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All Journal Asian Journal of Public Health and Nursing
Hasan, Md Rakibul
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Medicine & Pharmacology Nursing Public Health

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Assessing the Psychosocial Determinants of Mental Health Decline Among Bangladeshi University Students During the COVID-19 Pandemic: A Rapid Systematic Review Hasan, Md Rakibul
Asian Journal of Public Health and Nursing Vol. 1 No. 3 (2024)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/ezyt1t59

Abstract

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, including flexible learning models and targeted mental health interventions, to ensure students’ long-term well-being and academic success.
Exploring Which Public Health Interventions Are More Effective to Reduce Maternal and Child Health Inequalities in South Asia: A Systematic Literature Review Hasan, Md Rakibul; Rony, Samir Kumar Sarker; Baron, Eliana Lopez; Wana, Geremew Werkeshe
Asian Journal of Public Health and Nursing Vol. 1 No. 3 (2024)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/xx2std63

Abstract

Background: Maternal and child health disparities remain a pressing public health concern in South Asia. This systematic review addresses a critical gap in the literature by evaluating the effectiveness of public health interventions targeting these disparities in Bangladesh, India, and Pakistan. Distinguishing itself from prior studies, this research provides a thorough examination of the combined effects of community-based programs, financial assistance, and nutritional supplementation, offering a fresh and comprehensive perspective on strategies to reduce health inequities in the region. Methods: A systematic review and narrative synthesis were conducted using databases such as PubMed and Medline, covering articles published between 2000 and 2019. The inclusion criteria focused on observational and experimental studies evaluating interventions aimed at improving maternal and child health. The quality of the studies was assessed using the CASP checklists. Results: The review included 19 studies that demonstrated significant reductions in maternal and child health disparities. Key interventions included demand-side financial assistance, community education, and nutritional supplements. For example, Iron Folic Acid (IFA) supplementation, combined with antenatal care and tetanus toxoid vaccination, significantly reduced postnatal and under-5 mortality (OR = 0.66, 95% CI: 0.45–0.98). Another study reported a 30% reduction in the maternal mortality rate (MMR) among targeted populations. Discussion: Integrating mental health support within maternal healthcare is crucial to addressing exacerbated vulnerabilities. Effective public health initiatives—including financial aid, community-based programs, and improved healthcare services—have demonstrated potential in reducing these disparities. Policy recommendations include combining nutritional supplementation with antenatal care, expanding conditional cash transfer schemes, and enhancing mental health services. Conclusion: Community-based and targeted interventions are essential for reducing health disparities. Policies should prioritize integrated care models, targeted subsidies, and enhanced mental health services to achieve sustainable improvements in maternal and child health outcomes.
Exploring Parental Perspectives on Factors Influencing Sugar-Sweetened Beverage Consumption in Children Aged 8 to 14 Hasan, Md Rakibul; Rony, Samir Kumar Sarker
Asian Journal of Public Health and Nursing Vol. 1 No. 3 (2024)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/9h2t9407

Abstract

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.
Exploring Dengue Transmission Trends, Public Health Challenges, and Intervention Efficacy Among Adolescents in Dhaka City: An Observational Study Hasan, Md Rakibul; Yusuf, Md. Abdullah; Rogers, Whitney; Muna, Moryom Akter
Asian Journal of Public Health and Nursing Vol. 2 No. 1 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/axenxb90

Abstract

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 crucial for sustainable dengue control. Conclusion: Targeted public health interventions significantly reduce dengue transmission, but socioeconomic inequalities and urban environmental factors remain major challenges. Sustained vector control, improved urban planning, and enhanced healthcare accessibility are essential for long-term dengue prevention and outbreak preparedness in Dhaka City.
A Descriptive Study on Childhood Obesity: Examining Research Gaps, Evaluating Interventions, and Informing Policy for Sustainable Health Outcomes Hasan, Md Rakibul; Rony, Samir Kumar Sarker; Muna, Moryom Akter; Hassan, Sajid
Asian Journal of Public Health and Nursing Vol. 2 No. 1 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/ttgnvb55

Abstract

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 holistic approach to combating childhood obesity, ultimately fostering healthier communities.
Understanding Diabetes Care Barriers Through Community Voices: A Brief Qualitative Report from Jefferson County, Kentucky Hasan, Md Rakibul
Asian Journal of Public Health and Nursing Vol. 2 No. 2 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/tber4w45

Abstract

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
Understanding Barriers to PrEP Adherence: A Brief Report on the Combined Effects of Alcohol Misuse, PTSD, and Gut Microbiome Disruption in HIV Prevention Hasan, Md Rakibul; Davidson, Richard
Asian Journal of Public Health and Nursing Vol. 2 No. 2 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/ayk4kk55

Abstract

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.
Co-Authors Baron, Eliana Lopez Davidson, Richard Hassan, Sajid Muna, Moryom Akter Rogers, Whitney Rony, Samir Kumar Sarker Wana, Geremew Werkeshe Yusuf, Md. Abdullah