Frontiers in Public Health最新文献

{"title":"Exploring the relationship between health literacy and chronic diseases among middle-aged and older adults: evidence from Zhejiang, China.","authors":"Shuqi Li, Dingming Yao, Xiujing Hu, Heni Chen, Xiaotong Yan, Yue Xu, Xuehai Zhang","doi":"10.3389/fpubh.2025.1520668","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1520668","url":null,"abstract":"<p><strong>Background: </strong>Chronic diseases have emerged as a significant public health challenge owing to the escalating global demographic shift toward an aging population. Middle-aged and older individuals are particularly vulnerable to chronic illnesses owing to physiological and socioeconomic changes. By leveraging health literacy data from the Zhejiang Province, this study aimed to elucidate the correlation between health literacy levels and the prevalence of chronic diseases in this demographic cohort.</p><p><strong>Methods: </strong>In this cross-sectional study, a stratified multistage whole-cluster random sampling method was used to select 12,116 permanent residents aged 45-69 years from 30 monitoring sites in Zhejiang Province from June to November 2023, using the National Health Literacy Monitoring Questionnaire for the Population. Multivariate regression analysis was employed to unravel the correlation between proficiency in health education and the prevention of chronic illnesses.</p><p><strong>Results: </strong>Sex, age, income, education, self-assessed health status, and smoking status emerged as significant predictors across the different models. Notably, self-assessed health and smoking statuses were identified as confounders that significantly affected the association between health literacy and chronic diseases. Furthermore, this study explored the influence of independent variables on specific chronic diseases, such as hypertension and cerebrovascular disease, with consistent patterns observed across models.</p><p><strong>Conclusion: </strong>Health literacy is instrumental in thwarting chronic diseases among middle-aged and older individuals. Those with higher levels of health literacy are less likely to suffer from chronic diseases, and high health literacy is a protective factor against hypertension and cerebrovascular disease.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1520668"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-linear association between weight-adjusted-waist index and obstructive sleep apnea: a cross-sectional study from the NHANES (2005-2008 to 2015-2020).","authors":"Shu Miao, Qin Ben, Cai Song, Yashi Zhou, Bingjie Xie, Juxiang Peng, Jukun Song","doi":"10.3389/fpubh.2025.1546597","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1546597","url":null,"abstract":"<p><strong>Background: </strong>The principal objective of the present investigation is to undertake an in-depth exploration of the relationship that exists between the newly introduced weight-adjusted waist index (WWI), employed as a surrogate way for corpulence, and obstructive sleep apnea (OSA).</p><p><strong>Methods: </strong>Analysis using cross-sectional data from 11,545 NHANES participants across 2005-2008 and 2015-2020. Obesity via WWI (waist circumference over sqrt of body weight). OSA via 3 NHANES QnA items: monthly excessive sleepiness, weekly wheezing/snoring/breathing stoppage, weekly snoring. Relationships between WWI and OSA probed with weighted multivariate logistic regression and smoothed curve fitting. Also did subgroup, interaction tests and threshold effect analysis. Excluded those with incomplete WWI, OSA or hypertension data as they might have different health profiles. We excluded participants with incomplete data on WWI, OSA, or hypertation-related items, as those with missing data might have different health profiles.</p><p><strong>Results: </strong>The study, encompassing a cohort of 11,545 participants, revealed that 5,727 individuals were diagnosed with OSA. Upon conducting fully adjusted models, A positive relevance between WWI and OSA was established, with an odds ratio of 1.57 (95% <i>CI</i>: 1.44, 1.71), indicating a significant relationship. Notably, participants falling within the highest quartile of WWI exhibited a markedly heightened propensity for OSA, being 2.58 times more likely to suffer from it than those in the bottom quartile [<i>OR</i>: 2.58 (95% <i>CI</i>: 2.10, 3.17)]. Rigorous subgroup analyses and interaction tests further confirmed the robustness of this positive association across various subgroups, thereby affirming the consistency of the observed relationship. Additionally, a noteworthy non-linear association and saturation phenomenon were discerned between the WWI and OSA, demarcated by an inflection point at 11.70 cm/√kg.</p><p><strong>Conclusion: </strong>Our research has clearly shown a significant positive correlation, along with a saturation effect, between WWI and OSA in the American population. However, the cross-sectional design limits causal inference, and the exclusion of certain participants may affect the generalizability of the findings. Future longitudinal studies are needed to explore causality and address potential biases associated with participant exclusion, ultimately improving the broader applicability of the results.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1546597"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Greenwashing and financial performance in public health firms: the mechanism of organizational legitimacy erosion.","authors":"Yaru Liang, Xiang Gao","doi":"10.3389/fpubh.2025.1565703","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1565703","url":null,"abstract":"<p><strong>Introduction: </strong>Amid China's pursuit of its \"dual carbon\" objectives and the escalating emphasis on Environmental, Social, and Governance (ESG) disclosure, corporate environmental responsibility has emerged as a critical regulatory and market concern. However, mounting institutional and stakeholder pressures have incentivized some firms to engage in greenwashing-strategically overstating or misrepresenting their environmental commitments-to sustain legitimacy and competitive positioning.</p><p><strong>Methods: </strong>This study empirically investigates the impact of greenwashing on corporate financial performance using panel data from 157 publicly listed Chinese public health firms between 2020 and 2022. A mediation model is utilized to identify the mechanism role of organizational legitimacy in affecting the relationship between greenwashing and corporate financial performance.</p><p><strong>Results: </strong>The findings reveal that greenwashing significantly undermines organizational legitimacy, which, in turn, leads to negative financial repercussions. Firms that overstate their environmental commitments experience diminished stakeholder trust, regulatory scrutiny, and reputational damage, ultimately eroding their financial performance.</p><p><strong>Discussion: </strong>By analyzing the indirect pathways through which greenwashing influences firm performance, this research advances theoretical discourse on corporate environmental accountability and legitimacy-based performance dynamics. Furthermore, the study offers actionable insights for public health enterprises, emphasizing the necessity of transparent and verifiable environmental communication to mitigate reputational risks and ensure sustainable financial outcomes. Additionally, it provides empirical evidence to inform policymakers in refining regulatory frameworks that enhance transparency in environmental reporting and foster substantive sustainability practices.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1565703"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The LEG program promotes the development of physical activity and fundamental movement skills in preschool children aged 3-6 years: a Delphi study.","authors":"Zuozheng Shi, Xi Long, Xulin Yang, Jingang Fan, Jun Tang","doi":"10.3389/fpubh.2025.1521878","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1521878","url":null,"abstract":"<p><strong>Background: </strong>Effectively addressing physical inactivity and the delayed development of fundamental movement skills in preschool children aged 3-6 years.</p><p><strong>Methods: </strong>We assembled an interdisciplinary team of experts to systematically validate the LEG program indicators using the Delphi method. This Delphi study thoroughly and meticulously explored the insights of experts in the field to identify the necessary indicators of the LEG program's role in promoting the sustainable development of physical activity and fundamental movement skills in preschoolers aged 3-6. Using a 5-point Likert scale and Wilcoxon statistical techniques, this study examines the dynamic consensus among experts and elucidates potential differences in their views.</p><p><strong>Results: </strong>After three rounds of Delphi surveys, O1, O2, and O3 reached consensus in all three rounds. T5, I5, I14, C11, and C12 disagreed due to disciplinary differences, while C18 and C22 disagreed due to cultural differences. Finally, the LEG program indicators achieved consensus on three objectives, seven tasks, 17 indicators, and 25 content areas. The results of this study strongly convey the experts' positive perceptions of the LEG program indicators in promoting sustainable development of physical activity and fundamental movement skills in preschoolers aged 3-6 years.</p><p><strong>Conclusion: </strong>This indicates that the LEG-structured curriculum indicators we developed are scientific and reliable, aligning with the physical and mental development of preschoolers aged 3-6 years. This understanding fosters the in-depth integration of early childhood physical education and preschool education, providing a foundation for enhancing the sustainable development of physical activity and fundamental movement skills among preschoolers aged 3-6 years.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1521878"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pandemic-driven shift: increase in silver diamine fluoride utilization among Medicaid-enrolled children during the COVID-19 public health emergency.","authors":"Beau D Meyer, Carla Shoff, Natalia I Chalmers","doi":"10.3389/fpubh.2025.1546365","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1546365","url":null,"abstract":"<p><strong>Introduction: </strong>Untreated dental caries remains a significant public health issue, particularly among children and adolescents from low-income families, where disparities persist. The COVID-19 public health emergency (PHE) changed dental care practices, leading to an increased focus on minimally aerosolizing treatments such as silver diamine fluoride (SDF). This study aimed to describe the temporal changes in SDF utilization among Medicaid-enrolled children across the United States before and during the first half of the COVID-19 PHE. Additionally, the study examined the impact of demographics and state-level policies on SDF utilization.</p><p><strong>Methods: </strong>We conducted a multiyear cross-sectional study using enrollment and claims data from the Transformed Medicaid Statistical Information System (T-MSIS) for 2019, 2020, and 2021. The study population included Medicaid and Children's Health Insurance Program (CHIP) beneficiaries aged <21 years. We analyzed SDF utilization rates and compared them with other dental services, stratifying the data by age, sex, race/ethnicity, and rurality. Multilevel logistic regression models were used to identify significant predictors of SDF utilization.</p><p><strong>Results: </strong>The study included approximately 39 million children each year. SDF utilization per 1,000 enrollees increased from 9.10 in 2019 to 16.81 in 2021, with the most significant increases observed in children aged 0-6 years, those living in rural areas, and American Indian/Alaskan Native children. The state-level reimbursement policy for SDF was the most significant predictor, with children in states with such policies being 10.5 times more likely to receive SDF treatment.</p><p><strong>Conclusion: </strong>The COVID-19 PHE significantly impacted SDF utilization among Medicaid-enrolled children, highlighting the importance of state-level policies. The findings can be used to develop targeted approaches for clinicians to improve access to SDF treatment to address oral health disparities.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1546365"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The best exercises from top 20 by health-related indicators.","authors":"Albertas Skurvydas, Natalja Istomina, Dovilė Valanciene, Ruta Dadeliene, Ieva Egle Jamontaite, Ausra Lisinskiene, Asta Sarkauskiene, Daiva Majauskiene","doi":"10.3389/fpubh.2025.1475618","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1475618","url":null,"abstract":"<p><strong>Background: </strong>The study aimed to determine whether participation in professional sports, exercise in a sports/health center, or independent exercise (dependent variables) is associated with 11 health behavior-related indicators (independent variables) compared to having no exercise.</p><p><strong>Methods: </strong>The survey involved 293 professional Lithuanian athletes, 2,120 who exercise independently or in a sports/health centre and perform at least one of the 20 most popular exercise types in Lithuania (hereafter referred to as \"E-20\"), and 3,400 who do not exercise. The participants were aged 18-74 years.</p><p><strong>Results: </strong>The study uniquely examines a comprehensive range of 11 health-related indicators: body mass index, subjective health, depressed mood, stress, sedentary behavior, physical activity, sleep, alcohol consumption, smoking, overeating, and breakfast consumption. We examined whether these indicators differ between the three populations studied, whether they are associated with specific types of the E-20 exercises, and whether these patterns differ between men and women.</p><p><strong>Conclusion: </strong>Our study indicates that participants who engaged in physical activity generally scored higher on various health-related scales compared to those who were inactive. These benefits include reductions in depressed mood, stress, body mass index, and binge eating, as well as improvements in the regularity of breakfast consumption, vigorous physical activity, moderate to vigorous physical activity, and sleep duration (notably in men).</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1475618"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does public pension crowd out the participation of older adults in community volunteering? Evidence from China.","authors":"Zhi-Yun Li, Ying-Yi Tang, Hua-Lei Yang, Li-Li Tang","doi":"10.3389/fpubh.2025.1533922","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1533922","url":null,"abstract":"<p><strong>Background: </strong>To address aging and its associated social risks, the World Health Organization proposed an \"active aging\" policy framework in 2002, highlighting \"health, participation, and security\" as the three pillars for enhancing quality of life in old age. Extensive research has shown that public pensions, as a state-implemented social security measure, can effectively improve the health and well-being of older adults. However, existing studies have not sufficiently examined the causal impact of public pensions on social participation among older adults, such as community volunteering.</p><p><strong>Methods: </strong>Using data from the China Longitudinal Aging Social Survey in 2018, this article employs propensity score matching (PSM) and control function (CF) approaches to empirically examine the impact of the Urban and Rural Resident Social Pension (URRSP) on the participation of older adults in community volunteering. Specifically, we investigate whether this relationship varies across social groups.</p><p><strong>Results: </strong>Empirical results indicate that, compared to uninsured older adults, those enrolled in the pension program show a significantly lower likelihood and frequency of volunteering. This finding is robust after controlling for observable and unobservable characteristics, thus supporting the crowding-out hypothesis. Furthermore, heterogeneity analysis reveals that this crowding-out effect is more pronounced among older adults with higher socioeconomic status, such as those living in urban areas, with higher education, higher income, and better health. In other words, the limited benefits provided by the URRSP not only fail to offer financial support for volunteering, but also significantly reduce the willingness and level of volunteering among those with higher socioeconomic status.</p><p><strong>Conclusion: </strong>The above findings confirm the crowding-out hypothesis, suggesting that in developing countries with underdeveloped and stratified social security systems, state-led public pensions may crowd out older adults' participation in volunteer activities that are altruism and mutual support.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1533922"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the environmental health implications of tourism on carbon emissions in China.","authors":"Jinhua Shao, Sheng Fang, Meiling Zhao, Wanxin Qian, Cai Wang","doi":"10.3389/fpubh.2025.1550395","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1550395","url":null,"abstract":"<p><p>Tourism development is important for the formulation of the national carbon reduction policy. China has put forward the goals of carbon peaking and carbon neutrality. Studying the impact of China's tourism industry on carbon emissions is of great significance in scientifically formulating emission reduction policies and helping China to realize its carbon reduction goals. In this study, we simulate the complex relationship between the tourism industry and carbon emissions in China using machine learning models. This study is the first to employ interpretable machine learning to analyze the impact of the tourism industry on carbon emissions in China. Our findings demonstrate that sparrow search algorithm and random forest (SSA-RF) hybrid model can model the relationship between carbon emissions and tourism factors with low error. The expansion of the tourism industry positively contributes to the increase in carbon emissions. Our study highlights the need to consider tourism factors when formulating national carbon reduction policy.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1550395"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supervision programs implemented by nurses to caregivers in community: a scoping review protocol.","authors":"Inês Moreira, Márcia Coelho, Mauro Mota, Regina Pires, Margarida Reis Santos","doi":"10.3389/fpubh.2025.1473912","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1473912","url":null,"abstract":"<p><strong>Introduction: </strong>With the increase in the number of informal caregivers, their training becomes essential. The supervisory programs implemented by nurses play a leading role in caregiver training.</p><p><strong>Objectives: </strong>To map the supervisory programs implemented by nurses to caregivers in the community.</p><p><strong>Methods: </strong>A scoping review will be developed according to the guidelines of the Joanna Briggs Institute. Studies published and unpublished in English, Portuguese or Spanish since 1993 will be considered. The results of the research, study selection and inclusion process will be presented in a PRISMA flowchart for scoping reviews.</p><p><strong>Results: </strong>Mapping the evidence will allow us to analyze the supervision programs implemented by nurses for caregivers in the community. The results will be presented through an extraction table according to the objectives.</p><p><strong>Conclusion: </strong>This review is expected to constitute a starting point for the critical analysis of studies relating to supervisory programs implemented by nurses for caregivers.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1473912"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiological characteristics of human psittacosis in Guangzhou, China, January 2021 to June 2024.","authors":"Yunjing Wen, Wei Zhang, Yongguang Li, Xinlong Liao, Jianxiong Xu, Ruonan Zhen, Pengzhe Qin","doi":"10.3389/fpubh.2025.1526990","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1526990","url":null,"abstract":"<p><strong>Background: </strong>Psittacosis is a global and underappreciated zoonosis, with increasing reported cases in many countries. There have been several outbreaks and even deaths of psittacosis reported in China. Understanding its epidemiological characteristics and dimensions is crucial for formulating precise prevention and control strategies. This study aimed to analyze the epidemiological characteristics of human psittacosis in Guangzhou, China.</p><p><strong>Methods: </strong>The demographic characteristics, clinical manifestations, temporal patterns, geographic distribution and potential exposures of psittacosis in Guangzhou were analyzed based on the surveillance data and epidemiological investigation conducted between January 2021 and June 2024. Seasonal and trend decomposition using LOESS was applied to decompose the number of psittacosis cases into trend, seasonal and remainder component.</p><p><strong>Results: </strong>A total of 148 cases were reported, with a significant increase in the number of psittacosis cases over the study period. Most of cases were sporadic and detected by metagenomic next-generation sequencing (mNGS). Psittacosis was predominant males aged 40-79 years. Fever and pneumonia were the most commonly observed clinical manifestations. A seasonal trend was observed in the number of psittacosis cases with a high prevalence of cases in December and March. A total of 108 local cases (87%) occurred in rural regions. Among local cases, 67.7% reported a history of contact with birds or poultry, and 17.7% had been exposed to a related environment. The suspected source of infection differed between urban and rural areas, with parrots being the primary source in urban areas and poultry in rural areas.</p><p><strong>Conclusion: </strong>Increasing clinicians' awareness, enhancing epidemiological surveillance, paying close attention to the epidemic in rural areas, and implementing measures against avian influenza, will be conducive to preventing and controlling psittacosis.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1526990"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}