bluuebunny/crossref_metadata_2025_split huggingface dataset:
Trends and socioeconomic inequalities in receiving vitamin A supplementation among children aged 6–59 months in Bangladesh: analysis of nationwide cross-sectional data from 2004 to 2017
Authors: Chowdhury Syed Sharaf Ahmed , Kundu Satyajit , Jahan Ishrat , Dey Rakhi , Sharif Azaz Bin , Hossain Ahmed 
Published: November 2024

IntroductionThe coverage of vitamin A supplementation (VAS) is still short of the target set by the government to reach 90% coverage of VAS in Bangladesh. The present study aims to examine the socioeconomic and geographical inequalities in receiving VAS among children aged 6–59 months in Bangladesh from 2004 to 2017.MethodsThe Bangladesh Demographic and Health Surveys for the years 2004–2017 were accessed through the WHO’s Health Equity Assessment Toolkit. Inequalities were explored from socioeconomic and geographical perspectives. Specifically, it considered wealth quintile and education as socioeconomic dimensions and place of residence as geographical dimensions. We calculated difference, population attributable fraction (PAF), population attributable risk (PAR) and ratio as summary measures and their associated 95% CIs to quantify and assess the extent of health disparities.ResultsThe study revealed a fluctuating trend over the years in the prevalence of receiving VAS among children in Bangladesh. The prevalence shifted from 78.68% in 2004 to a low of 62.09% in 2011, subsequently increasing to 79.29% in 2017. The PAF in 2017 for the variable wealth was 4.61 (95% CI 2.38 to 6.85), highlighting the extent of the disparity that favoured wealthier individuals. The study also detected inequalities based on educational levels; in 2017, the difference measure of inequality was 9.24 (95% CI 3.69 to 14.79), indicating a notable advantage for children from the higher educated group. Children from urban areas were also observed to have a higher likelihood of receiving VAS compared with their rural counterparts.ConclusionThis study identified a persistent regional inequality in receiving VAS in Bangladesh over time. These inequalities remained a concern, especially for children from poor wealth groups, low-educated families and rural regions. This understanding will inform the development of a comprehensive programme aimed at increasing the prevalence of VAS among all children in Bangladesh.
What does it cost to deliver antenatal care in Papua New Guinea? Results from a health system costing and budget impact analysis using cross-sectional data
Authors: Saweri Olga Phoebe Martinella , Batura Neha , Pomat William , Vallely Andrew John , Wiseman Virginia 
Published: November 2024

ObjectiveIn Papua New Guinea (PNG), antenatal clinic attendance averaged 50% for one or more visits, and 30% for four visits in the last decade. In 2016, the WHO revised its focused antenatal care (ANC) model recommending eight rather than four visits. If implemented, this new model would require additional resources. This study estimated provider costs of ANC in PNG, including the expected cost of scaling up to universal ANC coverage as well as recommending eight visits.Design and settingCross-sectional estimation of ANC costs collected from nine health facilities, which were part of a cluster randomised trial. Costs were estimated using both top-down and bottom-up approaches. The cost of the first and follow-up visits were estimated per woman, at the health facility level. Health system and scale-up costs of four visits were calculated by multiplying the aggregate cost of four visits by ANC utilisation rates. A budget impact analysis estimated the expected costs of delivering eight visits over 5 years. Univariate sensitivity analysis was conducted. Discounted costs are reported in local currency and 2019 international dollars using purchasing power parity data.ResultsThe average cost of the first and follow-up visits were $17.66–$30.58 (K42.94–K74.34) in Madang and $11.26–$35.61 (K27.37–K86.56) in East New Britain. Four visits per woman cost $70.65–$122.33 (K171.76–K297.36) in Madang and $45.02–$142.45 (K109.50–K346.4) in East New Britain; and salaries represented the largest share of costs. The annual health system cost was $6.9 million (K16.9 million), the expected cost of scaling up to the universal coverage of four visits was $22.7 million (K55.2 million), and $45.4 million (K110.3 million) over 5 years for eight visits.ConclusionCosts varied with the number of clinicians, infrastructure and ANC coverage, suggesting scaling up requires increasing the financial investment in ANC services. These results provide a template to strengthen health systems by improving the quality of care.
Association of overweight and obesity with gestational diabetes mellitus among pregnant women attending antenatal care clinics in Addis Ababa, Ethiopia: a case-control study
Authors: Seifu Yeabsra Mesfin , Deyessa Negussie , Seid Yimer Yimer 
Published: November 2024

ObjectiveMaternal obesity and gestational diabetes mellitus (GDM) are becoming major public health concerns in developing countries. Understanding their relationship can help in developing contextually appropriate and targeted prevention strategies and interventions to improve maternal and infant health outcomes. This study aimed to determine the association of maternal overweight and obesity with GDM among pregnant women in Ethiopia.DesignCase-control study.SettingThe study was conducted in selected public hospitals in Addis Ababa, Ethiopia, from 10 March to 30 July 2020.Participants159 pregnant women with GDM (cases) and 477 pregnant women without GDM (controls).Outcome measures and data analysisScreening and diagnosis of GDM in pregnant women was done by a physician using the 2013 WHO criteria of 1-hour plasma glucose level of 10.0 mmol/L (180 mg/dL) or 2-hour plasma glucose level of 8.5–11.0 mmol/L (153–199 mg/dL) following a 75 g oral glucose load. Overweight and obesity were measured using mid-upper arm circumference (MUAC). Binary logistic regression with bivariate and multivariable models was done to measure the association of overweight and obesity with GDM. Adjusted ORs (AORs) with a 95% CI were computed, and statistical significance was determined at a value of p=0.05.ResultsGDM was associated with obesity (MUAC≥31) (AOR 2.80; 95% CI 1.58 to 4.90), previous history of caesarean section (AOR 1.91; 95% CI 1.14 to 3.21) and inadequate Minimum Dietary Diversification Score <5 (AOR 3.55; 95% CI 2.15 to 5.86). The AOR for overweight (MUAC≥28 and MUAC<31) was 1.51 (95% CI 0.71 to 3.21). The odds of developing GDM were 72% lower in pregnant women who were engaging in high-level physical activity (AOR 0.28; 95% CI 0.12 to 0.67).ConclusionObesity, but not overweight, was significantly associated with the development of GDM. Screening for GDM is recommended for pregnant women with obesity (MUAC≥31) for targeted intervention. Antenatal care providers should provide information for women of childbearing age on maintaining a healthy body weight before and in-between pregnancies and the need for healthy, diversified food and high-level physical activity.
Enhancing the reporting quality of rehabilitation interventions through an extension of the Template for Intervention Description and Replication (TIDieR): the TIDieR-Rehab checklist and supplementary manual
Authors: Signal Nada , Gomes Emeline , Olsen Sharon , Alder Gemma 
Published: November 2024

BackgroundRehabilitation is a complex biopsychosocial process in which multidisciplinary professionals work in collaboration with a person and their family, with the shared objective of enhancing the person’s participation in valued life roles. Hence, rehabilitation is integral to the management of numerous health conditions. However, poor descriptions of rehabilitation interventions, including their essential elements and dosage parameters, pose a significant barrier to their replication in clinical practice. This further limits the synthesis of rehabilitation research and the consequent advancement of the field. The original Template for Intervention Description and Replication (TIDieR) checklist and guide provides a valuable foundation for reporting but is not specific to rehabilitation. The TIDieR-Rehab checklist, an extension of the original TIDieR, was developed to enhance the reporting of rehabilitation interventions.ObjectiveThis paper presents the TIDieR-Rehab checklist and supplementary manual.MethodsIn accordance with the Enhancing the Quality and Transparency of Health Research (EQUATOR) Network and other relevant guidelines, the TIDieR-Rehab checklist and supplementary manual were developed through a modified Delphi process with individuals with rehabilitation expertise and was guided by an interdisciplinary Steering Committee.ResultsThe TIDieR-Rehab checklist and supplementary manual present seven original, three adapted and 12 new items to enhance the reporting of rehabilitation interventions. New items promote full descriptions of critical aspects of rehabilitation interventions, including the intended study population(Who)and timing of the intervention(When), the planned intervention dosage(How much, How challenging and Regression/Progression), person-centred care(Personalisation)and negative undesired effects(Harms). Explanations and examples of good reporting, provided within the TIDieR-Rehab supplementary manual, provide comprehensive guidance to support users of the checklist.ConclusionsThe TIDieR-Rehab checklist and supplementary manual present a systematic approach to the comprehensive reporting of rehabilitation interventions. The checklist is intended to support replication, evaluation and optimisation of rehabilitation interventions through improved reporting quality.
Prevalence and influencing factors of sarcopenia among patients with knee osteoarthritis: a systematic review and meta-analysis protocol
Authors: Guo Yabin , Zhou Yang , Zeng Biyun 
Published: November 2024

IntroductionEpidemiological literature indicates that sarcopenia (SA) is increasingly prevalent among patients with knee osteoarthritis (KOA). This study aims to provide the pooled prevalence of SA and identify determinant factors associated with SA among patients with KOA.Methods and analysisThis systematic review follows Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) auxiliary writing checklist. A thorough literature review and systematic search will be performed using the electronic databases of PubMed, Web of Science, Embase, CNKI and WanFang, covering the period from the earliest records until 11 September 2024. Reference lists of the eligible studies will also be carried out. The search strategy will be based on two main concepts, namely ‘knee osteoarthritis’ and ‘sarcopenia’, taking the form of a combination of MeSH terms and entry terms to find literature. Two reviewers will independently evaluate each title and abstract. All observational studies documenting the prevalence of SA and/or associated factors in KOA will be included. The prevalence of SA will be subjected to a single-group meta-analysis using Stata 18.0 software. Pooled prevalence with a 95% CI will be calculated using random effects and quality-effects models. The pooled relative hazards will be calculated using a random-effects Meta-analysis. The main analysis results will include differences in the prevalence of SA in KOA patients by diagnostic criteria, course of KOA, disease status (eg, knee pain, disease duration), physical activity, diagnostic criteria and different geographical contexts. Secondary results may analyse subgroups such as gender and age, and further, a meta-regression analysis will be used to synthesise the factors influencing SA. Sensitivity analyses and heterogeneity between studies and evidence of publication bias will also be assessed.Ethics and disseminationThis review will summarise the prevalence and influencing factors of SA in patients with KOA based on existing evidence. It is expected that the results will identify gaps in knowledge and areas for further research. The review will be submitted for publication in topic specific journals and disseminated to professional networks. Individual patient data are not included, so ethical approval is not required.PROSPERO registration numberCRD42023490539.
Do generational diversity and perceived similarity improve team functioning in rural Chinese hospitals? A cross-sectional survey study
Authors: Wang Hujie , Buljac-Samardžić Martina , van Wijngaarden Jeroen , van de Klundert Joris 
Published: November 2024

ObjectivesGenerational diversity, increasingly prominent in the composition of the healthcare workforce in rapidly developing countries, has received much attention in practice and research recently. While research has revealed various positive and negative impacts of generational diversity on team functioning, the understanding of the mechanism explaining how generational diversity influences team functioning is still limited. This study in rural Chinese hospitals examines the relationship between (surface-level) generational diversity and (deep-level) perceived similarity and investigates how they influence three teamwork behaviours that importantly determine quality of care, namely speaking up, silence and knowledge sharing.DesignWe adopted a quantitative research design and conducted an online survey to investigate the relationship among generational diversity, perceived similarity, speaking up, silence and knowledge sharing. Multilevel mediation modelling was used to test the hypotheses.SettingThe study was conducted in four rural Chinese hospitals.Participants841 healthcare professionals, including doctors, nurses and other healthcare professionals, were included in the study.Primary and secondary outcome measuresGenerational diversity was measured by calculating the average of individuals’ Blau’s indices regarding all the generations for each team. Perceived similarity, speaking up, silence and knowledge sharing were measured by validated questionnaires from literature.ResultsPerceived similarity is positively related to the three teamwork behaviours, that is, speaking up (β=0.56, p<0.01), silence (β=0.39, p<0.01) and knowledge sharing (β=0.54, p<0.01), while generational diversity is not (speaking up: β=0.08, p>0.05; silence: β=0.44, p>0.05; knowledge sharing: β=0.09, p>0.05). As the relationship between generational diversity and perceived similarity is non-significant (β=0.07, p>0.05), perceived similarity does not mediate the relationship between generational diversity and teamwork behaviour.ConclusionThe findings suggest that increases in generational diversity that result from healthcare workforce strengthening may not impact team behaviours and performance. However, if healthcare workforce strengthening would reduce the perceived similarity in teams, explicit management efforts to mitigate the negative impact on team behaviour and care provision are called for.
Are plain language summaries published in health journals written according to instructions and health literacy principles? A systematic environmental scan
Authors: Gainey Karen , Smith Jenna , McCaffery Kirsten , Clifford Sharon , Muscat Danielle 
Published: November 2024

BackgroundPlain language summaries (PLSs) are easy-to-understand summaries of research articles that should follow principles of plain language and health literacy. PLS author instructions from health journals help guide authors on word count/PLS length, structure and the use of jargon. However, it is unclear whether published PLSs currently adhere to author instructions.ObjectivesThis study aims to determine (1) the degree of compliance of published PLSs against the PLS author instructions in health journals and (2) the extent to which PLSs meet health literacy principles.Study designWe conducted a three-part systematic environmental scan.MethodsWe examined 26 health journals identified from a previous review. In part 1, we assessed the inclusion frequency of PLSs in the 26 journals; in part 2, we assessed the level of compliance of PLSs with PLS author instructions; and in part 3, we conducted a health literacy assessment of the PLSs.ResultsPart 1: we found PLSs for 20/26 (76.9%) included journals. Part 2: no journal achieved 100% compliance with PLS author instructions. The highest level was 88% and the lowest was 0%. Part 3: no PLS was written at a readability level suitable for a general audience. The mean reading level was grade 15.8 (range 10.2–21.2and mean percentage of complex words, 31% (range 8.5%–49.8%).DiscussionPLSs are an important means through which consumers can access research findings. We found a lack of compliance between PLS author instructions and PLSs published in health journals that may impede access and use by consumers. This study highlights the need for better ways to support authors adhere to PLS instructions and improved monitoring by journals.
Early discharge in health facilities following vaginal delivery and its associated factors among mothers in four African countries: a cross-sectional study
Authors: Tekeba Berhan , Dessie Melkamu Tilahun , Tamir Tadesse Tarik , Zegeye Alebachew Ferede 
Published: November 2024

ObjectiveThis study aimed to assess the prevalence of early discharge among women who gave vaginal delivery in health facilities.DesignCross-sectional study.SettingFour African countries.ParticipantsA total weighted sample of 14 942 women who delivered vaginally in health facilities.MethodsIn this study, data were obtained from the recent Demographic and Health Survey data from four African countries. A total weighted sample of 14 942 women who delivered vaginally in a health facility was included. A multilevel mixed effect binary logistic regression model was fitted to identify significant factors associated with early discharge following health facility vaginal delivery. Statistical significance was determined using adjusted OR (odd ratio) with a 95% CI.ResultsThe overall prevalence of early discharge following health facility vaginal delivery in four African countries was 30.91% (95% CI: 30.18% to 31.66%). Overall, first-born babies (AOR=0.7; 95% CI: 0.57 to 0.85), women with a high maternal body mass index (AOR=0.8; 95% CI: 0.71 to 0.89), women with multiple pregnancies (AOR=0.48; 95% CI: 0.31 to 0.74), women who reside in Burkina Faso (AOR=0.15; 95% CI: 0.12 to 0.18) and women who reside in Ghana (AOR=0.28; 95% CI: 0.24 to 0.33) had lower odds of early discharge following health facility vaginal delivery. On the other hand, women having no difficulty accessing health facilities (AOR=1.18; 95% CI: 1.05 to 1.33) and women delivering in private health facilities (AOR=1.46; 95% CI: 1.08 to 1.99) had higher odds of early discharge following health facility vaginal delivery.ConclusionOverall, in four African countries, a higher proportion of women who gave birth vaginally in health facilities were discharged home early without optimum immediate postpartum care. As a result, legislators, programmers and other stakeholders should make every effort to lessen the burden of early discharge, with a special focus on women who deliver in private health institutions.
Prevalence of treatment-resistant depression and associated factors among major depressive disorder follow-up patients at Saint Amanuel Mental Specialised Hospital in Ethiopia: a cross-sectional study
Authors: Siyoum Merga , Kibrom Esayas , Fanta Tolesa , Matheyose Eyerusalem , Adem Kemeriya , Bekele Deribe , Asfaw Henock , Darcho Samuel Demissie , Dereje Jerman 
Published: November 2024

ObjectivesThis study aimed to assess the prevalence of treatment-resistant depression (TRD) and associated factors among patients with major depressive disorder (MDD) on follow-up at Amanuel Mental Specialised Hospital, Addis Ababa, Ethiopia, 2021.Design and settingAn institution-based cross-sectional study design was employed using systematic random sampling techniques from 17 February to 26 March 2021.ParticipantsThe study enrolled 412 participants with a response rate of 97.6%. The study population consisted of Saint Amanuel Mental Specialised Hospital follow-up patients with MDDs and all adult patients aged above 18.Main outcome measuresThe main outcome of this study was TRD, which was measured using the Hospital Anxiety and Depression Scale-Depression (HADS-D). The collected data were entered into Epi-data software version 3.1 and exported to the statistical package for social science version 20 for analysis. Bivariate and multivariate logistic regression analyses were used to identify associated factors with TRD. The OR with a 95% CI was used to assess the strength of the association.ResultsThe prevalence of TRD was 41.5% (95% CI: 37.2 to 46.1). Female sex [AOR=2.43, 95% CI: 1.57 to 3.75], comorbid psychosis [AOR=1.89, 95% CI: 1.19 to 2.99], comorbid medical illness [AOR=1.67, 95% CI: 1.09 to 2.55] and family history of mental illness [AOR=2.27, 95% CI: 1.38 to 3.74] were factors significantly associated with TRD.Conclusion and recommendationIn this study, the prevalence of TRD among patients with MDDs on follow-up was high. Therefore, to improve outcomes, screening for TRD and creating specific diagnostic techniques are necessary. Additionally, preventive interventions against TRD must be established.
Impact of social determinants of health on rehabilitation service use and outcomes in adults in the USA: a scoping review protocol
Authors: Wickstrom Jordan , Leone Emma J , Sasson Noa , Morris Hailey C , Livinski Alicia A , Camarillo Nathan D , Lely Justine , Venkatarajan Rajpriya , Goldberg Julie , Asante-Otoo Afua , Rasch Elizabeth K 
Published: November 2024

IntroductionMany Americans fail to receive equitable access to or positive outcomes from rehabilitation services. These disparities result from broader societal inequities that disproportionately affect certain groups of people due to non-medical factors such as race, gender, education and living status. This scoping review aims to describe research papers that examine social determinants of health (SDOH) that underlie disparities in access to, use of, or outcomes related to rehabilitation (in occupational therapy, physical therapy, recreational therapy, rehabilitation medicine/physiatry and speech-language pathology) among adults in the USA. Identifying SDOH-related factors that drive inequities in rehabilitation will inform the development of potential solutions to improve access, professional education and patient outcomes.Methods and analysisThe Joanna Briggs Institute methodological framework will be used to conduct this scoping review. To meet the inclusion criteria, articles will need to be published in English since 2013, be classified as full-length original research, include at least 100 sampled adults, be conducted in the USA or its territories, and investigate SDOH-related disparities in rehabilitation. Search terms will include SDOH, rehabilitation and disparities. Five databases (Embase, PubMed, Scopus, Sociological Abstracts and Web of Science: Core Collection) will be searched for articles published in English between 2013 and 2023. Records from these databases as well as reference lists of included papers and review papers will be screened for eligibility. Two people will independently review each record during title and abstract screening and full-text screening, and three people will independently extract data. Screening and data extraction processes will be piloted. The results will be presented in tables, graphs and narrative summaries.Ethics and disseminationFindings will be disseminated through scientific conferences, professional networks, stakeholder meetings, invited workshops and webinars, email listservs of professional associations, academic social media and in a peer-reviewed journal. Ethics approval is not required as the review will only include previously published data.