and those who receive hemodialysis.","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139602091","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}
Tyler B. Mason, Tara K. Knight, Ryan Lee, Shirin E Herzig, Daniella Meeker, Jason N. Doctor
Most people recover from COVID‐19 infection over a short period of time, but a minority of individuals experience symptoms over a longer duration (≥28 days), termed “long covid.” The purpose of the current study was to examine differences between individuals with a long covid diagnosis (i.e., diagnosed long covid), who believe they do or might have long covid (i.e., self‐reported long covid), and people without long covid.Adults who had been diagnosed with COVID‐19 completed survey questions about COVID‐19 history, long covid, and mental and physical health. Analysis of covariance models showed an effect of long covid group (i.e., diagnosed, self‐reported, and no long covid) with anxiety, depression, physical function, fatigue, social roles/activity limitations, and pain interference.Analyses demonstrated that the self‐reported long covid group had significantly greater anxiety and depression than the no long covid group. The diagnosed long covid group had significantly greater physical function problems than the no long covid group. Both diagnosed and self‐reported long covid groups had significantly greater fatigue, social roles/activity limitations, and pain interference as compared to the no long covid group.Overall, physical health challenges were reported by individuals with long covid, with fatigue being the most significant symptom. In addition, negative mental health was only experienced by individuals with self‐reported long covid, suggesting the importance of long covid diagnosis and treatment.
{"title":"Long covid and mental and physical health: A cross‐sectional study of adults in California","authors":"Tyler B. Mason, Tara K. Knight, Ryan Lee, Shirin E Herzig, Daniella Meeker, Jason N. Doctor","doi":"10.1002/puh2.152","DOIUrl":"https://doi.org/10.1002/puh2.152","url":null,"abstract":"Most people recover from COVID‐19 infection over a short period of time, but a minority of individuals experience symptoms over a longer duration (≥28 days), termed “long covid.” The purpose of the current study was to examine differences between individuals with a long covid diagnosis (i.e., diagnosed long covid), who believe they do or might have long covid (i.e., self‐reported long covid), and people without long covid.Adults who had been diagnosed with COVID‐19 completed survey questions about COVID‐19 history, long covid, and mental and physical health. Analysis of covariance models showed an effect of long covid group (i.e., diagnosed, self‐reported, and no long covid) with anxiety, depression, physical function, fatigue, social roles/activity limitations, and pain interference.Analyses demonstrated that the self‐reported long covid group had significantly greater anxiety and depression than the no long covid group. The diagnosed long covid group had significantly greater physical function problems than the no long covid group. Both diagnosed and self‐reported long covid groups had significantly greater fatigue, social roles/activity limitations, and pain interference as compared to the no long covid group.Overall, physical health challenges were reported by individuals with long covid, with fatigue being the most significant symptom. In addition, negative mental health was only experienced by individuals with self‐reported long covid, suggesting the importance of long covid diagnosis and treatment.","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139621093","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}
Masum Ali, Md. Ruhul Amin, Johan Jarl, Sanjib Saha
We investigated the change of the prevalence of noncommunicable diseases (NCDs) in Bangladesh from 2011 to 2018 across different socioeconomic groups as well as the factors associated with the changes in prevalence. We used the two waves of the Bangladesh Demographic and Health Surveys conducted in 2011 and 2017–2018. Modified Poisson regression model was used to estimate the prevalence rate and ratio of NCDs and to test the association with different demographic and socioeconomic variables. The study found an upward trend of NCDs from 2011 to 2017 in which overweight and obesity, hypertension, and diabetes increased by 1.8, 1.5, and 1.1 times, respectively. In 2011, people from the richest households had 5.6 higher odds of being overweight compared to the poorest, which was reduced to 3.0 in 2017. However, the increment for overweight and hypertension was the highest among the poor and manual workers from 2011 to 2017. The age‐adjusted prevalence ratio of overweight increased 4.4 times for the poorest, compared to 1.7 times for the richest. For manual workers, overweight increased 3.8 times, whereas hypertension increased by 2.4 times. The pooled analysis revealed that participants from the richest households have the highest risk of NCDs, with 3.3 times for overweight, 2.3 times for diabetes, and 1.3 times for hypertension, compared to the poorest. However, the prevalence of NCDs is rising quickly among the low socioeconomic groups in Bangladesh, narrowing the gap with higher socioeconomic groups. Our findings call for immediate policy interventions and targeted programs to curb NCD escalation in Bangladesh.
{"title":"Prevalence, trends, and inequality in noncommunicable diseases in Bangladesh: Evidence from Bangladesh Demographic and Health Surveys 2011 and 2017–2018","authors":"Masum Ali, Md. Ruhul Amin, Johan Jarl, Sanjib Saha","doi":"10.1002/puh2.148","DOIUrl":"https://doi.org/10.1002/puh2.148","url":null,"abstract":"We investigated the change of the prevalence of noncommunicable diseases (NCDs) in Bangladesh from 2011 to 2018 across different socioeconomic groups as well as the factors associated with the changes in prevalence. We used the two waves of the Bangladesh Demographic and Health Surveys conducted in 2011 and 2017–2018. Modified Poisson regression model was used to estimate the prevalence rate and ratio of NCDs and to test the association with different demographic and socioeconomic variables. The study found an upward trend of NCDs from 2011 to 2017 in which overweight and obesity, hypertension, and diabetes increased by 1.8, 1.5, and 1.1 times, respectively. In 2011, people from the richest households had 5.6 higher odds of being overweight compared to the poorest, which was reduced to 3.0 in 2017. However, the increment for overweight and hypertension was the highest among the poor and manual workers from 2011 to 2017. The age‐adjusted prevalence ratio of overweight increased 4.4 times for the poorest, compared to 1.7 times for the richest. For manual workers, overweight increased 3.8 times, whereas hypertension increased by 2.4 times. The pooled analysis revealed that participants from the richest households have the highest risk of NCDs, with 3.3 times for overweight, 2.3 times for diabetes, and 1.3 times for hypertension, compared to the poorest. However, the prevalence of NCDs is rising quickly among the low socioeconomic groups in Bangladesh, narrowing the gap with higher socioeconomic groups. Our findings call for immediate policy interventions and targeted programs to curb NCD escalation in Bangladesh.","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139622056","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":"Beyond the Holodomor: Current hunger in Ukraine and global food insecurity","authors":"N. S. George, Faith Ohunene Okeji, Lucky Iseghehi","doi":"10.1002/puh2.149","DOIUrl":"https://doi.org/10.1002/puh2.149","url":null,"abstract":"","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"46 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440940","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}
Job satisfaction means how happy and content people are with their job. Workers who are satisfied with their jobs tend to get more work done and give better care. When workers are not happy at work, they are also not productive as well and many of them leave their jobs. This study aimed to address the level of job satisfaction and associated factors among healthcare setting staff in Ethiopia from 2012 to 2022.PubMed, Scopus, Cochrane, Google Scholar and African Index Medicus databases have been searched based on preferred reporting items for systematic review and meta‐analysis. Pooled estimate of job satisfaction level was done using the random effects model after significant heterogeneities have been checked by subgroup analysis. Publication bias was checked using funnel plot.Pooled satisfaction level of healthcare workers in Ethiopia was 50.31%. Factors associated were autonomy (pooled odds ratio (POR) = 5.79, 95% CI: 1.99–16.90), training (POR = 3.09, 95% CI: 1.69–5.67), organizational policy (POR = 4.71, 95% CI: 2.09–10.61), reward (POR = 4.58,95% CI: 1.51–13.84), payment (POR = 3.89, 95% CI: 1.77–8.54), supervision (POR = 5.34, 95% CI: 3.72–7.67) and work environment (POR = 5.44, 95% CI: 2.80–10.58).About half of healthcare staff in Ethiopia's healthcare settings were satisfied with their job. This result was lower than the job satisfaction level of other parts of the world, even in African countries. Healthcare settings should strive to provide a good working environment, with training opportunities, adequate payment, supportive supervision and conducive organizational policy.
工作满意度是指人们对工作的满意程度。对工作满意的工人往往能完成更多的工作，提供更好的护理。如果员工对工作不满意，他们的工作效率也会降低，很多人因此离职。本研究旨在探讨 2012 年至 2022 年埃塞俄比亚医疗机构工作人员的工作满意度及其相关因素。研究人员根据系统综述和荟萃分析的首选报告项目，检索了 PubMed、Scopus、Cochrane、Google Scholar 和 African Index Medicus 等数据库。通过亚组分析检查了显著的异质性后，使用随机效应模型对工作满意度水平进行了汇总估算。埃塞俄比亚医护人员的总体满意度为 50.31%。与之相关的因素有：自主权（汇总几率比（POR）= 5.79，95% CI：1.99-16.90）、培训（POR=3.09，95% CI：1.69-5.67）、组织政策（POR=4.71，95% CI：2.09-10.61）、奖励（POR=4.58，95% CI：1.51-13.84）、薪酬（POR=4.71，95% CI：2.09-10.61）。埃塞俄比亚医疗机构中约有一半的医护人员对其工作表示满意。这一结果低于世界其他地区，甚至非洲国家的工作满意度水平。医疗机构应努力提供良好的工作环境，包括培训机会、充足的薪酬、支持性监督和有利的组织政策。
{"title":"Healthcare setting staff satisfaction in Ethiopia: Systematic review and meta‐analysis","authors":"G. Asres, Yeshiwork Kebede Gessesse","doi":"10.1002/puh2.143","DOIUrl":"https://doi.org/10.1002/puh2.143","url":null,"abstract":"Job satisfaction means how happy and content people are with their job. Workers who are satisfied with their jobs tend to get more work done and give better care. When workers are not happy at work, they are also not productive as well and many of them leave their jobs. This study aimed to address the level of job satisfaction and associated factors among healthcare setting staff in Ethiopia from 2012 to 2022.PubMed, Scopus, Cochrane, Google Scholar and African Index Medicus databases have been searched based on preferred reporting items for systematic review and meta‐analysis. Pooled estimate of job satisfaction level was done using the random effects model after significant heterogeneities have been checked by subgroup analysis. Publication bias was checked using funnel plot.Pooled satisfaction level of healthcare workers in Ethiopia was 50.31%. Factors associated were autonomy (pooled odds ratio (POR) = 5.79, 95% CI: 1.99–16.90), training (POR = 3.09, 95% CI: 1.69–5.67), organizational policy (POR = 4.71, 95% CI: 2.09–10.61), reward (POR = 4.58,95% CI: 1.51–13.84), payment (POR = 3.89, 95% CI: 1.77–8.54), supervision (POR = 5.34, 95% CI: 3.72–7.67) and work environment (POR = 5.44, 95% CI: 2.80–10.58).About half of healthcare staff in Ethiopia's healthcare settings were satisfied with their job. This result was lower than the job satisfaction level of other parts of the world, even in African countries. Healthcare settings should strive to provide a good working environment, with training opportunities, adequate payment, supportive supervision and conducive organizational policy.","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139441301","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}
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