Frontiers in Public Health最新文献

{"title":"Editorial: Challenges and advances in global school health promotion.","authors":"Rafaela Rosário, Kevin Dadaczynski","doi":"10.3389/fpubh.2025.1575547","DOIUrl":"10.3389/fpubh.2025.1575547","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1575547"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700047","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":"Associations between air pollution and hospitalization for cardiovascular disease: a time series study in Nanchong.","authors":"Zaiyong Zheng, Yanman Li, Qinglu Jiang, Fangfang Zang, Yang Yu, Rongchuan Yue, Houxiang Hu, Chunxiang Zhang","doi":"10.3389/fpubh.2025.1504411","DOIUrl":"10.3389/fpubh.2025.1504411","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the acute effects of air pollution on the daily hospitalizations for cardiovascular disease.</p><p><strong>Methods: </strong>Data of daily hospitalization for cardiovascular disease were collected from the hospital electronic health record system in Nanchong. The air pollutants and meteorological data were obtained from the fixed monitoring stations. We performed over-dispersed Poisson regression incorporated with distributed lag models to assess associations between short-term exposure to air pollutants and the risk of cardiovascular disease hospitalizations.</p><p><strong>Results: </strong>A total of 373,390 hospitalizations for cardiovascular diseases were identified. We found that a 10 μg/m³ increase in 7-day average concentrations of PM_2.5 and PM₁₀ was associated with 1.15% (95%CI: 0.55-1.76%) and 0.51% (95%CI: 0.19-0.82%) higher cardiovascular disease admissions. NO₂ presents the largest adverse effect. The risk of cardiovascular disease admission increased by 6.26% with per 10 μg/m³ increase in NO₂ for lag07.</p><p><strong>Conclusion: </strong>Short-term exposures to high concentrations of air pollutants increased the risk of hospitalization for cardiovascular disease. Policymakers need to develop policies and strategic plans to combat air pollution.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1504411"},"PeriodicalIF":3.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691746","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":"Dihydroartemisinin attenuates PM-induced lung injury by inhibiting inflammation and regulating autophagy.","authors":"Lingjing Liu, Jingli Li, Yincong Xue, Shuying Xie, Nian Dong, Chengshui Chen","doi":"10.3389/fpubh.2025.1548224","DOIUrl":"10.3389/fpubh.2025.1548224","url":null,"abstract":"<p><strong>Objective: </strong>The study investigates the effects and mechanisms of dihydroartemisinin (DHA) in mitigating lung injury induced by particulate matter (PM).</p><p><strong>Methods: </strong>The lung injury model was induced by PM particles <i>in vivo</i> and <i>in vitro</i>. Hematoxylin and Eosin (H&E) staining was utilized for the detection of the thickening of airway wall and the infiltration of inflammatory cells in mouse lung tissue. The expressions of inflammatory factors were detected in alveolar lavage fluid and cell supernatant. TUNEL (Terminal deoxynucleotidyl transferase dUTP nick end labeling) staining, Caspase-1, Bcl-2-associated X protein (Bax), B-cell lymphoma 2 (Bcl-2), microtubule-associated protein 1 light chain 3-II (LC3-II) and Belcin-1 were used to observe the apoptosis and autophagy related expressions in mouse lung tissue, and p-p65 was detected by immunofluorescence.</p><p><strong>Results: </strong>H&E staining revealed DHA alleviates PM-induced lung injury <i>in vivo</i>. Moreover, DHA reduced IL-6, IL-8, and IL-1β levels by ~50% (<i>p</i> < 0.05), highlighting its anti-inflammatory effects. Furthermore, immunohistochemistry showed that DHA treatment inhibited the pro-apoptotic expression of Bax/BCL2 and cleaved-Caspase-3, respectively. In addition, immunofluorescence staining revealed that the LC3-II and Beclin-1 levels dramatically increased in the PM group compared to Control group, but greatly reduced by DHA. Further, we found that DHA inhibited the activation of the NF-KB signaling pathway.</p><p><strong>Conclusion: </strong>DHA protects against PM-induced lung injury through anti-inflammatory, anti-apoptotic, and autophagy-regulating mechanisms, offering a potential drug option for improving PM-induced lung injury.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1548224"},"PeriodicalIF":3.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691747","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":"Wellbeing and job satisfaction among employees with intellectual disability.","authors":"Andrew Joyce, Perri Campbell, Jenny Crosbie, Erin Wilson","doi":"10.3389/fpubh.2025.1503932","DOIUrl":"10.3389/fpubh.2025.1503932","url":null,"abstract":"<p><strong>Objectives: </strong>The workplace is considered one of the key settings in which to promote health and wellbeing. Reviews of workplace health promotion have shown that workplace interventions can positively impact on mental health, nutrition, and physical activity, and can impact positively on economic indicators such as absenteeism. One of the research gaps is workplace health promotion for people with an intellectual disability. This is an important gap to address as people with an intellectual disability have higher rates of avoidable mortality relative to the general population, increased rate of mental health problems, lower levels of physical activity, and poorer nutrition. People with an intellectual disability work across a range of industries and employment settings and it is important to understand potential strategies in supporting the health and wellbeing of this cohort within workplaces.</p><p><strong>Methods: </strong>Forty-seven in-depth interviews were conducted with staff and supported employees from four organizations to examine job satisfaction and wellbeing experiences in the workplace and potential strategies for supporting health and wellbeing of people with an intellectual disability.</p><p><strong>Results: </strong>The findings revealed that currently there is a strong emphasis on strategies such as mentoring and support, flexible approaches, and customized and varied roles to support mental wellbeing. There seems to be less focus on physical activity and nutrition with limited examples of strategies addressing these topics. There are also instances of bullying being experienced in open employment settings.</p><p><strong>Conclusions: </strong>Further work is required to verify whether these results are consistent across the sector, but it does seem to illustrate that workplace wellbeing intervention models and strategies that are applicable in workplaces for the general population may not necessarily work in employment settings that are inclusive of people with an intellectual disability. The policy implication is that support structures so important to health and wellbeing within supported employment settings also need to be available in open employment environments. Further research and policy work is required to develop specific models and strategies that will be applicable to this population cohort within supported and open workplace settings.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1503932"},"PeriodicalIF":3.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691651","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":"From passion to pressure: exploring the realities of the teaching profession.","authors":"Joy C Nwoko, Emma Anderson, Oyelola A Adegboye, Aduli E O Malau-Aduli, Bunmi S Malau-Aduli","doi":"10.3389/fpubh.2025.1505330","DOIUrl":"10.3389/fpubh.2025.1505330","url":null,"abstract":"<p><strong>Introduction: </strong>Teacher retention, workload, and the intention to leave the profession have become growing concerns in education, highlighting the need for a holistic approach to teacher occupational well-being.</p><p><strong>Methods: </strong>This study employed a sequential explanatory mixed methods design to investigate factors influencing teacher well-being. A cross-sectional quantitative survey (<i>n</i> = 247) examined teachers' perceptions of occupational well-being, while phenomenological qualitative interviews (<i>n</i> = 21) explored their workplace experiences. Using the OECD teacher occupational well-being framework, quantitative and qualitative data were integrated to identify key determinants of well-being and potential strategies for improvement.</p><p><strong>Results: </strong>Findings revealed that teachers with strong self-efficacy and social support experienced higher job satisfaction and fewer psychosomatic symptoms, whereas increased stress levels led to greater health-related issues. Male teachers reported fewer psychosomatic symptoms than female teachers, while experienced teachers exhibited higher stress levels. Early-career teachers and junior-grade classroom teachers were more likely to consider leaving the profession, with larger class sizes contributing to greater stress and burnout. Workplace stress, student intimidation, and verbal abuse were positively associated with psychosomatic symptoms, while addressing parent or guardian concerns correlated with improved cognitive and social well-being. Lack of support was a major contributor to stress, burnout, and job dissatisfaction, whereas strong social support networks alleviated these issues.</p><p><strong>Conclusion: </strong>The study underscores the importance of ongoing leadership support and well-being-centered policies in fostering teacher occupational well-being and improving retention, particularly among early-career educators. These findings provide valuable insights for school administrators, policymakers, and educators to develop targeted strategies that create a supportive and sustainable teaching environment.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1505330"},"PeriodicalIF":3.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691749","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":"Compliance with the 24-hour movement guidelines and weight status: results from 40,970 adolescents.","authors":"Yang Su","doi":"10.3389/fpubh.2024.1472188","DOIUrl":"10.3389/fpubh.2024.1472188","url":null,"abstract":"<p><strong>Background: </strong>Childhood obesity, which has been associated to heart disease, metabolic syndrome and disorders such as feelings of worry and sadness in children is one of the prominent obstacles for the health of the general population in the recent decades. A great deal of research shown the connection between meeting the 24-hour movement guidelines and weight status in young people. The purpose of this study is to find the correlation between compliance with the 24-hour movement guidelines and weight status in a large collection of U.S. teenagers, and to examine whether these connections vary by sex, age, or ethnicity/race.</p><p><strong>Methods: </strong>The study was gathered from the Youth Risk Behaviour Survey (YRBS) conducted in 2017, 2019, and 2021, the final analysis used a total of 40,970 participants aged 14-17 years. The study used logistic regression analysis to estimate the correlation between adherent to the 24-hour movement guidelines (independent) and weight status (dependent) while adjusting for sex, age, race/ethnicity, grade, eating habits, cigarette use, alcohol drinking, perception of weight, weight loss, sports team participation, and year of data acquisition. For statistical significance, a <i>p</i>-value <0.05was used.</p><p><strong>Results: </strong>Participators who not meeting any guidelines (OR = 1.38, CI = 1.20-1.58, <i>p</i> < 0.001), 1 guideline (OR = 1.42, CI = 1.28-1.58, <i>p</i> < 0.001), and 2 guidelines (OR = 1.18, CI = 1.20-1.58, <i>p</i> < 0.001) were more associated with worse weight status, compared with those who met the 3 guideline. For boys, who did not meet any of the guidelines (OR = 1.63, CI = 1.37-1.93, <i>p</i> < 0.001), 1 guideline (OR = 1.49, CI = 1.31-1.70, <i>p</i> < 0.001), and 2 guidelines (OR = 1.16, CI = 1.00-1.34, <i>p</i> = 0.048) were correlated with unfavourable weight status compared with who met all guidelines were more associated. The disaggregated results for gender, age, race, and ethnic group shows that the impact of not adhering to movement guidelines is more pronounced in boys than in girls, each age group demonstrates a trend where not meeting guidelines correlates with poorer weight status, White and Hispanic/Latino participants exhibit stronger negative outcomes from poor guideline adherence compared to other groups.</p><p><strong>Conclusion: </strong>This research suggests that meeting the 24-hour movement guidelines can significantly aid in averting weight-related problems among U.S. adolescents, with pronounced differences across sex, age, race/ethnicity subgroups. To validate these preliminary findings, future research should employ longitudinal designs to examine the differences among various age groups, sexes, and races, and to determine if promoting adherence to these movement guidelines effectively mitigates weight-related issues during adolescence.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1472188"},"PeriodicalIF":3.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691744","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":"Long-term outcomes of post-acute sequelae of SARS-CoV-2 infection: a cohort study protocol.","authors":"Dongquan Zhang, Maolin Tong, Xingwen Dong, Chutian Zhang, Yuan Yuan, Xiaojun Wang, Jing Gao, Longfei Guo","doi":"10.3389/fpubh.2025.1533315","DOIUrl":"10.3389/fpubh.2025.1533315","url":null,"abstract":"<p><strong>Introduction: </strong>Post-Acute Sequelae of SARS-CoV-2 Infection (PASC) presents a multifaceted interplay of demographic, clinical, environmental, and socioeconomic factors. Quantification at the individual level of these factors remains underexplored. Our study aims to address this knowledge gap by analyzing the long-term health implications of PASC, utilizing a comprehensive integration of spatiotemporal, clinical, environmental, and socioeconomic data.</p><p><strong>Methods and analysis: </strong>The study will enroll over 4,000 confirmed COVID-19 patients from Gansu Provincial Hospital, treated from December 2022 to May 2023, as the baseline. These patients are spread across 14 cities in Gansu Province, with geographic coordinates ranging from 92°13'E to 108°46'E and 32°31'N to 42°57'N. Follow-ups will be conducted via structured telephone interviews at 24, 36, and 48 months post-discharge, from 2024 to 2027, to assess PASC and long-term health outcomes. Participants will be categorized into three age groups: children and teenagers (birth to 18 years), adults (18-65 years), and the older adult (over 65 years). Environmental and socioeconomic data corresponding to each case are also integrated. The primary objective is to assess the persistence and long-term health outcomes of PASC symptoms. Secondary objectives focus on evaluating the acute infection phase, its progression, and the efficacy of medical management strategies in influencing PASC trajectories. Mixed-effects models will be utilized to evaluate the impact of various factors on PASC, while spatiotemporal analyses will explore the correlations between environmental and socioeconomic conditions and the diagnosis and recovery trajectories of PASC.</p><p><strong>Ethics and dissemination: </strong>The Gansu Provincial Hospital's research ethics committee has approved this study protocol. Participation will be voluntary, with informed consent obtained from all participants. Study results will be published in peer-reviewed journals.</p><p><strong>Clinical trial registration: </strong>ChiCTR2400091805.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1533315"},"PeriodicalIF":3.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691762","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":"Musicians, the music industry, and suicide: epidemiology, risk factors, and suggested prevention approaches.","authors":"George Musgrave, Dorian A Lamis","doi":"10.3389/fpubh.2025.1507772","DOIUrl":"10.3389/fpubh.2025.1507772","url":null,"abstract":"<p><p>Evidence suggests that popular musicians are an at-risk occupational group for suicide, with the deaths of famous musicians in the '27 Club' reinforcing culturally powerful notions of musicianship and early mortality. This cross-disciplinary paper advances our understanding of the factors that may increase the risk for suicide among musicians and offers clinical recommendations around screening and prevention. First, we synthesise extant literature on suicide risk among musicians from around the world, including emerging evidence from Korea, and evaluate some of the methodological challenges presented in the analysis of suicide data on musicians. Second, given the lack of musician-specific forms of suicide prevention intervention, we draw on the Zero Suicide Framework and apply this schematic to musicians and the wider music industries, analysing the latest evidence on suicide screening, assessment, and prevention to develop best practices in this at-risk population. In doing so, we offer a comprehensive and clinically relevant overview of this most tragic of cultural affinities to improve strategies to prevent this devastating and all too frequent feature of musical life.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1507772"},"PeriodicalIF":3.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691429","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 association between unintended pregnancy and maternal mental health in rural China.","authors":"Nan Wang, Yunjie Liu, Jianmin Ai, Jingchun Nie, Jie Yang","doi":"10.3389/fpubh.2025.1498473","DOIUrl":"10.3389/fpubh.2025.1498473","url":null,"abstract":"<p><strong>Background: </strong>Unintended pregnancies are common in rural China. However, the association between unintended pregnancy and maternal mental health remains poorly understood. This study aimed to assess the prevalence of unintended pregnancies, their association with mental health concerns, and the contributing factors in rural China.</p><p><strong>Methods: </strong>A cross-sectional design was used in this study. We included 473 pregnant women (age ranging from 18 to 45 years; local residency for at least 1 year; current pregnancy) from 10 counties in rural areas of Shaanxi Province, which is highly representative of rural northwest China in terms of economic status, geographical characteristics, and traditional culture. Mental health was assessed using the Depression, Anxiety, and Stress Scales-21 (DASS-21), widely recognized for its reliability, validity, and applicability in the Chinese context. Descriptive statistics and logistic regression analyses were employed to elucidate the prevalence of unintended pregnancy issues and explored their association with maternal mental health.</p><p><strong>Results: </strong>The prevalence rates of depression, anxiety, and stress in the full sample were 19.24, 23.68, and 10.99%, respectively. The proportion of unintended pregnancies was 41.44%, with significantly higher rates of depression, anxiety, and stress tendencies compared to intended pregnancy. Logistic regression analysis revealed a significant association between unintended pregnancy and an increased risk of anxiety tendency (OR = 1.96, 95% CI = 1.25-3.08, <i>p</i> = 0.004) as well as stress tendency (OR = 2.15, 95% CI = 1.15-4.02, <i>p</i> = 0.017). Furthermore, among women with unintended pregnancy, anxiety tendency was more pronounced among unemployed women (OR = 2.05, 95% CI = 1.25-3.35, <i>p</i> = 0.004), and co-residing with their mother-in-law (OR = 2.47, 95% CI = 1.40-4.38, <i>p</i> = 0.002). Similarly, stress tendency was more pronounced among unemployed women (OR = 2.20, 95% CI = 1.11-4.34, <i>p</i> = 0.023), and co-residing with their mother-in-law (OR = 2.60, 95% CI = 1.17-5.74, <i>p</i> = 0.018).</p><p><strong>Conclusion: </strong>The positive correlation exists between unintended pregnancy and maternal mental health risks. The high prevalence of unintended pregnancies underscores the need for policies aimed at reducing their occurrence, as well as interventions targeting mental health support to pregnant women.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1498473"},"PeriodicalIF":3.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691648","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":"From past to present: tracing Africa's path to universal health coverage.","authors":"Evaline Chepchirchir Langat, Paul R Ward, Hailay Gesesew, Lillian Mwanri","doi":"10.3389/fpubh.2025.1540006","DOIUrl":"10.3389/fpubh.2025.1540006","url":null,"abstract":"<p><p>At the 58th World Health Assembly in 2005, the international community charted a course for universal health coverage (UHC), aiming to ensure access to health care for all in need, of sufficient quality, and without causing financial hardship. At the time, barriers to accessing health care were overwhelming, particularly in low-and middle-income countries like Africa. Currently, 50 of Africa's 54 countries are in various phases of UHC implementation. Some are developing national UHC agendas, while others have made significant progress but still face gaps in meeting UHC targets. This mini review comprehensively examines the literature to understand the temporal and contextual patterns of Africa's pursuit of health for all, leading up to universal health coverage (UHC). We applied narrative synthesis to identify the patterns, themes, and trends in the literature. Our findings indicate that African countries share similar contextual and chronological patterns of health reforms towards healthcare for all, which mostly emphasized the importance of revitalizing primary health care (PHC). As such, with Africa striving for UHC, continued investment in a robust infrastructure for primary healthcare is essential even as countries implement complex health insurance programs as their UHC approach. This is particularly critical given the severe impact of economic crises and debt burdens on primary healthcare infrastructure four decades ago.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1540006"},"PeriodicalIF":3.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691759","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}