Climate change poses significant public health challenges globally, particularly in vulnerable regions such as The Gambia. Despite growing recognition of environmental impacts, limited research has examined community-level awareness of climate change health effects in West African settings. This study aimed to assess household awareness and perceptions of climate change impacts on public health among vulnerable communities in the North Bank Region, The Gambia and identify socio-demographic determinants of climate change awareness.

In this study, we conducted a community-based cross-sectional study. Using multistage sampling, we selected 35 communities across seven districts. Data were collected via structured questionnaires administered in local languages (Mandinka, Wolof, Fula) using KoboToolbox.

This study was conducted among 868 residents aged ≥18 years in the North Bank Region between January and February 2024.

Overall, 85.7% (n=744) of respondents had heard about climate change, with radio (53.6%) being the primary information source. Participants demonstrated high awareness of certain climate hazards, such as excessive heat (76.4%) and altered rainfall patterns (55.2%), but less so for other hazards, such as flooding (30.3%). Respondents correctly identified multiple health impacts to health and livelihoods, including heat stress (65.8%), dehydration (57.3%), respiratory diseases (73.6%), waterborne diseases (59.0%) and crop failure (86.4%). Multivariable analysis revealed that older age (>39 years: adjusted OR (aOR)=2.50, 95% CI 1.49 to 4.21) and tertiary education (aOR=3.93, 95% CI 1.50 to 10.30) were independent predictors of climate change awareness. Approximately 77% of participants reported experiencing climate change effects in their communities within the past 5 years.

This first comprehensive assessment of climate-health awareness in the North Bank Region of The Gambia reveals substantial community recognition of climate change and its health consequences. Significant disparities in awareness by age and educational attainment indicate that targeted educational interventions focused on younger populations and those with limited formal education are warranted.

To develop and validate a risk prediction model for preterm premature rupture of membranes (PPROM) to enable early identification of at-risk women and support clinical decision-making in North Wollo Zone, Ethiopia.

A hospital-based retrospective cross-sectional study.

Six public hospitals in the North Wollo Zone, Northern Ethiopia.

A total of 1098 pregnant women were included in the study using systematic random sampling.

Occurrence of PPROM.

Data were collected between 20 November 2023 and 20 March 2024, using structured interviews and medical record reviews. A risk prediction model was developed using Least Absolute Shrinkage and Selection Operator and logistic regression. Model performance was assessed through area under the curve (AUC), calibration plots and the Hosmer-Lemeshow test. Internal validation was conducted via bootstrap resampling. A simplified risk score was created to categorise women into high-risk and low-risk groups, and its clinical utility was evaluated using decision curve analysis.

Among the 1098 participants (100% response rate), the mean age was 21.54 years (IQR: 18–26), with 57.2% aged 20–34 years. The prevalence of PPROM was 10.75% (95% CI 9.01% to 12.77%). Seven significant predictors were identified: maternal age

PPROM remains a significant obstetric complication in the study area. The validated risk prediction model showed moderate to good performance and can be used to support early screening and risk-based management in antenatal care (ANC). Integrating the tool into routine ANC services, along with health education and management of modifiable risk factors, may help reduce PPROM-related adverse outcomes. Further external validation is recommended.

This study aimed to compare the nutritional status and dietary intake between khat chewer and non-chewer women of reproductive age in Halaba Zone, South Ethiopia.

A comparative cross-sectional study was conducted.

The study was conducted in Halaba Zone, South Ethiopia.

A total of 792 (396 khat chewers and 396 non-chewers) women of reproductive age were selected by a simple random sampling technique from 20 June 2023 to 26 August 2023.

Dietary intake was assessed by a single 24-hour recall method. The nutrient adequacy ratio and mean adequacy ratio were applied to estimate the adequacy of micronutrients. Standing height was measured using a wall-mounted stadiometer to the nearest 0.1 cm, and weight of the women was measured to the nearest 0.1 kg on a battery-powered digital scale (Seca Gmbh & Co. KG, Germany). A linear regression model was fitted to determine the relationship between nutritional status and khat chewing. Binary logistic regression analyses were used to estimate the odds of nutrient intake inadequacy among the two study groups. A p value of

Women who chewed khat had a higher prevalence of underweight (36.6%) than those who did not (9.4%). The mean (SD) body mass index for khat chewer women was 48.66±5.39 kg, while that of non-chewer women was 55.29±6.75 kg. Women who chewed khat were significantly more likely to be underweight than those who had never chewed khat (β = –1.91, 95% CI –2.30 to –1.53; p12 (AOR=2.79 (95% CI 1.79 to 4.36), p

Women who chewed khat were significantly more likely to be underweight compared with those who had never chewed khat. Khat chewers were more likely than non-chewers to have inadequate carbohydrate, protein, thiamine, riboflavin, niacin, vitamin B₁₂, zinc and calcium intake. Public health interventions aimed at improving the nutritional status of women of reproductive age should develop strategies to address the spread of khat-chewing habits.

We aimed to analyse the time trends of cardiometabolic risk factors in Senegal from 1975 to 2021.

Ecological study of publicly available data from the WHO Health Inequality Data Repository.

Disaggregated datasets from publicly available sources.

Trends of age-standardised prevalence rates, stratified by sex for tobacco use, obesity, diabetes and hypertension, were analysed for significance.

Only data from Senegal were included in this study.

Tobacco use decreased in both sexes between 2000 and 2021, from 1.7% to 0.7% (p value 0.04) in females and from 28.1% to 12.8% (p value 0.04) in males. Obesity and overweight increased in both sexes between 1975 and 2016, from 14.2% to 35.9% (p value

Our findings highlight changes in cardiometabolic risk factors in Senegal between 1975 and 2020 by sex. While tobacco use declined, rates of obesity, diabetes and hypertension increased. These findings underscore the need for strategies to mitigate this increase in cardiometabolic risk factors and a consequential rise in non-communicable diseases.