Reprod Health. 2026 Feb 27. doi: 10.1186/s12978-026-02301-4. Online ahead of print.
NO ABSTRACT
PMID:41761240 | DOI:10.1186/s12978-026-02301-4
Tag: pubmed
BMC Public Health. 2026 Feb 27. doi: 10.1186/s12889-026-26744-3. Online ahead of print.
NO ABSTRACT
PMID:41761170 | DOI:10.1186/s12889-026-26744-3
BMC Public Health. 2026 Feb 28. doi: 10.1186/s12889-026-26811-9. Online ahead of print.
ABSTRACT
BACKGROUND: Digestive diseases represent an important public health concern in Indonesia, with national surveys reporting notable symptom burden and frequent hospital presentations for conditions such as gastritis, dyspepsia, and gastroesophageal reflux disease (GERD). However, evidence on their social and geographic disparities remains limited. Understanding how socioeconomic status and place of residence are associated with digestive health can guide equitable policy interventions.
OBJECTIVE: This study examined socioeconomic and rural-urban disparities in digestive diseases among Indonesian adults, using nationally representative data from the Indonesia Family Life Survey (IFLS-5).
METHODS: A cross-sectional analysis was conducted among 29,817 adults aged 15 years and above using IFLS-5. Digestive disease was defined based on self-reported doctor-diagnosed disease diagnosed gastrointestinal conditions using IFLS-5 item ‘stomach or other digestive disease”. Socioeconomic status was primarily assessed using an asset-based household wealth index derived by principal component analysis. Multivariable logistic regression was used to estimate adjusted odds ratio (aOR) for digestive disease factors, controlling for sociodemographic, health related factors, behaviours, lifestyle, and environmental factors, including depressive symptoms.
RESULTS: The overall weighted prevalence of doctor-diagnosed digestive disease was 13.11%. The prevalence was higher in urban residents (14.8%) than rural areas (11.4%), and among non-poor (14.2%) than poor adults (12.1%). These differences were statistically significant (P < 0.001). After adjustment, rural adults had lower odds of digestive disease (aOR = 0.88, 95% CI: 0.79-0.98), while wealth index was not significantly associated (aOR = 1.02, 95% CI: 0.94-1.12). Higher education attainment was strongly associated with increased odds of digestive diseases (aOR 1.78, 95% CI: 1.62-1.94) compared with lower education. Female sex, former smoking, comorbid conditions, depressive symptoms, and poor self-rated health were also positively associated.
CONCLUSIONS: In Indonesia, notable differences in digestive diseases were observed across educational and residence groups. Although crude prevalence was higher among urban and non-poor, adjusted analysis revealed persistent disparities mainly driven by education and place of residence rather than household wealth. Reducing the burden of digestive diseases requires policy initiatives to enhance access to healthcare, nutrition, and sanitation, especially in rural and lower-education communities.
PMID:41761161 | DOI:10.1186/s12889-026-26811-9
BMC Public Health. 2026 Feb 28. doi: 10.1186/s12889-026-26555-6. Online ahead of print.
ABSTRACT
BACKGROUND: Skin cancer is one of the most preventable types of cancer, yet agricultural workers especially women remain at high risk due to prolonged sun exposure and limited access to preventive health education. This study aimed to evaluate the effect of a social media based educational program on agricultural women’s knowledge of skin cancer risk, self skin examination (SSE), and sun protection behaviors.
METHODS: The single-group pretest-posttest design was employed among 85 agricultural women in the Fethiye district of Muğla, Turkey, between May and July 2024. Participants completed pretest and posttest assessments using a Personal Data Form, the Knowledge and Practices about Skin Cancer and SSE Form, and the Sun Protection Behavior Scale (SPBS). The intervention consisted of five weeks social media-based educational program incorporating culturally adapted visual and interactive content on skin cancer prevention, SSE, and sun safe behaviors. The analysis was performed employing IBM SPSS, with the utilisation of descriptive statistics, paired-sample t-tests, and McNemar tests.
RESULTS: Following the social media-basededucation program, participants showed significant improvements in knowledge and protective behaviors related to skin cancer. The mean knowledge score for skin cancer risk factors increased from 5.08 ± 1.08 to 7.67 ± 0.76 (p < .001), and knowledge of symptoms rose from 8.75 ± 1.70 to 11.81 ± 1.38 (p < .001). The Sun Protection Behavior Scale score also improved from 24.98 ± 4.39 to 25.72 ± 2.40 (p < .001), with significant gains in sun avoidance, sunscreen use, and hat wearing behavior. Knowledge and performance of self skin examination (SSE) improved remarkably; after the intervention, all participants correctly identified SSE principles, including the ABCDE rule, and 88.2% reported performing SSE (p < .001).
CONCLUSIONS: The social media-based educational program substantially improved agricultural women’s knowledge of skin cancer risk factors, self skin examination, and sun protection behaviors. These findings suggest that culturally adapted digital interventions can serve as practical, scalable strategies to promote skin cancer awareness and early detection among rural populations with limited access to traditional health education.
PMID:41761144 | DOI:10.1186/s12889-026-26555-6
BMC Public Health. 2026 Feb 27. doi: 10.1186/s12889-026-26817-3. Online ahead of print.
NO ABSTRACT
PMID:41761135 | DOI:10.1186/s12889-026-26817-3
BMC Geriatr. 2026 Feb 27. doi: 10.1186/s12877-026-07037-1. Online ahead of print.
NO ABSTRACT
PMID:41761125 | DOI:10.1186/s12877-026-07037-1
Int J Emerg Med. 2026 Feb 27. doi: 10.1186/s12245-026-01154-9. Online ahead of print.
ABSTRACT
OBJECTIVE: This study aimed to evaluate the association between recent nonsteroidal anti-inflammatory drug (NSAID) use and clinical presentation and in-hospital outcomes among patients presenting to the emergency department with acute decompensated heart failure.
METHODS: This prospective, single-center, observational study was conducted between October 20, 2023, and May 21, 2025, in the Emergency Medicine Department of a University Hospital. A total of 400 patients diagnosed with decompensated heart failure were included. For statistical analyses, differences between patients who used NSAIDs and those who did not were compared using Pearson’s Chi-Square Test, while Fisher’s Exact Test was applied when appropriate.
RESULTS: Among the 400 participants, 54.3% were female, and 54.0% were aged ≥ 80 years. NSAID use within the preceding 10 days was observed in 27.8% of patients. A substantial proportion of patients presented with advanced heart failure, with the majority classified as NYHA Class III or IV, and 44.0% required intensive care unit admission during hospitalization. NSAID use was more frequently observed among older patients and in those presenting with clinical features such as hypertension and tachypnea. However, no consistent or statistically significant associations were identified between recent NSAID exposure and in-hospital mortality or intensive care unit admission. These findings should be interpreted in the context of the study’s observational design and the presence of multiple clinical confounders.
CONCLUSION: Recent NSAID use was common among patients presenting to the emergency department with acute decompensated heart failure. In this cohort, NSAID exposure was not clearly associated with differences in in-hospital outcomes, and further analyses adjusting for clinical confounders are warranted.
PMID:41761062 | DOI:10.1186/s12245-026-01154-9
Obes Surg. 2026 Feb 28. doi: 10.1007/s11695-026-08543-2. Online ahead of print.
NO ABSTRACT
PMID:41761036 | DOI:10.1007/s11695-026-08543-2
J Gen Intern Med. 2026 Feb 27. doi: 10.1007/s11606-026-10276-y. Online ahead of print.
ABSTRACT
BACKGROUND: Although fall prevention programs in real-world clinical settings often generate recommendations to reduce fall risk factors, evidence that they improve clinical outcomes remains limited. To better understand this gap, we examined implementation rates of recommendations.
METHODS: This retrospective cohort study evaluated patients who received care at an interdisciplinary (nurse, physical therapist, geriatrician) fall prevention consultation clinic from November 2020 to December 2022. Data were collected on patient demographics, screening assessments (including self-reported falls, fracture risk, visual acuity, cognition, and orthostatic blood pressure), physical therapy evaluations, and implementation of recommendations. Fall- and fracture-related ED visits and hospitalizations in the year before and after the clinic visit were compared.
RESULTS: Ninety-four patients seen with a mean age of 79 years (SD = 8.4, range 63-101); 71% were women, 60% self-identified as non-Hispanic White, 39% needed help with ≥ 1 activity of daily living, and 62% needed help with ≥ 2 instrumental activities of daily living. Patients screened positive for a self-reported fall in the last year (81%), increased fracture risk (67%), vision impairment (43%), cognitive concerns (27%), and orthostatic hypotension (12%). Implementation of recommendations occurred most often for home (58%) and outpatient (46%) physical therapy, bisphosphonate recommendations or orders (50%), ophthalmology (43%), and medication adjustment recommendations (36%). Referrals to podiatry (30%), clinical pharmacy (29%) for fall risk-increasing drugs, osteoporosis clinic (23%), and memory clinic (12%) were implemented least frequently. There were no statistically significant differences in fall- or fracture-related ED visits (IRR 0.61, 95% CI 0.33-1.15) or hospitalizations (IRR 0.75, 95% CI 0.32-1.72) 1-year pre- and post-clinic evaluation.
CONCLUSIONS: Although this consultative fall prevention clinic generated actionable recommendations, their implementation was sub-optimal. The study identified key areas for process improvement, particularly enhancing adherence to high-impact recommendations such as physical therapy and bone health.
PMID:41761018 | DOI:10.1007/s11606-026-10276-y
Eur Radiol. 2026 Feb 28. doi: 10.1007/s00330-026-12446-2. Online ahead of print.
NO ABSTRACT
PMID:41761002 | DOI:10.1007/s00330-026-12446-2