Asian Journal of Public Health and Nursing
type: channel
description: The Asian Journal of Public Health and Nursing is a scholarly publication dedicated to advancing knowledge and promoting excellence in the fields of public health and nursing within the Asian region. With a focus on research, practice, education, and policy, the journal serves as a platform for disseminating innovative ideas, evidence-based practices, and critical discussions that contribute to the improvement of public health and nursing care delivery in Asia. Scope and Coverage: The journal covers a wide range of topics within the realms of public health and nursing, including but not limited to epidemiology, health promotion, disease prevention, healthcare management, community health, environmental health, maternal and child health, infectious diseases, mental health, nursing education, nursing practice, healthcare policy, and healthcare disparities. It welcomes original research articles, review articles, and perspectives from scholars, researchers, practitioners, educators, policymakers, and students.
publisher: Queeva Publishing
language: en
publication name: Asian Journal of Public Health and Nursing
issn: 3064-0008
items: System Challenges and Patient Waiting Time in Outpatient Care: A Qualitative Study in a Nigerian Public Hospital
items: Reducing Parental Perceived Barriers to HPV Vaccine Uptake Through a Community-Based Nurse-Led Educational Intervention in Kaduna North Senatorial District, Nigeria
items: Socioeconomic Inequalities in Pregnancy Termination among Young Women in Cambodia: A Cross-sectional Analysis of the 2021–22 Demographic and Health Survey
items: Cyberbullying in the Age of Social Media: A Systematic Review of Mental Health Outcomes among Adolescents
items: Psychological and Behavioural Determinants of Problematic Mobile Phone Use in Female Health Science Undergraduate
items: Exploring the perception of pictorial health warnings on tobacco package among the patients attending Dental Institute in Ahmedabad City
items: Retraction: Understanding Barriers to PrEP Adherence: A Brief Report on the Combined Effects of Alcohol Misuse, PTSD, and Gut Microbiome Disruption in HIV Prevention
items: Public Health, Community Resilience, and Psychosocial Recovery after the 2025 Sumatra Floods and Landslides
items: Self-Management and Knowledge Gaps in Chronic Disease Care: A Phenomenological Study of Patients with Hypertension, Diabetes Mellitus, and COPD in Indonesia
items: Machine Learning Applications in Suicide Prediction and Prevention: A Narrative Review
items: Family Support and Self-Efficacy Among Post-Ischemic Stroke Patients: A Cross-Sectional Correlational Study
items: Prevalence of Multiple Drug-Resistant Bacteria Among Healthcare Acquired Infections in the WHO Eastern Mediterranean Region: A Systematic review
items: Health Needs Assessment Plan for Pregnant Women in Low-Income Sub-Saharan Africa
items: Hundreds Dying Every day in Karachi as Pakistan Battles Brutal Summer
items: Assessing the Psychosocial Determinants of Mental Health Decline Among Bangladeshi University Students During the COVID-19 Pandemic: A Rapid Systematic Review
items: High Bullying Exposure and Depression Risk Among Indonesian Adolescents in Boarding Schools: Multivariate Insights from a Cross-Sectional Study
items: Patient Perceptions of Generalist Therapy for Schizophrenia with Violent Risk: A Phenomenological Study in Indonesia
items: Oral Health Symptoms and Smokeless Tobacco Use Among Outpatients in Bangladesh: Insights from a Cross-Sectional Study
items: RETRACTED: Understanding Barriers to PrEP Adherence: A Brief Report on the Combined Effects of Alcohol Misuse, PTSD, and Gut Microbiome Disruption in HIV Prevention
items: Experiences and Roles of Community Health Cadres in the Implementation of Integrated Service Posts for Non-Communicable Diseases in Indonesia: A Qualitative Study
items: Does the Appearance and Mannerism of Doctors Affect Doctor-Patient Relationship? A Cross-Sectional Study among General Population in Malaysia
items: Understanding Diabetes Care Barriers Through Community Voices: A Brief Qualitative Report from Jefferson County, Kentucky
items: Effectiveness of Guided Imagery in Reducing Anxiety Among Mental Health Outpatients: A Pilot Study
items: Effectiveness of Psychological First Aid and Communication Skills in Enhancing Self-Efficacy: A Randomized Controlled Trial
items: A Descriptive Study on Childhood Obesity: Examining Research Gaps, Evaluating Interventions, and Informing Policy for Sustainable Health Outcomes
items: Exploring Dengue Transmission Trends, Public Health Challenges, and Intervention Efficacy Among Adolescents in Dhaka City: An Observational Study
items: Resilience Training for Burnout Reduction Among Emergency Department Health Workers: A Systematic Review
items: The January 2025 Southern California Wildfires: Public Mental Health Impacts and a Call to Action
items: Exploring Parental Perspectives on Factors Influencing Sugar-Sweetened Beverage Consumption in Children Aged 8 to 14
items: Internet Shutdown with Violations of Human Rights and Freedom of Speech

System Challenges and Patient Waiting Time in Outpatient Care: A Qualitative Study in a Nigerian Public Hospital
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array Background: Patient waiting time in outpatient departments is a key indicator of healthcare quality, particularly in low- and middle-income countries where delays frequently exceed two hours. In Nigeria, systemic inefficiencies, understaffing, manual record-keeping, and high patient volumes contribute to prolonged waits. Existing studies have predominantly used quantitative methods, leaving a gap in understanding the lived experiences of patients and perspectives of frontline healthcare workers, especially in secondary-level public hospitals. Methods: An exploratory qualitative study was conducted at the General Outpatient Department of General Hospital Minna, Niger State, Nigeria. Convenience sampling recruited 16 patients, while purposive sampling selected 13 healthcare professionals (doctors, nurses, and health information personnel). In-depth, audio-recorded interviews were conducted and data analysed using thematic analysis. Results: Five themes emerged: patient experience and outcomes; current strategies and solutions; monitoring and metrics; implementation challenges; and future directions. Three-quarters of patients reported prolonged waits associated with emotional distress and dissatisfaction. Providers identified high patient volumes, inadequate record-keeping, and partial scheduling implementation as systemic barriers. Cultural factors influenced patient tolerance, and both groups prioritised digital solutions including electronic medical records, smart scheduling, and telemedicine. Conclusion: Waiting time in the outpatient department is shaped by interacting systemic, cultural, and operational factors. Structured monitoring, improved patient communication, and targeted digital interventions are essential to reducing delays and strengthening patient-centred care in Nigerian public hospitals.
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creator: Mukhtar Zainab
creator: Abdulsalam Ahmed
creator: Mustapha Fatima Khamis
creator: Nma Usman Abdul
creator: Yusuf Ibrahim Chindo
creator: Hadijah Usman-Yamman
creator: Philomena Hope Ajayi
creator: Temidayo Joseph Oluwafemi
creator: Okedare Tobi Victor
creator: Stephen Samuel Lazarus
creator: Samuel Bulus Kaze
creator: Jemilat Agbakwomo Audu
creator: Habiba Muhammad Abdullahi
rights: Copyright (c) 2026 Mukhtar Zainab, Abdulsalam Ahmed, Mustapha Fatima Khamis, Nma Usman Abdul, Chindo Yusuf Ibrahim, Hadijah Usman-Yamman, Philomena Hope Ajayi, Temidayo Joseph Oluwafemi, Okedare Tobi Victor, Stephen Samuel Lazarus, Samuel Bulus Kaze, Jemilat Agbakwomo Audu, Habiba Muhammad Abdullahi (Author) https://creativecommons.org/licenses/by/4.0
date: 2026-05-21
publication date: 2026-05-21
starting page: 44
ending page: 51
doi: 10.62377/m2ed5q29

Reducing Parental Perceived Barriers to HPV Vaccine Uptake Through a Community-Based Nurse-Led Educational Intervention in Kaduna North Senatorial District, Nigeria
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description: Section: Research Articles Keywords: Array, Array, Array Background: Parental perceived barriers remain a major obstacle to human papillomavirus (HPV) vaccine uptake among adolescents in Nigeria. Community-based nurse-led educational interventions may help address these barriers, but evidence from rural and semi-urban settings is limited. This study aims to assess the effect of a community-based nurse-led educational intervention on parental perceived barriers to HPV vaccine uptake in Kaduna North Senatorial District, Nigeria. Methods: A quasi-experimental pre-test and post-test design with intervention and control groups was conducted among 208 parents of adolescents aged 9–14 years, with 204 completing the study (102 per group). Data were collected using a structured interviewer-administered questionnaire assessing socio-demographic characteristics and perceived barriers. The intervention group received a structured nurse-led educational programme, while the control group received no intervention. Data were analysed using chi-square tests, McNemar’s test, and t-tests, with significance set at p < 0.05. Results: At baseline, there was no significant difference in mean barrier scores between groups (p = 0.652). After the intervention, the study group showed significant reductions in key barriers, including difficulty accessing accurate information, long waiting times, and limited opportunity to discuss concerns (p < 0.001). The mean barrier score decreased significantly in the study group from 5.40 ± 2.03 to 2.07 ± 1.55 (p < 0.001), while no significant change occurred in the control group. Conclusion: The community-based nurse-led educational intervention significantly reduced parental perceived barriers to HPV vaccine uptake, supporting the integration of structured health education into primary healthcare to improve adolescent vaccination outcomes.
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creator: Shatu Ishaku
creator: Hadiza Mohammed Sani
creator: Hayat Imam Gommaa
creator: Anita Mfuh Y. Lukong
creator: Ishaku Hassan
rights: Copyright (c) 2026 Shatu Ishaku, Hadiza Mohammed Sani, Hayat Imam Gommaa, Mfuh Anita Y. Lukong, Ishaku Hassan (Author) https://creativecommons.org/licenses/by/4.0
date: 2026-04-15
publication date: 2026-04-15
starting page: 25
ending page: 33
doi: 10.62377/ce5hh361

Socioeconomic Inequalities in Pregnancy Termination among Young Women in Cambodia: A Cross-sectional Analysis of the 2021–22 Demographic and Health Survey
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array Background: Pregnancy termination among adolescents and young women reflects gaps in contraceptive access, unmet need for family planning, and unequal access to sexual and reproductive health information and services. In Cambodia, limited recent national evidence exists on socioeconomic patterns and determinants of pregnancy termination among young women, despite persistent adolescent fertility and early marriage. This study aimed to estimate the prevalence of pregnancy termination among adolescents and young women in Cambodia and examine socioeconomic patterns and associated factors using data from the Cambodia Demographic and Health Survey (CDHS) 2021–22. Methods: This cross-sectional secondary analysis used nationally representative data from the CDHS 2021–22 women's questionnaire. The study population included women aged 15–24 years (N=5,783). The outcome was a self-reported history of pregnancy termination, based on DHS standard definitions. Key exposures included wealth index, education level, and place of residence. Additional covariates included age group, marital status, parity, employment status, media exposure, and contraceptive use. Survey-weighted descriptive statistics and multivariable logistic regression were used to examine associations while accounting for complex survey design. Results: The overall prevalence of pregnancy termination was 5.28% (95% CI: 4.52–6.16). Prevalence varied significantly by socioeconomic status: 3.8% among women from poor households, 5.3% among middle-income, and 6.8% among wealthy households (p<0.001). Women with secondary or higher education had higher prevalence (6.2%) compared to those with no education (3.9%, p<0.001). In multivariable analysis, factors significantly associated with increased odds of pregnancy termination included wealthier households (aOR=1.82, 95% CI: 1.24–2.67), higher education (aOR=1.58, 95% CI: 1.09–2.29), urban residence (aO…
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creator: Yem Sokha
creator: Kem Sokunthea
creator: Vann Lida
creator: Tun Sreypeov
rights: Copyright (c) 2026 Yem Sokha, Kem Sokunthea, Vann Lida, Tun Sreypeov (Author) https://creativecommons.org/licenses/by/4.0
date: 2026-05-02
publication date: 2026-05-02
starting page: 34
ending page: 43
doi: 10.62377/75j94f08

Cyberbullying in the Age of Social Media: A Systematic Review of Mental Health Outcomes among Adolescents
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description: Section: Review Keywords: Array, Array, Array, Array, Array Background: Cyberbullying via social media has emerged as a major public health concern among adolescents; however, evidence regarding its impact on mental health remains fragmented. This systematic review aimed to synthesize empirical evidence published between 2016 and 2025 on the association between social media–based cyberbullying and adolescent mental health outcomes. Methods: A systematic review was conducted using PubMed, ScienceDirect, Scilit, and PsycINFO in accordance with PRISMA 2020 guidelines. Studies were eligible if they included adolescents aged 10–19 years, explicitly examined cyberbullying within social media contexts, and assessed mental health outcomes using validated instruments. Risk of bias was evaluated using the Newcastle–Ottawa Scale (NOS) and Joanna Briggs Institute (JBI) appraisal tools. Results: Twenty-three studies involving more than 38,000 adolescents were included, comprising cross-sectional, longitudinal, and mixed-design studies. Reported prevalence of cyberbullying ranged from approximately 10% to 74.5%. Cybervictimization was consistently associated with increased risks of depression (OR ≈ 1.4–2.3), anxiety (OR ≈ 1.8–2.0), and suicidal behaviors (AOR = 2.62; 95% CI 1.73–3.98). Longitudinal evidence indicated that cybervictimization often preceded deterioration in mental health outcomes. Anxiety, peer relational stress, and sleep problems emerged as key mediating factors, while self-control and school connectedness appeared to serve as protective factors. Conclusions: Cyberbullying represents a significant and consistent risk factor for adverse mental health outcomes among adolescents. These findings highlight the need for comprehensive prevention strategies, including school-based interventions, digital literacy programs, and strengthened social media platform safeguards.
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creator: Liza Fathiariani
creator: Martina Martina
creator: Zulfa Zahra
rights: Copyright (c) 2026 Liza Fathiariani, Martina Martina, Zulfa Zahra (Author) https://creativecommons.org/licenses/by/4.0
date: 2026-03-24
publication date: 2026-03-24
starting page: 34
ending page: 49
doi: 10.62377/s6m1p304

Psychological and Behavioural Determinants of Problematic Mobile Phone Use in Female Health Science Undergraduate
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array Background: Problematic smartphone use (PSU) represents a growing public health challenge, particularly among future healthcare professionals who require high levels of focus and digital literacy. This study aims to investigate the psychosocial and lifestyle determinants of PSU among female health science undergraduate students. Methods: A large-scale cross-sectional study was conducted with 1,570 female students in Aceh, Indonesia. Participants were assessed using validated instruments: the Mobile Phone Problem Use Scale – Short Version (MPPUS-16), Mobile Attachment Questionnaire (MAQ), Peer Influence Scale, and Rosenberg Self-Esteem Scale (RSES). Data were analyzed using non-parametric bivariate tests and multiple linear regression with robust standard errors to identify independent predictors. Results: The mean PSU score was 36.5 (SD = 9.1). In the multivariable model, peer influence (β = -0.175, p < 0.001) emerged as the strongest predictor of PSU, followed by mobile attachment (β = 0.159, p < 0.001). While self-esteem and body mass index (BMI) showed significant but modest associations, lifestyle factors played a distinct role; students who never exercised reported significantly higher PSU scores (p = 0.0009). The model accounted for 8.1% of the total variance. Conclusions: PSU among female health science students is primarily driven by interpersonal dynamics and emotional device reliance rather than financial resources. These findings suggest that digital well-being interventions for future health professionals should move beyond individual psychological traits to address peer-driven digital behaviors and promote lifestyle balance.
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creator: Julianti Jauhari
rights: Copyright (c) 2026 Julianti Jauhari (Author) https://creativecommons.org/licenses/by/4.0
date: 2026-03-24
publication date: 2026-03-24
starting page: 50
ending page: 58
doi: 10.62377/42qksq49

Exploring the perception of pictorial health warnings on tobacco package among the patients attending Dental Institute in Ahmedabad City
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array Background: Tobacco use remains a significant global public health challenge. WHO Framework Convention on Tobacco Control mandates that nations take steps to ensure that tobacco product packaging carries health warnings and messages. This study aims to explore the perception of pictorial health warnings (PHWs) on tobacco packages among the patients attending dental institute in Ahmedabad city. Methods: A cross-sectional questionnaire study was conducted among 210 patients attending dental institute in Ahmedabad city. The data were collected through face-to-face interview by using a self-designed, pre-tested questionnaire. The questionnaire consists of questions pertaining to demographic details, tobacco related habits and perception on PHWs. Data was analyzed using descriptive statistics. Multivariate logistic regression analysis was performed to identify independent predictors for perception of PHWs. Result: More than half of the subjects (n=129, 61.43%) were having current habit of tobacco consumption in any form. Total 197 (93.80%) were aware about health warning messages on tobacco packages. Among 197 respondents, 67 (34.00%) respondents noticed only PHWs. Total 136(69.04%) subjects had perception of imagine health harms after seeing PHWs and 132(67.00%) subjects were worried for their health. More than half (n=64, 55.17%) wants to quit habit after seeing PHWs. Among individuals with a habit of tobacco consumption, the likelihood of imagining health harms (OR = 3.61, 95% CI: 1.73–7.53) and feeling worried about their health after viewing PHWs (OR = 3.61, 95% CI: 1.73–7.53) was significantly higher (p < 0.001). Conclusion: There was a favorable perception and positive impact on tobacco users to quit the habit.
subject: Research Articles
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creator: Mahek R Zen
creator: Sujal M Parkar
rights: Copyright (c) 2026 Mahek Zen, Sujal Parkar (Author) https://creativecommons.org/licenses/by/4.0
date: 2026-04-15
publication date: 2026-04-15
starting page: 16
ending page: 24
doi: 10.62377/5myqdk43

Retraction: Understanding Barriers to PrEP Adherence: A Brief Report on the Combined Effects of Alcohol Misuse, PTSD, and Gut Microbiome Disruption in HIV Prevention
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description: Section: Editorial Keywords: Array Retraction Notice This notice concerns the article: Hasan MR, Davidson R. Understanding Barriers to PrEP Adherence: A Brief Report on the Combined Effects of Alcohol Misuse, PTSD, and Gut Microbiome Disruption in HIV Prevention. Asian Journal of Public Health and Nursing. 2025; 2(2):14–27. https://doi.org/10.62377/ayk4kk55 This article has been retracted at the request of the corresponding author. After publication, the author reported two ethical concerns: (1) inclusion of an institutional affiliation (Norton Hospital) without formal ethics approval or research authorization, and (2) unintentional conceptual overlap with an ongoing institutional research project conducted by senior colleagues. The author acknowledged these issues and requested retraction to maintain transparency and safeguard research integrity. Following editorial review, the Editor-in-Chief approved the retraction in accordance with the journal’s publication ethics policy and the COPE Retraction Guidelines. The original article remains available online for the scholarly record and is clearly marked as RETRACTED. This Retraction Notice is permanently linked to the original publication.
subject: Editorial
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creator: Editor AJPHN
rights: Copyright (c) 2025 Editor AJPHN (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-12-30
publication date: 2025-12-30
starting page: 4
ending page: 4
doi: 10.62377/rwwexw91

Public Health, Community Resilience, and Psychosocial Recovery after the 2025 Sumatra Floods and Landslides
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description: Section: Editorial Keywords: Array, Array, Array, Array, Array Background: The floods and landslides that struck several provinces in Sumatra toward the end of 2025 resulted in substantial loss of life, large-scale displacement, and damage to public infrastructure. As of 29 December 2025, national disaster reports recorded around 1,140 deaths, 163 people missing, and nearly 400,000 displaced residents, with reconstruction needs estimated at approximately 51.82 trillion rupiah. These events underscore the intersection between disaster exposure, public-health system resilience, and psychosocial wellbeing. Objectives: This editorial reflects on the public-health and mental-health implications of the 2025 Sumatra disaster, draws on recent empirical and review evidence, and highlights priorities for strengthening community-based preparedness and recovery. Key Issues: Post-disaster settings are commonly characterized by increased risks of infectious disease, disruption of routine care for chronic and psychiatric conditions, and pressure on primary health-care services. Evidence from flood- and landslide-affected contexts in South and Southeast Asia indicates elevated symptoms of anxiety, depression, sleep disturbance, and post-traumatic stress among survivors, particularly among socio-economically vulnerable households, older adults, women, and adolescents. These psychosocial outcomes are shaped by prolonged displacement, livelihood loss, housing insecurity, and erosion of social support networks. Recommendations and Conclusion: The editorial emphasizes the importance of framing disaster risk reduction as a sustained public-health responsibility grounded in primary care and continuity of essential services, integrating psychosocial and mental-health care across preparedness, response, and recovery, and advancing inclusive, community-driven resilience strategies that prioritize vulnerable populations to protect dignity and wellbeing in future events.
subject: Editorial
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creator: Marthoenis Marthoenis
rights: Copyright (c) 2025 Marthoenis Marthoenis (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-12-30
publication date: 2025-12-30
starting page: 1
ending page: 3
doi: 10.62377/crkcn684

Self-Management and Knowledge Gaps in Chronic Disease Care: A Phenomenological Study of Patients with Hypertension, Diabetes Mellitus, and COPD in Indonesia
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array Background: Non-communicable diseases (NCDs), including hypertension, diabetes mellitus, and chronic obstructive pulmonary disease (COPD), remain significant public health challenges in Indonesia. Despite advances in clinical management, patients lived experiences, particularly regarding disease-related knowledge and self-care practices, have received limited scholarly attention. Methods: A qualitative phenomenological approach was employed using focus group discussions and in-depth interviews with 19 participants, including 12 patients with hypertension, diabetes mellitus, and COPD; five primary health workers from community health center; and two district health office staff. The research was conducted between February and June 2024. Data were analyzed using descriptive phenomenological methods. Results: Three interrelated themes emerged. First, participants described delayed symptom recognition accompanied by limited initial understanding of their disease. Second, deeply entrenched lifestyle-related risk factors, including smoking, high salt and sugar intake, and physical inactivity. Third, inconsistent self-management practices following diagnosis. Although some participants attempted to adhere to medical advice and adopt healthier behaviors, these efforts were frequently constrained by inadequate health literacy, low motivation, and barriers to healthcare access. Persistent misconceptions regarding disease etiology were evident, reflected in culturally embedded terms such as “sweet urine” for diabetes and “lung pain” for COPD. Family support and religious beliefs were found to exert a dual influence, functioning as both facilitators and barriers to treatment adherence. Conclusion: Improving chronic disease outcomes in Indonesia requires the integration of culturally responsive health education, patient-centered communication, continuous follow-up, and health literacy interventions that are a…
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creator: Rahmi Inayati
creator: Hizir Sofyan
creator: Teuku Tahlil
creator: Marthoenis Marthoenis
rights: Copyright (c) 2026 Rahmi Inayati, Hizir Sofyan, Teuku Tahlil, Marthoenis Marthoenis (Author) https://creativecommons.org/licenses/by/4.0
date: 2026-01-28
publication date: 2026-01-28
starting page: 24
ending page: 33
doi: 10.62377/sxh5bz43

Machine Learning Applications in Suicide Prediction and Prevention: A Narrative Review
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description: Section: Review Keywords: Array, Array, Array, Array, Array Background: Suicide is a complex and preventable public health issue where traditional statistical techniques have shown limited effectiveness in predicting future suicide deaths. Machine learning offers promising approaches to identify complex patterns and improve prediction accuracy. Methods: This narrative review examined the application of machine learning in suicide prediction by searching academic databases (PubMed, CINAHL Plus, IEEE Xplore) using MeSH terms 'Machine Learning' and 'Suicide.' English-language articles published within the last five years focusing on suicide, suicide deaths, and prevention were included. The final selection comprised 18 articles after removing duplicates. Results: Key risk factors identified included mental health conditions (particularly depression), socioeconomic factors (unemployment and financial difficulties), family-related issues, and demographic characteristics (age, gender). Various machine learning approaches demonstrated effectiveness in predicting suicide risk. K-Nearest Neighbors and ensemble models (combining Random Forest and XGBoost) showed particularly strong performance. Time series models like ARIMA variants excelled at temporal predictions, while ensemble methods demonstrated versatility with multiple data sources. Conclusion: Machine learning techniques offer substantial improvements over traditional approaches for suicide prediction, with model selection dependent on data availability, geographical scale, and temporal requirements. Ensemble methods perform best with multiple data sources, while time series models excel with temporal data.
subject: Review
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creator: Russel Kabir
creator: Nahida Ferdous
creator: Nirav Valand
creator: Zaid Kadhim
creator: Peter Obaleye
creator: Ali Davod Parsa
rights: Copyright (c) 2025 Russel Kabir, Nahida Ferdous, Nirav Valand, Zaid Kadhim, Peter Obaleye, Ali Davod Parsa (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-12-30
publication date: 2025-12-30
starting page: 5
ending page: 16
doi: 10.62377/c9rj2z43

Family Support and Self-Efficacy Among Post-Ischemic Stroke Patients: A Cross-Sectional Correlational Study
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array, Array Background: Post-ischemic stroke patients often experience residual functional limitations that affect recovery and daily functioning. Family support may influence self-efficacy during the rehabilitation process. Methods: This cross-sectional study was conducted from November to December 2023 among 193 post-ischemic stroke patients undergoing medical rehabilitation in a general Hospital in Indonesia. Samples were selected using purposive sampling. Family support was measured using a modified Family Support Instrument, and self-efficacy was assessed using the Stroke Self-Efficacy Questionnaire (SSEQ). Data were analyzed using the Spearman Rho correlation test. Results: Overall family support showed a weak positive correlation with self-efficacy (r = 0.290; p < 0.001). Informational support demonstrated a moderate positive correlation with self-efficacy (r = 0.429; p < 0.001). Appreciation support showed a weak negative correlation (r = −0.262; p < 0.001), while instrumental and emotional support were not significantly associated with self-efficacy. Conclusion: Family support is associated with self-efficacy among post-ischemic stroke patients, with informational support appearing to play a particularly important role. Strengthening family support through integration with healthcare and community-based services may enhance rehabilitation outcomes for post-ischemic stroke patients
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creator: Riski Amalia
creator: Nani Safuni
creator: Asrizal Asrizal
creator: Abul A’la Tarigan
creator: Irfanita Nurhidayah
creator: Dewiyuliana Dewiyuliana
creator: Anda Kamal
rights: Copyright (c) 2025 Riski Amalia, Nani Safuni, Asrizal Asrizal, Abul A’la Tarigan, Irfanita Nurhidayah, Dewiyuliana Dewiyuliana, Anda Kamal (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-12-30
publication date: 2025-12-30
starting page: 17
ending page: 23
doi: 10.62377/0tz1zp40

Prevalence of Multiple Drug-Resistant Bacteria Among Healthcare Acquired Infections in the WHO Eastern Mediterranean Region: A Systematic review
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description: Section: Review Keywords: Array, Array, Array, Array, Array Background: Hospital-acquired infections (HAIs) caused by multidrug-resistant (MDR) bacteria represent a growing global public health threat, particularly in low- and middle-income regions such as the WHO Eastern Mediterranean Region (EMR). Despite increasing antimicrobial resistance, comprehensive regional evidence on MDR-HAIs, including prevalence, pathogen distribution, and associated risk factors, remains limited. This systematic review aimed to examine the prevalence of MDR bacteria among HAIs in hospitalized patients across the EMR between 2014 and 2024. Methods: A systematic review was conducted following Cochrane guidelines. EMBASE, PubMed, and Google Scholar were searched using Medical Subject Headings (MeSH) and relevant keywords. Eligible studies included primary quantitative studies reporting MDR hospital-acquired infections in EMR countries. A total of 550 records were identified, and after screening, critical appraisal, and eligibility assessment, nine studies were included for narrative synthesis. Risk of bias was assessed using CASP and Joanna Briggs Institute appraisal tools. Results: The prevalence of MDR-HAIs across EMR countries ranged from 4.9% to 52.6%, with most studies reporting rates exceeding 25%. Egypt reported the highest prevalence (52.6%), followed by Libya (35.2%) and Lebanon (30.2%), while Iraq reported the lowest prevalence (4.9%). Older age and male gender were commonly associated with increased MDR-HAI risk. The most frequently identified pathogens were MDR Pseudomonas aeruginosa, extended-spectrum beta-lactamase (ESBL) Klebsiella pneumoniae and Escherichia coli, multidrug-resistant Acinetobacter baumannii, and methicillin-resistant Staphylococcus aureus (MRSA). Additional risk factors included comorbidities, prolonged hospitalization, prior antibiotic exposure, invasive devices, and admission to high-risk wards. Conclusion: MDR hospital-acquired infections remain highly p…
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creator: Fatima Ahmad Ismail
creator: Russell Kabir
rights: Copyright (c) 2026 Fatima Ahmad Ismail, Russell Kabir (Author) https://creativecommons.org/licenses/by/4.0
date: 2026-04-15
publication date: 2026-04-15
starting page: 1
ending page: 15
doi: 10.62377/d81pks55

Health Needs Assessment Plan for Pregnant Women in Low-Income Sub-Saharan Africa
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description: Section: Editorial Maternal mortality remains a devastating public health challenge across Sub-Saharan Africa. Nigeria, in particular, accounts for nearly 20% of global maternal deaths, with a maternal mortality ratio (MMR) estimated at over 800 deaths per 100,000 live births (WHO, 2019). In Katsina State, recent hospital-based reviews report an MMR of approximately 1,200 per 100,000 live births, with hypertensive disorders and lack of antenatal care as leading contributors (Adeoye et al., 2025). This crisis is not merely statistical—it reflects systemic neglect, social inequity, and preventable loss. A Health Needs Assessment (HNA) offers a structured, evidence-based approach to uncovering these gaps and guiding targeted interventions. In Katsina, retrospective analyses show that over 68% of maternal deaths occurred in women who were not booked for antenatal care, and nearly half died within 24 hours of hospital presentation. These findings underscore the urgency of community-level engagement and early intervention. To move from data to action, multi-sectoral collaboration is essential. Corporate Social Responsibility (CSR) initiatives can play a transformative role in bridging funding and service gaps. The Centre for Social Justice (CSJ) has documented Katsina’s MNCH budget allocations and highlighted the disconnect between policy standards and actual health outcomes (CSJ, 2016). By aligning CSR investments with HNA priorities—such as mobile outreach, midwife training, and health literacy campaigns—private sector actors can contribute meaningfully to maternal health equity. This model is not unprecedented. CSR-health partnerships have yielded measurable improvements in maternal outcomes in India and Kenya (Ameh et al., 2012). Nigeria’s private sector, particularly in extractive and telecom industries, has the capacity to replicate and scale such interventions. What’s needed is political will, ethical commitment, and strategic alignment with community needs. Matern…
subject: Editorial
  topic: section
creator: Chinedu Okorie Anoh
creator: Ali Davod Parsa
creator: Russell Kabir
creator: Richard Hayhoe
rights: Copyright (c) 2025 Chinedu Okorie Anoh, Ali Davod Parsa, Russell Kabir, Richard Hayhoe (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-09-25
publication date: 2025-09-25
starting page: 46
ending page: 47
doi: 10.62377/j303se37

Hundreds Dying Every day in Karachi as Pakistan Battles Brutal Summer
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description: Section: Editorial Global health and livelihoods have been severely impacted by climate change, which is expected to worsen in the future and bring more frequent and intense extreme events (Weiskopf et al,2020). Extreme heatwaves are increasingly common during summertime globally, contributing to an excess of mortality. As climate change continues, it is anticipated that heat-related illness and mortality will rise even more, with higher levels of global warming being associated with greater risk (Ebi et al,2021). Pakistan ranks sixth among nations most susceptible to the effects of climate change (Soomro & Shahid,2024).According to the IPCC, surface temperatures have risen by roughly 1.0°C since the middle of the 19th century and could climb by 1.10°C to 6.40°C in the 21st (IPCC,2018). Pakistan is extremely sensitive to the consequences of climate change as a developing nation, including rising temperatures, variable monsoons, melting Himalayan glaciers, and more frequent and severe extreme weather events. Future disturbances to Karachi's local weather are anticipated because of climate change (Babar et al, 2021). According to a recent BBC report, Pakistan's heatwave has claimed the lives of nearly 500 people. There has been a notable rise in mortality in southern Pakistan due to temperatures above 40°C (104°F) and heavy humidity, which makes it feel like 49°C (120°F). With 141 deaths on 25th May alone, the Edhi ambulance service reported transporting 568 bodies, as opposed to the typical 30 to 40 each day to the Karachi municipal mortuary over the course of six days. The number of persons requesting assistance in hospitals is rising. Each case's precise cause of death is still being investigated (BBC, 2024). According to Soomro and Shahid (2024), Karachi recorded the hottest temperature in the region last month, with the province of Sindh clocking close to 52.2°C. The extreme heat is making life difficult for people in other parts of Pakistan as well. Low winds, h…
subject: Editorial
  topic: section
creator: Remsha Hussain
creator: Russell Kabir
rights: Copyright (c) 2024 Asian Journal of Public Health and Nursing https://creativecommons.org/licenses/by/4.0/
date: 2024-07-23
publication date: 2024-07-23
starting page: 40
ending page: 41
doi: 10.62377/a18hk262

Assessing the Psychosocial Determinants of Mental Health Decline Among Bangladeshi University Students During the COVID-19 Pandemic: A Rapid Systematic Review
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description: Section: Review Keywords: Array, Array, Array, Array, Array, Array Background: The COVID-19 epidemic has profoundly impacted the mental health of university students. This review investigates the psychosocial factors contributing to the mental health decline of Bangladeshi university students, particularly in Dhaka city, with the objective of identifying the primary elements exacerbating their mental health issues during the pandemic. Method: Employing a mixed-methods approach, this review integrates quantitative and qualitative data, adhering to PRISMA guidelines. Data were extracted using MeSH keywords from databases such as PubMed, PsycINFO, EMBASE, Medline, and ARU-E-Library. Out of 822 initially identified publications, 24 met the inclusion criteria. Thematic analysis was used to investigate pertinent data, and studies were appraised using CASP and AXIS tools. Data interpretation involved SPSS and R, utilizing descriptive statistics, t-tests, ANOVA, and regression analyses. Results: The review identified critical factors contributing to mental health deterioration, including financial hardships, academic disruption, social isolation, excessive smartphone use, and career instability. High prevalence rates of anxiety (61.2%), depression (64.7%), and stress (52.4%) were found. Inferential statistics revealed significant differences in mental health outcomes across demographic groups, with female students showing a 20% higher risk of anxiety and those living with parents showing a 15% higher risk of depression. Discussion: The results emphasize the multifaceted nature of the mental health challenges that students encounter. The transition to online learning, financial instability, and social isolation were substantial stressors. The review emphasizes the necessity of legislative changes and targeted mental health interventions. Conclusion: To address the mental health crisis among university students, policymakers must reform frameworks and provide support systems,…
subject: Review
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creator: Md Rakibul Hasan
rights: Copyright (c) 2024 Asian Journal of Public Health and Nursing https://creativecommons.org/licenses/by/4.0/
date: 2024-12-08
publication date: 2024-12-08
starting page: 17
ending page: 30
doi: 10.62377/ezyt1t59

High Bullying Exposure and Depression Risk Among Indonesian Adolescents in Boarding Schools: Multivariate Insights from a Cross-Sectional Study
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description: Section: Research Articles Keywords: Array, Array, Array, Array Background: Bullying is an aggressive behavior that negatively impacts students' mental health, potentially leading to depression. Boarding school environments are marked by intense peer dynamics, which may facilitate the occurrence of various forms of bullying. Methods: This cross-sectional study employed a quantitative approach involving 296 Indonesian boarding school students selected through multistage random sampling. Data were collected using the Form of Bullying Scale (FBS) and the depression subscale of the Depression, Anxiety, and Stress Scale (DASS-21). Descriptive and inferential statistics were used, including simple and multivariate logistic regression. Initial multivariate modeling included age, grade level, parental occupation, and parental income; however, only gender and bullying level remained significant and were retained in the final model. Results: The findings revealed that 38.5% of students experienced a high level of bullying, and 43.6% were identified as experiencing depression, with most cases classified as mild to moderate. Multivariate analysis showed that female gender (AOR = 3.716, p < 0.001) and high bullying exposure (AOR = 3.379, p < 0.001) significantly increased the risk of depression. Conclusion: Depression is prevalent among boarding school students, with over one-third also reporting high levels of bullying. Gender and bullying exposure were identified as key risk factors. These findings highlight the need for targeted preventive and promotive interventions, such as peer support programs, resilience workshops, and school staff training, focusing on strengthening students’ mental resilience and implementing gender-based anti-bullying strategies within the boarding school environment.
subject: Research Articles
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creator: Rizkia Funna
creator: Teuku Tahlil
creator: Aiyub Aiyub
rights: Copyright (c) 2025 Rizkia Funna, Teuku Tahlil, Aiyub (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-08-03
publication date: 2025-08-03
starting page: 38
ending page: 45
doi: 10.62377/f32mq420

Patient Perceptions of Generalist Therapy for Schizophrenia with Violent Risk: A Phenomenological Study in Indonesia
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array Background: Generalist Therapy (GT) is a nursing approach that integrates physical, psychological, social, and spiritual care tailored to individual needs. While commonly used in mental health nursing, its implementation varies across countries. In Indonesia, GT is delivered through culturally adapted implementation strategies. These include deep breathing exercises, pillow-punching, medication adherence, assertive verbal communication, and spiritual practices. Although GT has become a standard practice in Indonesian mental health services particularly in Aceh Province, research on patient perceptions, especially among those with schizophrenia and a history of violence, remains limited. This study aims to explore patients’ subjective experiences of GT. Methods: This qualitative study employed a phenomenological approach. Data were collected through in-depth interviews with ten patients diagnosed with schizophrenia. The interviews were analyzed using Colaizzi’s seven-step method. Results: Three major themes emerged from the data: (1) the effectiveness of GT in emotional regulation, including managing anger, promoting calmness, and the role of medication in reducing negative emotions; (2) resilience enhancement, encompassing positive meaning-making, therapy commitment, improved social functioning, and self-control; and (3) barriers to GT implementation, including internal (emotional issues, low insight, restrictive personal beliefs, cognitive decline, and low participation) and external obstacles (limited facilities and overcrowded wards). Conclusion: GT is perceived as helpful in emotional regulation and recovery support. It strengthens resilience and improves patient insight, especially when supported by a conducive environment. Incorporating patients’ perspectives into therapeutic planning may enhance the effectiveness of mental health care.
subject: Research Articles
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creator: Hendrian Hadi Permana
creator: Aiyub
creator: Syarifah Rauzatul Jannah
rights: Copyright (c) 2025 Hendrian Hadi Permana, Aiyub, Syarifah Rauzatul Jannah (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-08-03
publication date: 2025-08-03
starting page: 28
ending page: 37
doi: 10.62377/1yjsmg47

Oral Health Symptoms and Smokeless Tobacco Use Among Outpatients in Bangladesh: Insights from a Cross-Sectional Study
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array Background: In low-income nations like Bangladesh, the use of smokeless tobacco (SLT) is common and linked to major oral health problems such tooth stains, cavities, and precancerous lesions. Methods: At the evening OPD of Sapporo Dental College and Hospital in Dhaka, a descriptive cross-sectional study was carried out between April and October 2023. 400 people were polled using a standardized questionnaire and purposive sampling. Logistic regression and descriptive statistics were used to analyze the data. Results: The majority of responders (84.75%) were men, and the age group of 35–54 years old accounted for 39.5% of the total. The use of SLT was more common in older people and teenagers. The most often reported oral complaints were poor breath (75%) and dental stains (90.75%). SLT use was found to be substantially correlated with peer influence, decreased perceived severity and benefits, and age ≥14 years (OR = 6.58), according to logistic regression. Just 29.2% of respondents said they intended to stop after seeing the health warnings. Conclusion: SLT use is very common among adults in Dhaka who visit the dental outpatient department, despite their lack of knowledge about the health hazards. In order to enhance public health outcomes in Bangladesh, the findings emphasize the necessity of integrated oral health and tobacco cessation initiatives in community clinics and educational settings.
subject: Research Articles
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creator: Ashek Elahi Noor
creator: Russell Kabir
rights: Copyright (c) 2025 Ashek Elahi Noor, Russell Kabir (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-08-03
publication date: 2025-08-03
starting page: 8
ending page: 13
doi: 10.62377/hwazwh41

RETRACTED: Understanding Barriers to PrEP Adherence: A Brief Report on the Combined Effects of Alcohol Misuse, PTSD, and Gut Microbiome Disruption in HIV Prevention
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description: Section: Review Keywords: Array, Array, Array, Array, Array Background: Human Immunodeficiency Virus (HIV) remains a global health challenge. While Pre-exposure Prophylaxis (PrEP) offers high efficacy for prevention, its adherence is significantly impacted by gastrointestinal (GI) dysbiosis and hazardous alcohol use. Alcohol misuse exacerbates PTSD and behavioral health issues, and chronic alcohol use can escalate GI disturbances, potentially leading to severe conditions like alcoholic hepatitis. Methods: This brief report presents a conceptual analysis of existing literature and retrospective clinical data. Thematic coding was utilized to identify correlations between alcohol use, GI dysbiosis, PTSD, and PrEP adherence among HIV-negative individuals. Results: Hazardous alcohol use amplifies PTSD symptoms and disrupts gut microbiota, causing systemic inflammation and broader behavioral problems. These factors collectively compromise PrEP adherence, with affected individuals demonstrating rates as low as 45–60%, particularly in marginalized groups. Conclusion: Integrated behavioral interventions prioritizing alcohol reduction, microbiome support, and trauma-informed mental health care are crucial to optimize PrEP outcomes and advance HIV prevention efforts.
subject: Review
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creator: Md Rakibul Hasan
creator: Richard Davidson
rights: Copyright (c) 2025 Dr. Md Rakibul Hasan, Richard Davidson (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-08-03
publication date: 2025-08-03
starting page: 14
ending page: 27
doi: 10.62377/ayk4kk55

Experiences and Roles of Community Health Cadres in the Implementation of Integrated Service Posts for Non-Communicable Diseases in Indonesia: A Qualitative Study
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description: Section: Research Articles Keywords: Array, Array, Array, Array Background: Non-Communicable Diseases (NCDs) remain the leading cause of mortality globally and in Indonesia. To address this, Indonesia introduced the Posbindu PTM (Integrated Service Posts for NCDs), a community-based program that relies heavily on volunteer health cadres. This study explores the lived experiences, roles, and challenges faced by these cadres in Banda Aceh. Methods: A qualitative phenomenological approach was used. Twelve female health cadres from Ulee Kareng Health Center were selected using purposive sampling. Semi-structured interviews were conducted in January 2025. Thematic analysis using the Miles and Huberman model revealed two overarching themes and five subthemes, including personal empowerment, logistical constraints, low public participation, and digital limitations. Results: Health cadres reported increased knowledge and confidence in health promotion, but faced critical barriers such as infrastructure limitations, insufficient financial incentives, and community reluctance. Differences in perspectives emerged based on years of service. Notably, cadres with longer tenure (more than five years) expressed greater confidence and skill in engaging the community compared to newer cadres. Conclusion: While cadres derive personal growth and community recognition, system-level changes are essential for program sustainability. Policy recommendations include better government support, consistent training, stakeholder engagement, and adequate resources.
subject: Research Articles
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creator: Irhamni Rahmatillah
creator: Said Usman
creator: nurjannah
creator: Teuku Maulana
creator: Marthoenis
rights: Copyright (c) 2025 Irhamni Rahmatillah, Said Usman, Nurjannah, Teuku Maulana, Marthoenis (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 55
ending page: 61
doi: 10.62377/d3ex5550

Does the Appearance and Mannerism of Doctors Affect Doctor-Patient Relationship? A Cross-Sectional Study among General Population in Malaysia
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array Background: A strong doctor–patient relationship is crucial for effective diagnosis and treatment. This study aimed to determine the community’s perception toward doctors’ physical appearance, mannerisms, and association with the doctor-patient relationship in Malaysia. Methods: This cross-sectional study was conducted among the general adult population in Malaysia. Data was collected via an online survey and analyzed using SPSS version 27. Results: A total of 389 respondents participated in this study. Over half (55.53%) considered professional attire with a white coat is important, and 90.75% preferred doctors to wear name tags. The respondents paid more attention to mannerisms if they were younger age group (18-30 years) rather than the older age group (50 years and above) (Adjusted OR = 4.64, 95%CI: 1.90, 11.36). While the respondents with higher education levels (Postgraduate) were more attentive to mannerisms compared to respondents with SPM – Secondary Education level (Adjusted OR = 6.77, 95%CI: 1.26, 36.53). Conclusion: The respondents demonstrated increased trust, confidence, and approachability and were more willing to share personal information with doctors dressed in formal attire with a white coat along with name tags. Most respondents felt that both the physical appearance and mannerisms of doctors played a significant role to form a good doctor-patient relationship. Mannerism was considered more important for the doctor-patient relationship among younger aged and higher educated people.
subject: Research Articles
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creator: Delisha Kaur Boparai
creator: Keeran Ramesh
creator: Ama Thathsarani Rajapura
creator: Dushan Uvindu Gunawardana
creator: Thin Mon Kyaw
creator: Htoo Htoo Kyaw Soe
creator: Soe Moe
creator: Nivedita Nadarajah
creator: Mila Nu Nu Htay
rights: Copyright (c) 2025 Delisha Kaur Boparai, Keeran Ramesh, Ama Thathsarani Rajapura, Dushan Uvindu Gunawardana, Thin Mon Kyaw, Htoo Htoo Kyaw Soe, Soe Moe, Nivedita Nadarajah, Mila Nu Nu Htay (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-06-26
publication date: 2025-06-26
starting page: 44
ending page: 54
doi: 10.62377/61s9v617

Understanding Diabetes Care Barriers Through Community Voices: A Brief Qualitative Report from Jefferson County, Kentucky
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description: Section: Brief Report Keywords: Array, Array, Array, Array, Array Background: Type 2 diabetes is a significant public health concern in Jefferson County, Kentucky, exacerbated by socioeconomic barriers influencing care access and disease management. This qualitative study explored community-perceived barriers impacting diabetes self-management among local adults. Methods: Guided by the Theory of Planned Behavior, this qualitative study involved thematic analysis (Braun and Clarke’s method) of open-ended responses collected through an online questionnaire from six purposively selected adults (≥18 years) with physician-diagnosed type 2 diabetes in Jefferson County. Results: Participants described several structural barriers affecting their diabetes care, primarily highlighting medication affordability (83%), transportation difficulties (67%), and inadequate access to healthy food (67%). Additional qualitative themes revealed concerns related to insufficient flexibility of healthcare services and personal time constraints. Participants further suggested community-informed strategies, including subsidized medication programs, enhanced transportation services, increased availability of virtual healthcare, and improved local access to affordable fitness facilities and nutritious foods. Conclusion: Qualitative insights underscore a substantial gap between diabetes care intentions and achievable self-management practices due to persistent systemic barriers. Addressing these barriers through targeted, community-driven solutions could meaningfully improve diabetes outcomes in Jefferson County
subject: Brief Report
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creator: Md Rakibul Hasan
rights: Copyright (c) 2025 Dr. Md Rakibul Hasan (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-08-01
publication date: 2025-08-01
starting page: 1
ending page: 7
doi: 10.62377/tber4w45

Effectiveness of Guided Imagery in Reducing Anxiety Among Mental Health Outpatients: A Pilot Study
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description: Section: Brief Report Keywords: Array, Array, Array, Array, Array Background: Guided imagery is a promising non-pharmacological intervention for anxiety reduction, yet its use in outpatient mental health care remains limited. This study aimed to evaluate its effectiveness in reducing anxiety among patients with mental disorders. Methods: A randomized controlled trial was conducted with 68 participants assigned to intervention or control groups. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS-A). Data were analyzed using the Wilcoxon test for within-group and the Mann-Whitney test for between-group comparisons. Results: The intervention group showed a significant reduction in anxiety levels compared to the control group (p = 0.003). After the guided imagery intervention, 76.5% (26 of 34) of the intervention group had reduced anxiety, while the control group showed minimal change (p = 0.129). Outpatients visit frequency also increased post-intervention in the intervention group. Conclusion: Guided imagery is an effective and feasible intervention for reducing anxiety in outpatient mental health settings and can be integrated into standard care.
subject: Brief Report
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creator: Mayang Murni
creator: Darmawati
creator: Marthoenis Marthoenis
rights: Copyright (c) 2025 Asian Journal of Public Health and Nursing https://creativecommons.org/licenses/by/4.0/
date: 2025-05-12
publication date: 2025-05-12
starting page: 73
ending page: 76
doi: 10.62377/7fbyd952

Effectiveness of Psychological First Aid and Communication Skills in Enhancing Self-Efficacy: A Randomized Controlled Trial
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description: Section: Research Articles Keywords: Array, Array, Array, Array Background: Supporting students' psychological well-being is crucial for teachers, particularly in times of crisis. However, communication barriers and low confidence in administering Psychological First Aid (PFA) often hinder effective support. This study examines the impact of PFA training and interpersonal communication skills on educators' self-efficacy. Methods: A randomized controlled trial with cluster sampling was conducted among 88 educators from four schools in Aceh (September–October 2024). Participants were assigned to intervention and control groups, with data collected using a pre-test and post-test design. The intervention consisted of PFA and interpersonal communication training, delivered in 2-hour sessions over four weeks. Self-efficacy was measured using the General Self-Efficacy Scale, with data analyzed using normality tests, the Wilcoxon Signed-Rank Test, and the Mann-Whitney U Test. Results: Educators who received PFA training showed significantly higher self-efficacy compared to the control group (U = 537.500, p < 0.001; Wilcoxon Z = -5.785, p = 0.001). Similarly, interpersonal communication training led to significant self-efficacy improvements (U = 306.500, p = 0.001; Wilcoxon Z = -5.783, p < 0.001). Conclusion: PFA and interpersonal communication training enhance teachers' self-efficacy in providing psychological support. Wider implementation of these interventions is recommended to improve students' psychological well-being in Aceh.
subject: Research Articles
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creator: Alfiatur Rahmi
creator: Marlina
creator: Marthoenis
rights: Copyright (c) 2025 Asian Journal of Public Health and Nursing https://creativecommons.org/licenses/by/4.0/
date: 2025-04-01
publication date: 2025-04-01
starting page: 1
ending page: 8
doi: 10.62377/s0mzm206

A Descriptive Study on Childhood Obesity: Examining Research Gaps, Evaluating Interventions, and Informing Policy for Sustainable Health Outcomes
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array, Array Background: Childhood obesity is a critical public health issue, affecting almost 19.7% of children in the United States and 24% of adolescents aged 10–17 in Kentucky. This condition is exacerbated by socioeconomic disparities, food deserts, and limited access to physical activity spaces. Effective intervention requires comprehensive, multilevel strategies that involve schools, families, healthcare providers, and policymakers to address systemic barriers and promote equity. Methods: This study utilized a mixed-methods approach, incorporating descriptive statistical analysis from the Centers for Disease Control and Prevention (CDC), state-level reports, and targeted online surveys with parents, educators, and healthcare providers in Kentucky. The surveys explored barriers to healthy behaviors, including food accessibility and opportunities for physical activity. Additionally, descriptive case studies of global intervention models, such as Finland’s Schools on the Move and the UK's MEND program, were synthesized to evaluate their scalability and sustainability for local adaptation. Results: The proposed interventions, which include school-based programs, family-centered initiatives, community engagement efforts, and policy reforms like soda taxes, are expected to reduce obesity prevalence, improve psychosocial well-being, and generate sustainable public health benefits. Descriptive evaluations of programs such as ‘Marathon Kids’ indicate improvements in BMI, dietary habits, and physical activity levels, underscoring the effectiveness of collaborative, evidence-based approaches. Conclusion: Addressing childhood obesity necessitates comprehensive, multilevel strategies. Overcoming challenges such as funding, cultural adaptation, and policy enforcement requires rigorous descriptive studies and stakeholder collaboration. This study contributes to bridging research gaps and advocates for a holist…
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creator: Md Rakibul Hasan
creator: Samir Kumar Sarker Rony
creator: Moryom Akter Muna
creator: Sajid Hassan
rights: Copyright (c) 2025 Asian Journal of Public Health and Nursing https://creativecommons.org/licenses/by/4.0/
date: 2025-04-01
publication date: 2025-04-01
starting page: 26
ending page: 43
doi: 10.62377/ttgnvb55

Exploring Dengue Transmission Trends, Public Health Challenges, and Intervention Efficacy Among Adolescents in Dhaka City: An Observational Study
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array, Array Background: Dengue fever remains a major public health threat in Dhaka City, Bangladesh, with adolescents (15–22 years) particularly vulnerable due to high mobility and environmental exposure. This observational retrospective study analyzes fourteen years of dengue trends (2010–2023), comparing them with the August–October 2023 outbreak, which recorded the highest dengue burden in over a decade. The study evaluates disease severity, hospitalization rates, and the effectiveness of targeted public health interventions. Methods: A retrospective hospital-based study was conducted using laboratory-confirmed dengue cases from eight major hospitals in Dhaka City, ensuring adherence to ethical research standards. Comparative analysis between intervention and control regions assessed the impact of vector control programs, awareness campaigns, and healthcare accessibility. Cohen’s d was used to quantify effect sizes, and statistical analyses were performed using SPSS and R software. Results: Dengue cases peaked in September 2023, with a monthly average of 1,250 cases (SD = 300). The overall adolescent prevalence was 15%, with hospitalization rates 15% higher in females than males. Intervention areas showed a 20% reduction in hospital admissions, with a Cohen’s d effect size of 0.6, indicating a moderate impact of public health measures. Lower-income communities faced a 30% higher infection rate, emphasizing disparities in healthcare access and preventive resources. Discussion: Findings reveal that adolescents remain a high-risk group due to urban exposure, limited preventive behaviors, and delayed healthcare access. Comparisons between 2010–2023 and August–October 2023 highlight worsening disease severity, driven by urbanization, climate factors, and inadequate mosquito control. Strengthening real-time surveillance, improving drainage infrastructure, and expanding school-based awareness campaigns is…
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creator: Md Rakibul Hasan
creator: Md. Abdullah Yusuf
creator: Whitney Rogers
creator: Moryom Akter Muna
rights: Copyright (c) 2025 Asian Journal of Public Health and Nursing https://creativecommons.org/licenses/by/4.0/
date: 2025-04-01
publication date: 2025-04-01
starting page: 9
ending page: 25
doi: 10.62377/axenxb90

Resilience Training for Burnout Reduction Among Emergency Department Health Workers: A Systematic Review
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description: Section: Review Keywords: Array, Array, Array, Array, Array Background: Emergency department (ED) healthcare workers are at elevated risk of burnout due to high workloads, time pressure, and repeated exposure to trauma. Resilience training has emerged as a promising intervention, yet its specific effectiveness in ED settings has not been comprehensively reviewed. Methods: This systematic review evaluated 20 studies (from an initial pool of 1,120 articles) that met predefined inclusion criteria, encompassing randomized controlled trials, quasi-experimental studies, cohort designs, and qualitative research. Literature searches were conducted across PubMed, ScienceDirect, and Google Scholar for studies published between 2014 and 2024. Data were extracted on intervention type, duration, burnout assessment tools (e.g., MBI, CBI), and psychological outcomes. Results: Resilience training—particularly mindfulness-based interventions and cognitive-behavioral techniques—was associated with a 25–30% reduction in burnout scores, especially in the emotional exhaustion domain. Participants also reported improvements in coping strategies and psychological well-being. However, heterogeneity in intervention formats (ranging from 4 to 12 weeks) and outcome measures limited direct comparisons across studies. Conclusions: Resilience training appears to be an effective strategy for mitigating burnout among ED healthcare workers. To enhance its impact, future research should prioritize the development of standardized protocols, integration into hospital policies, and assessment of long-term outcomes. Digital formats, such as app-based or microlearning modules, also warrant further investigation for broader accessibility and scalability.
subject: Review
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creator: Liza Fathiariani
creator: Natha Bella
creator: Nura Shara Amirza
creator: Radhiah Radhiah
rights: Copyright (c) 2025 Liza Fathiariani, Natha Bella, Nura Shara Amirza, Radhiah Radhiah (Author) https://creativecommons.org/licenses/by/4.0
date: 2025-06-05
publication date: 2025-06-05
starting page: 62
ending page: 72
doi: 10.62377/aptt5s85

The January 2025 Southern California Wildfires: Public Mental Health Impacts and a Call to Action
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description: Section: Editorial Keywords: Array, Array, Array, Array Abstract The January 2025 Southern California wildfires, among the most severe in recent years, devastated over 40,000 acres, displacing thousands and causing extensive physical and emotional tolls. Beyond the evident physical and economic impacts, the mental health consequences demand urgent attention. This editorial highlights the psychological repercussions, including acute stress, PTSD, anxiety, depression, and substance use disorders, affecting survivors, first responders, and vulnerable populations such as children, the elderly, and low-income communities. Prolonged disruptions and repeated wildfire exposures exacerbate these challenges. The editorial emphasizes the necessity of integrating mental health into disaster response and preparedness strategies, advocating for immediate mental health support, long-term care, and resilience-building within communities. By recognizing mental health as a vital component of disaster management and linking it to climate change policies, a comprehensive approach can mitigate the mental health burden of wildfires and enhance societal resilience to future climate-related disasters.
subject: Editorial
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creator: Marthoenis
rights: Copyright (c) 2025 Asian Journal of Public Health and Nursing https://creativecommons.org/licenses/by/4.0/
date: 2025-01-15
publication date: 2025-01-15
starting page: 51
ending page: 53
doi: 10.62377/fdtqx765

Exploring Parental Perspectives on Factors Influencing Sugar-Sweetened Beverage Consumption in Children Aged 8 to 14
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description: Section: Research Articles Keywords: Array, Array, Array, Array, Array, Array Background: This study explores the increasing consumption of sugar-sweetened beverages (SSBs) among children aged 8 to 14 years from the parental perspective, aiming to identify influencing factors. Methods: A qualitative phenomenological approach was used, involving in-depth interviews with parents. Thematic analysis was employed to extract insights. The study was conducted in Coventry, West Midlands, UK with a purposive sampling technique to select participants. Data were manually transcribed and analyzed using Braun and Clarke's six-phase framework for thematic analysis. Results: Four key themes surfaced: (1) parental control over the provision of sugar-sweetened beverages, (2) marketing tactics, (3) shopping and special events, and (4) friend influence. Children's drinking habits are greatly influenced by parental practices, such as rewarding children with SSBs and giving their desires priority. Lower pricing makes SSBs more accessible, and effective marketing—which includes commercials and a variety of product options—encourages usage. Peer pressure and special events also play crucial roles. Conclusion: The research emphasizes how peer pressure, marketing, special events, and parental conduct all interact in intricate ways to impact children's intake of sugar-sweetened beverages. To address these concerns, it emphasizes the need of focused public health initiatives and policies. The growing trend of SSB intake may be lessened by informing parents about healthier options and the dangers of SSBs, as well as by regulating marketing strategies. Public health benefits greatly from this study, which indicates that to properly address this problem, more professional engagement and development are necessary.
subject: Research Articles
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creator: Md Rakibul Hasan
creator: Samir Kumar Sarker Rony
rights: Copyright (c) 2025 Asian Journal of Public Health and Nursing https://creativecommons.org/licenses/by/4.0/
date: 2025-01-10
publication date: 2025-01-10
starting page: 6
ending page: 16
doi: 10.62377/9h2t9407

Internet Shutdown with Violations of Human Rights and Freedom of Speech
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description: Section: Editorial Keywords: Array, Array, Array, Array, Array In the current time the world is too connected with the virtue of internet. Health systems around the world are become more digitalized and dependent on internet connectivity for their operations, making them and their beneficiaries more susceptible to the effects of outages. Internet ensures the basic human rights like freedom of expression and internet shutdown hampers the progression to the sustainable development goals (SDGs; Myanmar, 2019). Recently, Bangladesh has experienced a mass uprising with a demand of quota reformation for entering the public services. There were at least 757 killings, hundreds were injured, and thousands were arrested (Hasan, 2024). During the protest, the internet was shut down by the Bangladeshi government on July 18–23 and August 4–5, severely curtailing the country's citizens' ability to express themselves freely and gather in peace (UN Human rights, 2024). The country has also experienced sheer violations of human rights (Human Rights Watch, 2021). These shutdowns, which prevented users from accessing social media sites like Facebook and Twitter, hindered information sharing, reduced public scrutiny of law enforcement, and increased the likelihood of impunity. The situation was made worse by threats against journalists. That internet shutdown fear, apprehension, disconnected with the friends and family members. It also hindered the tele-medicine and other internet-based services. The limitations on one's freedom of movement also made it much harder to do business, go about daily life, and obtain necessities. Due to political instability, hospital overcrowding, some injured protesters were unable to get timely medical attention. The disturbance has had a substantial impact on the economy as well, particularly on companies and transportation. Curfews and shutdowns exacerbated the already poor economic situation by impeding not just the emergency response but also the sup…
subject: Editorial
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creator: Remsha Hussain
creator: Russell Kabir
creator: Sujita Kumar Kar
creator: SM Yasir Arafat
rights: Copyright (c) 2024 Asian Journal of Public Health and Nursing https://creativecommons.org/licenses/by/4.0/
date: 2024-12-09
publication date: 2024-12-09
starting page: 47
ending page: 50
doi: 10.62377/x3zp6t02