Publications by authors named "Grish Paudel"

Background: Migration involves a risk of mental health problems, including stress, anxiety, and depression. This study systematically reviewed social determinants of mental health problems among South Asian migrants living in industrialized countries.

Methods: Four databases (PubMed, CINAHL, EMBASE, and PsycINFO) were searched for observational studies published between 2000 and 2025.

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Background: Long-term cost-effectiveness analyses of health behaviour interventions to effectively manage type 2 diabetes mellitus (T2DM) in low-income countries are crucial for minimising economic burden and optimising resource allocation. Therefore, this study aimed to estimate the long-term cost-effectiveness of implementing a health behaviour intervention to manage T2DM in Nepal.

Methods: A Markov model in combination with a decision tree was developed to compare the costs and outcomes of the health behaviour intervention against usual care among 481 (238-intervention and 243-control) participants from healthcare system and societal perspectives.

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Background: Hypertension is a major risk factor for cardiovascular diseases, chronic kidney disease, and dementia. Early detection and management are crucial for preventing these complications. However, many people lack awareness regarding their blood pressure.

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Background: Prevention of type 2 diabetes is becoming an urgent public health concern in low and middle-income countries (LMICs). However, there is currently no evidence of a cost-effective approach of health behaviour interventions from community settings in low-income countries like Nepal. Therefore, this study aimed to assess the within-trial economic evaluation of a health behaviour intervention compared with usual care for managing type 2 diabetes in a community setting in Nepal.

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This study aimed to assess the utilization of health care services and its associated factors among people with type 2 diabetes mellitus (T2DM) in Nepal. Data on the utilization of health care services were assessed in 481 adults aged 30 to 70 years with T2DM in Nepal. Multiple logistic regression analysis was performed to determine the factors associated with the utilization of health care services.

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Background: People with long-term chronic conditions often struggle to access and navigate complex health and social services. Social prescription (SP) interventions, a patient-centred approach, help individuals identify their holistic needs and increase access to non-clinical resources, thus leading to improved health and well-being. This review explores existing SP interventions for people with long-term chronic conditions and identifies the opportunities and challenges of implementing them in primary healthcare settings.

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Article Synopsis
  • Good oral health is vital for healthy aging, yet there's limited global awareness of oral care for older adults, prompting a review of relevant policies, programs, and interventions.
  • A systematic literature search revealed that national health policies often neglect oral health priorities for older people, with common interventions including educational sessions and practical demonstrations for caregivers.
  • The study highlights a significant gap in effective oral care research and calls for improved guidelines for healthcare professionals, along with further studies to assess intervention effectiveness in enhancing the oral health of the elderly.
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Article Synopsis
  • - This study in Nepal assessed health care costs for managing type 2 diabetes (T2D) among 481 patients from September 2021 to February 2022, using detailed costing methods to analyze expenses based on location and additional health issues.
  • - Findings revealed that the average health care cost per T2D patient over six months was approximately US $22.87, with significant contributions from direct medical, nonmedical costs, and productivity losses, highlighting the financial burden of the condition.
  • - Patients in urban areas faced higher costs (US $24.65) compared to those in rural settings (US $19.69), and there is a pressing need for effective care strategies to alleviate these financial strains on individuals and
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Background: Type 2 diabetes mellitus (T2DM) has increased globally; with a disproportionate burden in South and Southeast Asian countries, including Nepal. There is an urgent need for clinically and cost-effective culturally adapted T2DM management programs. In this study, we aim to assess the effectiveness of community based culturally appropriate lifestyle intervention in improving the management and care of people with T2DM.

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Health behavior interventions implemented in Asian countries often lack economic evaluations that effectively address the problems of type 2 diabetes mellitus. This review systematically assessed the existing literature on economic evaluation of health behavior interventions to prevent and manage type 2 diabetes mellitus for people living in Asian countries. Eligible studies were identified through a search of six bibliographic databases, namely, PubMed, Scopus, Public Health Database by ProQuest, Cumulative Index to Nursing and Allied Health Literature Complete, Web of Science, and Google Scholar.

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Article Synopsis
  • The study highlights the increasing burden of Type 2 Diabetes Mellitus (T2DM) in South Asia and the crucial role of self-care behaviors in its management.
  • A systematic review was conducted on studies from 2000 to 2022, focusing on behaviors like diet, physical activity, and medication adherence, finding a total of 92 eligible studies.
  • Results revealed low adherence rates to various self-care behaviors, emphasizing an urgent need to address barriers to effective diabetes management in the region.
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Background: Nepal, in recent years, is witnessing an increasing problem of type 2 diabetes that has resulted significant premature deaths and disability. Prevention and management of non-communicable diseases (NCDs) including diabetes have been prioritized in the national policies and guidelines of the Nepal Government. However, research looking at the overview of the implementation of the existing policies and guidelines for diabetes prevention and control is scarce.

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Background: Psychoactive substance use among adolescents has been identified as an important health issue in Nepal. Therefore, this study examined the psychoactive substance use and factors associated with its use among adolescent students in the Rupandehi district of Nepal.

Methods: A school-based cross-sectional study was conducted from December 2017 to July 2018 with 460 school students aged between 15 to 19 years across sampled public and private schools in the Rupandehi district of Nepal.

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Background: The high burden of chronic conditions, coupled with various physical, mental, and psychosocial changes that accompany the phenomenon of aging, may limit the functional ability of older adults. This study aims to assess the prevalence of poor functional status and investigate factors associated with poor functional status among community-dwelling older adults in rural communities of eastern Nepal.

Methods: Data on 794 older adults aged ≥ 60 years from a previous community-based cross-sectional study was used.

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Background: Elder mistreatment is a well-recognized public health issue with complex underlying factors. The current study hypothesized that there is no effect of any of the following factors on any type of elder mistreatment: ethnicity, age group, education status, gender, living arrangement, concentration problems, medication for any disease, income level of caregiver, use of alcohol and tobacco products, and dependence on family or caregivers for daily activities.

Materials And Methods: We conducted a cross-sectional study of 339 elders adults aged 60 or above residing in a rural part of eastern Nepal between August and November 2016.

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Background: An occupational hazard contributes to severe health problems among workers due to unhygienic conditions and lack of safety at the workplace. Economic growth and productivity can be well achieved by promoting health, safety, and improved quality workplace.

Aims: To assess the knowledge of occupational hazards, use of Personal Protective Equipment (PPE) and the factors associated with awareness on occupational hazards among automobile repair artisans in Kathmandu, Nepal.

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Background: mistreatment of elderly people is internationally recognised as a serious public health issue. This study aimed at estimating the prevalence and risk factors associated with mistreatment in urban Nepal.

Methods: this was a descriptive cross-sectional study of 212 elderly people residing in Butwal sub-metropolitan city, an urban area in Nepal; the study was conducted between March and October 2015.

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