Tasmiah Nuzhath | Texas A&M University (original) (raw)

Papers by Tasmiah Nuzhath

Research paper thumbnail of Meeting The Mentorship Needs Of International Students In The United States

Health Behavior Research

Mentorship of international students is an enriching experience because international students st... more Mentorship of international students is an enriching experience because international students studying in the United States enhance inclusion and diversity within the university environment by contributing their unique cultural and societal experiences and perspectives. International students have unique needs regardless of their country of origin and exposure. This paper provides the perspectives of international students on recommendations and strategies that mentors could employ to meet some of the identified needs of international students.

Research paper thumbnail of Physician Trust in the News Media and Attitudes toward COVID-19

Journal of Health Politics, Policy and Law

Context: Previous research has established the importance of primary care physicians in communica... more Context: Previous research has established the importance of primary care physicians in communicating public health directives. The implicit assumption is that, because of their expertise, doctors provide accurate and up-to-date information to their patients independent of partisan affiliation or media trust. Methods: The authors conducted an online survey of 625 primary care physicians and used the results to test (1) whether physician trust in media outlets is consistent with their political partisanship, and (2) whether trust in media outlets influences (a) personal concern that someone in their family will get sick, (b) perceptions about the seriousness of the pandemic as portrayed in the media, and (c) trust in federal government agencies and scientists. Findings: Physicians are better positioned to critically evaluate health-related news, but they are subject to the same biases that influence public opinion. Physicians' partisan commitments influence media trust, and media...

Research paper thumbnail of Creation of a Global Vaccine Risk Index

PLOS ONE

The World Health Organization has identified vaccine hesitancy as one of its top ten global healt... more The World Health Organization has identified vaccine hesitancy as one of its top ten global health threats for 2019. Efforts are underway to define the factors responsible for reductions in vaccine confidence. However, as global measles cases accelerated beginning in 2018, it became evident that additional factors were promoting measles re-emergence, including war, political and socio-economic collapse, shifting poverty, and vulnerability to weather events and climate change. Accordingly, we propose a Global Vaccine Risk Index (VRI) to consider these variables as a more comprehensive means to identify vulnerable nations where we might expect measles and other vaccine-preventable diseases to emerge or re-emerge. In Sub-Saharan African and Middle Eastern nations, conflict and political instability predominated as the basis for high vaccine risk scores, whereas in Southeast Asian countries, the major reasons included climate variability, current levels of measles vaccination coverage, ...

Research paper thumbnail of The Changing Nature of Telehealth Use by Primary Care Physicians in the United States

Journal of Primary Care & Community Health

Introduction: Prior to the COVID-19 pandemic, telehealth utilization was growing slowly and stead... more Introduction: Prior to the COVID-19 pandemic, telehealth utilization was growing slowly and steadily, although differentially across medical specialties in the United States. The pandemic dramatically expanded physician use of telehealth, but our understanding of how much telehealth use has changed in primary care in the United States, the correlates of physician telehealth uptake, and the frequency with which primary care physicians intend to use telehealth after the pandemic are unknown. This paper is designed to assess these important questions. Methods: Using data from an original national survey of 625 primary care physicians conducted from May 14 to May 25, 2021, we investigate the frequency of physician telehealth use before and during the pandemic and intended use after the pandemic. We also assess the correlates of changes in telehealth use by physicians, comparing telehealth use before the pandemic to use during and after the pandemic. Results: The proportion of primary ca...

Research paper thumbnail of Imperfect messengers? An analysis of vaccine confidence among primary care physicians

Vaccine, 2022

Background Growing narratives emphasize using primary care physicians as leaders in efforts to pr... more Background Growing narratives emphasize using primary care physicians as leaders in efforts to promote COVID-19 vaccination among the vaccine hesitant. Critically however, little is known about vaccine confidence among primary care physicians themselves. The objective of this study was to assess both physician confidence that in general, vaccines are safe, effective, and important, as well as physician confidence in each COVID-19 vaccine in the United States. Methods We rely on data from a national survey of primary care physicians conducted from May 14-May 25, 2021. We assess the influence of demographic, social, and political factors on physician beliefs that in general, vaccines are safe, effective, and important, as well as physician confidence in the safety of the Moderna, Pfizer, and Johnson & Johnson COVID-19 vaccines. Results 10.1% of primary care physicians do not agree that, in general, vaccines are safe, 9.3% do not agree they are effective, and 8.3% do not agree they are important. While 68.7% of physicians were ‘very confident’ in the safety of the Moderna vaccine and 72.7% were ‘very confident’ in the safety of the Pfizer vaccine, only 32.1% of physicians were ‘very confident’ in the safety of the Johnson & Johnson COVID-19 vaccine. Conclusion A troubling proportion of primary care physicians lack high levels of vaccine confidence. These physicians may not be well positioned to actively promote COVID-19 vaccination even as political and media narratives push physicians to lead this effort. Interventions aimed at improving vaccine confidence among some physicians may be needed so that all physicians can fulfill needed roles as trusted vaccine communicators.

Research paper thumbnail of Global research on syndemics: a meta-knowledge analysis (2001-2020)

F1000Research, 2022

Background: Syndemics or synergies of cooccurring epidemics are widely studied across health and ... more Background: Syndemics or synergies of cooccurring epidemics are widely studied across health and social sciences in recent years. Methods: We conducted a meta-knowledge analysis of articles published between 2001 to 2020 in this growing field of academic scholarship. Results: We found a total of 830 articles authored by 3025 authors, mostly from high-income countries. Publications on syndemics are gradually increasing since 2003, with rapid development in 2013. Each article was cited more than 15 times on average, and most (n = 604) articles were original studies. Syndemics research focused on several areas, including HIV/AIDS, substance abuse, mental health, gender minority stressors, racism, violence, chronic physical and mental disorders, food insecurity, social determinants of health, and coronavirus disease 2019. Moreover, biopsychosocial interactions between multiple health problems were studied across medical, anthropological, public health, and other disciplines of science. ...

Research paper thumbnail of Content Analysis of COVID-19 vaccination hesitancy, misinformation and rumors on Twitter

Research paper thumbnail of Childhood immunization during the COVID-19 pandemic in Texas

Vaccine, 2021

Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on ... more Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

Research paper thumbnail of COVID-19 vaccination hesitancy, misinformation and conspiracy theories on social media: A content analysis of Twitter data

Background: The coronavirus disease (COVID-19) pandemic has caused a significant burden of mortal... more Background: The coronavirus disease (COVID-19) pandemic has caused a significant burden of mortality and morbidity. A vaccine will be the most effective global preventive strategy to end the pandemic. Studies have maintained that exposure to negative sentiments related to vaccination on social media increase vaccine hesitancy and refusal. Despite the influence social media has on vaccination behavior, there is a lack of studies exploring the public's exposure to misinformation, conspiracy theories, and concerns on Twitter regarding a potential COVID-19 vaccination. Objective: The study aims to identify the major thematic areas about a potential COVID-19 vaccination based on the contents of Twitter data. Method: We retrieved 1,286,659 publicly available tweets posted within the timeline of July 19, 2020, to August 19, 2020, leveraging the Twint package. Following the extraction, we used Latent Dirichlet Allocation for topic modelling and identified 20 topics discussed in the twee...

Research paper thumbnail of Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Heliyon, 2021

Introduction: The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. P... more Introduction: The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. Pre-pandemic studies suggest a high prevalence of common mental disorders, including anxiety and depression in South Asian countries, which may aggravate during this pandemic. This systematic meta-analytic review was conducted to estimate the pooled prevalence of anxiety and depression in South Asian countries during the COVID-19 pandemic. Method: We systematically searched for cross-sectional studies on eight major bibliographic databases and additional sources up to October 12, 2020, that reported the prevalence of anxiety or depression in any of the eight South Asian countries. A random-effects model was used to calculate the pooled proportion of anxiety and depression. Results: A total of 35 studies representing 41,402 participants were included in this review. The pooled prevalence of anxiety in 31 studies with a pooled sample of 28,877 was 41.3% (95% confidence interval [CI]: 34.7-48.1, I 2 ¼ 99.18%). Moreover, the pooled prevalence of depression was 34.1% (95% CI: 28.9-39.4, I 2 ¼ 99%) among 37,437 participants in 28 studies. Among the South Asian countries, India had a higher number of studies, whereas Bangladesh and Pakistan had a higher pooled prevalence of anxiety and depression. No studies were identified from Afghanistan, Bhutan, and Maldives. Studies in this review had high heterogeneity, high publication bias confirmed by Egger's test, and varying prevalence rates across subgroups. Conclusion: South Asian countries have high prevalence rates of anxiety and depression, suggesting a heavy psychosocial burden during this pandemic. Clinical and public mental health interventions should be prioritized alongside improving the social determinants of mental health in these countries. Lastly, a low number of studies with high heterogeneity requires further research exploring the psychosocial epidemiology during COVID-19, which may inform better mental health policymaking and practice in South Asia.

Research paper thumbnail of Changes in Levels and Determinants of Maternal Health Service Utilization in Ethiopia: Comparative Analysis of Two Rounds Ethiopian Demographic and Health Surveys

Maternal and Child Health Journal, 2021

Antenatal care (ANC), delivery by skilled birth attendants, and postnatal care (PNC) are critical... more Antenatal care (ANC), delivery by skilled birth attendants, and postnatal care (PNC) are critical components of maternal health services for reducing maternal mortality. The study aimed to compare the utilization of maternal health services in the two most recent rounds of Ethiopia Demographic and Health Surveys (EDHS) and identify the factors influencing the utilization of these services using the 2016 EDHS. Two rounds of EDHS data in 2011 and 2016 were used to estimate the proportion of women who had ANC, delivered by skilled birth attendants, and had a postnatal checkup and other characteristics of the surveyed population. The most recent round of data—the 2016 EDHS—was used to examine the socio-cultural and reproductive health factors associated with the three maternal health services utilization. Chi-square tests and multivariate logistic regression analyses with adjusted Odds Ratios (AOR) were conducted using Stata 15.0. The use of ANC services and skilled birth attendants increased significantly between 2011 and 2016 EDHS, utilization of ANC services increased from 34.0 to 65.5%, and use of skilled birth attendants increased from 11.7 to 35.9%, respectively. The use of postnatal care decreased from 9.3 to 6.9%. Utilization of maternal health service was significantly associated with urban residence, Protestant religion, Oromo ethnicity, more education, more household wealth, and less parity. Furthermore, women who had ANC visits during pregnancy were more likely to subsequently use skilled birth attendants (AOR 5.5, p < 0.001) and PNC (AOR 2.9, p < 0.001). The study highlighted the inequalities in the utilization of maternal health services between rural and urban areas, and the need of addressing the social, economic, and physical barriers that prevent women from using these services. Further, programs should be targeted at promoting the use of professional birth and postnatal services in Ethiopia.

Research paper thumbnail of COVID-19 vaccine decisions: considering the choices and opportunities

Microbes and Infection, 2021

Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on ... more Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. Commentary COVID-19 vaccine decisions: considering the choices and opportunities

Research paper thumbnail of A mixed-method analysis of Facebook posts on the COVID-19 pandemic

The advent of the novel coronavirus (COVID-19) has renewed the debate about the credibility of he... more The advent of the novel coronavirus (COVID-19) has renewed the debate about the credibility of health information shared across social network sites, (SNS), such as Facebook. Despite these concerns, empirical studies into the reliability and accuracy of Facebook posts are largely limited. The objective of this study is to judge the accuracy and reliability of COVID-19-related information shared on Facebook using a mixed methodology. The authors extracted Facebook posts (text and embedded video links) in English from Buzzsumo between March 11, 2020, to April 31, 2020, using predetermined keywords. The first 50 posts pertaining to each keyword were extracted and analyzed using a one-way ANOVA, Tukey test for post hoc analysis, and modified DISCERN score. A qualitative content analysis was then conducted to contextualize the data. 196 posts were included in the analysis, with 24,084,564 shares and 3,436,275 comments. Useful posts had higher interactions compared to misleading and irrel...

Research paper thumbnail of Geriatric Health in Bangladesh during COVID-19: Challenges and Recommendations

Journal of Gerontological Social Work, 2020

The novel coronavirus disease (COVID-19) is impacting health globally, whereas older adults are h... more The novel coronavirus disease (COVID-19) is impacting health globally, whereas older adults are highly susceptible and more likely to have adverse health outcomes. In Bangladesh, the elderly population has been increasing over the past few decades, who often live with poor socioeconomic conditions and inadequate access to healthcare services. These disparities are likely to increase amid COVID-19, which may result in high mortality and morbidity among Bangladeshi older adults. We recommend that multifaceted interventions should be adopted for strengthening social care and health systems approach to ensure wellbeing, promote preventive measures, and facilitate access to healthcare among older adults in Bangladesh. Such multipronged measures would require policy-level commitment and collaborative efforts of health and social care providers and institutions to protect health and wellbeing among this vulnerable population during the COVID-19 pandemic.

Research paper thumbnail of Secondary impacts of COVID-19: Risk of vaccination reduction and global resurgence of measles

The World Health Organization temporarily suspended all mass vaccination campaigns to control the... more The World Health Organization temporarily suspended all mass vaccination campaigns to control the pandemic spread of COVID-19 and the national lockdown across the countries has resulted in the postponement of routine immunization programs following the recommendations of maintaining physical distance. Any disruption of immunization services, even for short duration will result in an increased likelihood of vaccine preventable disease such as measles outbreaks. Amidst ongoing COVID-19 pandemic, it is therefore, essential to prevent these challenges through effective policymaking and strategic planning. Such measures should not only aim to recover the gaps in national and regional immunization goals but also emphasize on building health systems resiliency to external shocks that may affect vaccination programs across context.

Research paper thumbnail of Combating vaccine hesitancy and other 21st century social determinants in the global fight against measles

Current Opinion in Virology, 2020

The year 2019 marked the return of measles after almost two decades of unprecedented successes in... more The year 2019 marked the return of measles after almost two decades of unprecedented successes in global vaccination programs. Measles transmission due to sharp declines in measles-mumps-rubella (MMR) vaccination coverage is now widespread among nations that previously saw impressive public health gains including Philippines, DR Congo, Madagascar, Samoa, many in Europe, and the United States and Venezuela in the Americas. Key determinants include the interruption of vaccine health systems due to war, conflict, and political instability; food insecurity and urbanization; and an increasingly globalized vaccine hesitancy or antivaccine movement. Vaccine hesitancy is partly responsible for over 100 000 measles cases in Europe in 2019, and the re-emergence of measles to the United States almost twenty years after it was eliminated. Three major elements currently comprise the American antivaccine movement, including a media empire, a political arm, and deliberate predatory behavior. New strategies will be required to counter these activities.

Research paper thumbnail of Health risks of Rohingya refugee population in Bangladesh: a call for global attention

Journal of Global Health, 2018

Rohinga refugees in Bangladesh are under significant health risks and it has become a challenge t... more Rohinga refugees in Bangladesh are under significant health risks and it has become a challenge to address their health needs. There is need to scale up health services and increase access to essential reproductive health and child newborn care, especially for Rohingyas living in hard-to-reach areas.

Research paper thumbnail of Global research on syndemics: A meta-knowledge analysis (2001-2020)

Syndemics or synergies of cooccurring epidemics are widely studies across health and social scien... more Syndemics or synergies of cooccurring epidemics are widely studies across health and social sciences in recent years. We conducted a meta-knowledge analysis of articles published between 2001 to 2020 in this growing field of academic scholarship. We found a total of 830 articles authored by 3025 authors, mostly from high-income countries. Publications on syndemics are gradually increasing since 2003, with rapid development in 2013. Each article was cited more than 15 times on average, whereas most (n = 604) articles were original studies. Syndemics research focused on several areas, including HIV/AIDS, substance abuse, mental health, gender minority stressors, racism, violence, chronic physical and mental disorders, food insecurity, social determinants of health, and COVID-19. Moreover, biopsychosocial interactions between multiple health problems were studied across medical, anthropological, public health, and other disciplines of science. The limited yet rapidly evolving literatur...

Research paper thumbnail of Meeting The Mentorship Needs Of International Students In The United States

Health Behavior Research

Mentorship of international students is an enriching experience because international students st... more Mentorship of international students is an enriching experience because international students studying in the United States enhance inclusion and diversity within the university environment by contributing their unique cultural and societal experiences and perspectives. International students have unique needs regardless of their country of origin and exposure. This paper provides the perspectives of international students on recommendations and strategies that mentors could employ to meet some of the identified needs of international students.

Research paper thumbnail of Physician Trust in the News Media and Attitudes toward COVID-19

Journal of Health Politics, Policy and Law

Context: Previous research has established the importance of primary care physicians in communica... more Context: Previous research has established the importance of primary care physicians in communicating public health directives. The implicit assumption is that, because of their expertise, doctors provide accurate and up-to-date information to their patients independent of partisan affiliation or media trust. Methods: The authors conducted an online survey of 625 primary care physicians and used the results to test (1) whether physician trust in media outlets is consistent with their political partisanship, and (2) whether trust in media outlets influences (a) personal concern that someone in their family will get sick, (b) perceptions about the seriousness of the pandemic as portrayed in the media, and (c) trust in federal government agencies and scientists. Findings: Physicians are better positioned to critically evaluate health-related news, but they are subject to the same biases that influence public opinion. Physicians' partisan commitments influence media trust, and media...

Research paper thumbnail of Creation of a Global Vaccine Risk Index

PLOS ONE

The World Health Organization has identified vaccine hesitancy as one of its top ten global healt... more The World Health Organization has identified vaccine hesitancy as one of its top ten global health threats for 2019. Efforts are underway to define the factors responsible for reductions in vaccine confidence. However, as global measles cases accelerated beginning in 2018, it became evident that additional factors were promoting measles re-emergence, including war, political and socio-economic collapse, shifting poverty, and vulnerability to weather events and climate change. Accordingly, we propose a Global Vaccine Risk Index (VRI) to consider these variables as a more comprehensive means to identify vulnerable nations where we might expect measles and other vaccine-preventable diseases to emerge or re-emerge. In Sub-Saharan African and Middle Eastern nations, conflict and political instability predominated as the basis for high vaccine risk scores, whereas in Southeast Asian countries, the major reasons included climate variability, current levels of measles vaccination coverage, ...

Research paper thumbnail of The Changing Nature of Telehealth Use by Primary Care Physicians in the United States

Journal of Primary Care & Community Health

Introduction: Prior to the COVID-19 pandemic, telehealth utilization was growing slowly and stead... more Introduction: Prior to the COVID-19 pandemic, telehealth utilization was growing slowly and steadily, although differentially across medical specialties in the United States. The pandemic dramatically expanded physician use of telehealth, but our understanding of how much telehealth use has changed in primary care in the United States, the correlates of physician telehealth uptake, and the frequency with which primary care physicians intend to use telehealth after the pandemic are unknown. This paper is designed to assess these important questions. Methods: Using data from an original national survey of 625 primary care physicians conducted from May 14 to May 25, 2021, we investigate the frequency of physician telehealth use before and during the pandemic and intended use after the pandemic. We also assess the correlates of changes in telehealth use by physicians, comparing telehealth use before the pandemic to use during and after the pandemic. Results: The proportion of primary ca...

Research paper thumbnail of Imperfect messengers? An analysis of vaccine confidence among primary care physicians

Vaccine, 2022

Background Growing narratives emphasize using primary care physicians as leaders in efforts to pr... more Background Growing narratives emphasize using primary care physicians as leaders in efforts to promote COVID-19 vaccination among the vaccine hesitant. Critically however, little is known about vaccine confidence among primary care physicians themselves. The objective of this study was to assess both physician confidence that in general, vaccines are safe, effective, and important, as well as physician confidence in each COVID-19 vaccine in the United States. Methods We rely on data from a national survey of primary care physicians conducted from May 14-May 25, 2021. We assess the influence of demographic, social, and political factors on physician beliefs that in general, vaccines are safe, effective, and important, as well as physician confidence in the safety of the Moderna, Pfizer, and Johnson & Johnson COVID-19 vaccines. Results 10.1% of primary care physicians do not agree that, in general, vaccines are safe, 9.3% do not agree they are effective, and 8.3% do not agree they are important. While 68.7% of physicians were ‘very confident’ in the safety of the Moderna vaccine and 72.7% were ‘very confident’ in the safety of the Pfizer vaccine, only 32.1% of physicians were ‘very confident’ in the safety of the Johnson & Johnson COVID-19 vaccine. Conclusion A troubling proportion of primary care physicians lack high levels of vaccine confidence. These physicians may not be well positioned to actively promote COVID-19 vaccination even as political and media narratives push physicians to lead this effort. Interventions aimed at improving vaccine confidence among some physicians may be needed so that all physicians can fulfill needed roles as trusted vaccine communicators.

Research paper thumbnail of Global research on syndemics: a meta-knowledge analysis (2001-2020)

F1000Research, 2022

Background: Syndemics or synergies of cooccurring epidemics are widely studied across health and ... more Background: Syndemics or synergies of cooccurring epidemics are widely studied across health and social sciences in recent years. Methods: We conducted a meta-knowledge analysis of articles published between 2001 to 2020 in this growing field of academic scholarship. Results: We found a total of 830 articles authored by 3025 authors, mostly from high-income countries. Publications on syndemics are gradually increasing since 2003, with rapid development in 2013. Each article was cited more than 15 times on average, and most (n = 604) articles were original studies. Syndemics research focused on several areas, including HIV/AIDS, substance abuse, mental health, gender minority stressors, racism, violence, chronic physical and mental disorders, food insecurity, social determinants of health, and coronavirus disease 2019. Moreover, biopsychosocial interactions between multiple health problems were studied across medical, anthropological, public health, and other disciplines of science. ...

Research paper thumbnail of Content Analysis of COVID-19 vaccination hesitancy, misinformation and rumors on Twitter

Research paper thumbnail of Childhood immunization during the COVID-19 pandemic in Texas

Vaccine, 2021

Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on ... more Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

Research paper thumbnail of COVID-19 vaccination hesitancy, misinformation and conspiracy theories on social media: A content analysis of Twitter data

Background: The coronavirus disease (COVID-19) pandemic has caused a significant burden of mortal... more Background: The coronavirus disease (COVID-19) pandemic has caused a significant burden of mortality and morbidity. A vaccine will be the most effective global preventive strategy to end the pandemic. Studies have maintained that exposure to negative sentiments related to vaccination on social media increase vaccine hesitancy and refusal. Despite the influence social media has on vaccination behavior, there is a lack of studies exploring the public's exposure to misinformation, conspiracy theories, and concerns on Twitter regarding a potential COVID-19 vaccination. Objective: The study aims to identify the major thematic areas about a potential COVID-19 vaccination based on the contents of Twitter data. Method: We retrieved 1,286,659 publicly available tweets posted within the timeline of July 19, 2020, to August 19, 2020, leveraging the Twint package. Following the extraction, we used Latent Dirichlet Allocation for topic modelling and identified 20 topics discussed in the twee...

Research paper thumbnail of Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Heliyon, 2021

Introduction: The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. P... more Introduction: The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. Pre-pandemic studies suggest a high prevalence of common mental disorders, including anxiety and depression in South Asian countries, which may aggravate during this pandemic. This systematic meta-analytic review was conducted to estimate the pooled prevalence of anxiety and depression in South Asian countries during the COVID-19 pandemic. Method: We systematically searched for cross-sectional studies on eight major bibliographic databases and additional sources up to October 12, 2020, that reported the prevalence of anxiety or depression in any of the eight South Asian countries. A random-effects model was used to calculate the pooled proportion of anxiety and depression. Results: A total of 35 studies representing 41,402 participants were included in this review. The pooled prevalence of anxiety in 31 studies with a pooled sample of 28,877 was 41.3% (95% confidence interval [CI]: 34.7-48.1, I 2 ¼ 99.18%). Moreover, the pooled prevalence of depression was 34.1% (95% CI: 28.9-39.4, I 2 ¼ 99%) among 37,437 participants in 28 studies. Among the South Asian countries, India had a higher number of studies, whereas Bangladesh and Pakistan had a higher pooled prevalence of anxiety and depression. No studies were identified from Afghanistan, Bhutan, and Maldives. Studies in this review had high heterogeneity, high publication bias confirmed by Egger's test, and varying prevalence rates across subgroups. Conclusion: South Asian countries have high prevalence rates of anxiety and depression, suggesting a heavy psychosocial burden during this pandemic. Clinical and public mental health interventions should be prioritized alongside improving the social determinants of mental health in these countries. Lastly, a low number of studies with high heterogeneity requires further research exploring the psychosocial epidemiology during COVID-19, which may inform better mental health policymaking and practice in South Asia.

Research paper thumbnail of Changes in Levels and Determinants of Maternal Health Service Utilization in Ethiopia: Comparative Analysis of Two Rounds Ethiopian Demographic and Health Surveys

Maternal and Child Health Journal, 2021

Antenatal care (ANC), delivery by skilled birth attendants, and postnatal care (PNC) are critical... more Antenatal care (ANC), delivery by skilled birth attendants, and postnatal care (PNC) are critical components of maternal health services for reducing maternal mortality. The study aimed to compare the utilization of maternal health services in the two most recent rounds of Ethiopia Demographic and Health Surveys (EDHS) and identify the factors influencing the utilization of these services using the 2016 EDHS. Two rounds of EDHS data in 2011 and 2016 were used to estimate the proportion of women who had ANC, delivered by skilled birth attendants, and had a postnatal checkup and other characteristics of the surveyed population. The most recent round of data—the 2016 EDHS—was used to examine the socio-cultural and reproductive health factors associated with the three maternal health services utilization. Chi-square tests and multivariate logistic regression analyses with adjusted Odds Ratios (AOR) were conducted using Stata 15.0. The use of ANC services and skilled birth attendants increased significantly between 2011 and 2016 EDHS, utilization of ANC services increased from 34.0 to 65.5%, and use of skilled birth attendants increased from 11.7 to 35.9%, respectively. The use of postnatal care decreased from 9.3 to 6.9%. Utilization of maternal health service was significantly associated with urban residence, Protestant religion, Oromo ethnicity, more education, more household wealth, and less parity. Furthermore, women who had ANC visits during pregnancy were more likely to subsequently use skilled birth attendants (AOR 5.5, p < 0.001) and PNC (AOR 2.9, p < 0.001). The study highlighted the inequalities in the utilization of maternal health services between rural and urban areas, and the need of addressing the social, economic, and physical barriers that prevent women from using these services. Further, programs should be targeted at promoting the use of professional birth and postnatal services in Ethiopia.

Research paper thumbnail of COVID-19 vaccine decisions: considering the choices and opportunities

Microbes and Infection, 2021

Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on ... more Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. Commentary COVID-19 vaccine decisions: considering the choices and opportunities

Research paper thumbnail of A mixed-method analysis of Facebook posts on the COVID-19 pandemic

The advent of the novel coronavirus (COVID-19) has renewed the debate about the credibility of he... more The advent of the novel coronavirus (COVID-19) has renewed the debate about the credibility of health information shared across social network sites, (SNS), such as Facebook. Despite these concerns, empirical studies into the reliability and accuracy of Facebook posts are largely limited. The objective of this study is to judge the accuracy and reliability of COVID-19-related information shared on Facebook using a mixed methodology. The authors extracted Facebook posts (text and embedded video links) in English from Buzzsumo between March 11, 2020, to April 31, 2020, using predetermined keywords. The first 50 posts pertaining to each keyword were extracted and analyzed using a one-way ANOVA, Tukey test for post hoc analysis, and modified DISCERN score. A qualitative content analysis was then conducted to contextualize the data. 196 posts were included in the analysis, with 24,084,564 shares and 3,436,275 comments. Useful posts had higher interactions compared to misleading and irrel...

Research paper thumbnail of Geriatric Health in Bangladesh during COVID-19: Challenges and Recommendations

Journal of Gerontological Social Work, 2020

The novel coronavirus disease (COVID-19) is impacting health globally, whereas older adults are h... more The novel coronavirus disease (COVID-19) is impacting health globally, whereas older adults are highly susceptible and more likely to have adverse health outcomes. In Bangladesh, the elderly population has been increasing over the past few decades, who often live with poor socioeconomic conditions and inadequate access to healthcare services. These disparities are likely to increase amid COVID-19, which may result in high mortality and morbidity among Bangladeshi older adults. We recommend that multifaceted interventions should be adopted for strengthening social care and health systems approach to ensure wellbeing, promote preventive measures, and facilitate access to healthcare among older adults in Bangladesh. Such multipronged measures would require policy-level commitment and collaborative efforts of health and social care providers and institutions to protect health and wellbeing among this vulnerable population during the COVID-19 pandemic.

Research paper thumbnail of Secondary impacts of COVID-19: Risk of vaccination reduction and global resurgence of measles

The World Health Organization temporarily suspended all mass vaccination campaigns to control the... more The World Health Organization temporarily suspended all mass vaccination campaigns to control the pandemic spread of COVID-19 and the national lockdown across the countries has resulted in the postponement of routine immunization programs following the recommendations of maintaining physical distance. Any disruption of immunization services, even for short duration will result in an increased likelihood of vaccine preventable disease such as measles outbreaks. Amidst ongoing COVID-19 pandemic, it is therefore, essential to prevent these challenges through effective policymaking and strategic planning. Such measures should not only aim to recover the gaps in national and regional immunization goals but also emphasize on building health systems resiliency to external shocks that may affect vaccination programs across context.

Research paper thumbnail of Combating vaccine hesitancy and other 21st century social determinants in the global fight against measles

Current Opinion in Virology, 2020

The year 2019 marked the return of measles after almost two decades of unprecedented successes in... more The year 2019 marked the return of measles after almost two decades of unprecedented successes in global vaccination programs. Measles transmission due to sharp declines in measles-mumps-rubella (MMR) vaccination coverage is now widespread among nations that previously saw impressive public health gains including Philippines, DR Congo, Madagascar, Samoa, many in Europe, and the United States and Venezuela in the Americas. Key determinants include the interruption of vaccine health systems due to war, conflict, and political instability; food insecurity and urbanization; and an increasingly globalized vaccine hesitancy or antivaccine movement. Vaccine hesitancy is partly responsible for over 100 000 measles cases in Europe in 2019, and the re-emergence of measles to the United States almost twenty years after it was eliminated. Three major elements currently comprise the American antivaccine movement, including a media empire, a political arm, and deliberate predatory behavior. New strategies will be required to counter these activities.

Research paper thumbnail of Health risks of Rohingya refugee population in Bangladesh: a call for global attention

Journal of Global Health, 2018

Rohinga refugees in Bangladesh are under significant health risks and it has become a challenge t... more Rohinga refugees in Bangladesh are under significant health risks and it has become a challenge to address their health needs. There is need to scale up health services and increase access to essential reproductive health and child newborn care, especially for Rohingyas living in hard-to-reach areas.

Research paper thumbnail of Global research on syndemics: A meta-knowledge analysis (2001-2020)

Syndemics or synergies of cooccurring epidemics are widely studies across health and social scien... more Syndemics or synergies of cooccurring epidemics are widely studies across health and social sciences in recent years. We conducted a meta-knowledge analysis of articles published between 2001 to 2020 in this growing field of academic scholarship. We found a total of 830 articles authored by 3025 authors, mostly from high-income countries. Publications on syndemics are gradually increasing since 2003, with rapid development in 2013. Each article was cited more than 15 times on average, whereas most (n = 604) articles were original studies. Syndemics research focused on several areas, including HIV/AIDS, substance abuse, mental health, gender minority stressors, racism, violence, chronic physical and mental disorders, food insecurity, social determinants of health, and COVID-19. Moreover, biopsychosocial interactions between multiple health problems were studied across medical, anthropological, public health, and other disciplines of science. The limited yet rapidly evolving literatur...