Frontiers in Public Health最新文献

{"title":"Mobile health interventions on vaccination coverage among children under 5 years of age in Low and Middle-Income countries; a scoping review.","authors":"Olanrewaju Onigbogi, Omobola Yetunde Ojo, Ulla-Mari Kinnunen, Kaija Saranto","doi":"10.3389/fpubh.2025.1392709","DOIUrl":"10.3389/fpubh.2025.1392709","url":null,"abstract":"<p><strong>Objectives: </strong>Increased mobile phone use in Low- and Middle-Income countries (LMIC) has led to suggestions that health interventions using mobile phones can help solve some health problems. Vaccination has been shown to be an effective means of improving health outcomes. However, vaccination coverage in many LMIC has been generally low. The aim of this study was to synthesize evidence concerning the context, mechanisms, and outcome elements of mobile health interventions in improving vaccination coverage among children under 5 years of age in LMIC.</p><p><strong>Methods: </strong>A search conducted using PubMed, Web of Science, ScienceDirect, CINAHL, Embase, and the Cochrane library led to 27 studies included in the final analysis out of 357 identified articles.</p><p><strong>Results: </strong>Twenty-one studies were from Africa, four from Asia and two studies were from Latin America and the Caribbean. Short Message Service (SMS) intervention was used exclusively in 21 studies while six studies used a combination of SMS and phone calls, and one intervention was based only on phone calls.</p><p><strong>Conclusion: </strong>The results from most studies suggest an improved uptake of vaccination with mobile health interventions. However, there is a need for further research to quantify the impact of these interventions and determine the most effective strategies.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1392709"},"PeriodicalIF":3.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398842","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":"Community case study: an academia-industry-government partnership that monitors and predicts outbreaks in Tri-County Detroit area since 2017.","authors":"Irene Xagoraraki, Liang Zhao, Yabing Li, Brijen Miyani, John Norton, James Broz, Andrew Kaye, Anna Mehrotra, Anil Gosine, Scott Withington, Stacey McFarlane, Russell A Faust","doi":"10.3389/fpubh.2024.1475425","DOIUrl":"10.3389/fpubh.2024.1475425","url":null,"abstract":"<p><p>The Tri-County Detroit Area (TCDA) is the 12th most populous metropolitan area in the United States with over three million people. Multiple communicable diseases are endemic in the TCDA. In 2017, to explore innovative methods that may provide early warnings of outbreaks affecting populations in the TCDA, an exploratory partnership that was funded by a U.S. National Science Foundation Early-concept Grant for Exploratory Research (EAGER) began. Since 2017, a project team including the College of Engineering at Michigan State University (MSU), the City of Detroit, the Great Lakes Water Authority (GLWA), industry, and local government and health departments, has been testing municipal wastewater from the TCDA to survey and predict surges in communicable diseases in the area. This ongoing effort started years before wastewater-based epidemiology became a widespread method in public health practice, due to the COVID-19 pandemic, and is now supported by the U.S. Centers for Disease Control and Prevention (CDC). The work of the partnership led to significant breakthroughs in the field of wastewater surveillance/wastewater epidemiology. The results of our surveillance efforts are used to assist local health departments in their understanding and response efforts for health issues in the TCDA, facilitating public health messaging for local awareness, targeted clinical testing, and increased vaccination efforts. Our data are available to the local health departments, and our methodological advancements are published and have been used by other communities nationwide and beyond. This paper describes the partnership, lessons learned, significant achievements, and provides a look into the future. The successful implementations and advancements of wastewater surveillance in the TCDA advocate the importance of frequent communications and interactions within the partnership, idea generations from each stakeholder for decision-making, maintenance of scientific rigor, ethical awareness, and more.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1475425"},"PeriodicalIF":3.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398860","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":"Best practice portals in health promotion and disease prevention: approaches, definitions, and intervention evaluation criteria.","authors":"Maria Piotrowicz, Małgorzata Gajewska, Katarzyna Lewtak, Ewa Urban, Anna Rutyna, Aneta Nitsch-Osuch","doi":"10.3389/fpubh.2025.1480078","DOIUrl":"10.3389/fpubh.2025.1480078","url":null,"abstract":"<p><strong>Introduction: </strong>The evaluation of practices is a valuable source of evidence in the context of an evidence-based approach to public health. Best practice portals (BPPs) are promising tools for facilitating access to recommended programmes, monitoring and improving the quality of interventions. There are several such portals in Europe, but there is little work in the scientific literature on the subject. The study aimed to identify and characterise BPPs in health promotion and disease prevention and analyse the approaches, definitions, and criteria for evaluating interventions.</p><p><strong>Methods: </strong>To identify portals, websites of public health institutions and organisations, the PubMed database and grey literature were searched. The material consisted of elements of each portal's design, information available on their websites, and collected publications. The study applied a qualitative analysis with a descriptive approach and covered a detailed description of the four selected portals.</p><p><strong>Results: </strong>Among the analysed BPPs, three were from the European region, and one was from Canada (pioneer in developing best practice tools). The dates of launching the portals ranged from the year 2003 to 2016. The number of interventions collected in the databases ranged from 120 to 337. Portals were useful, well-designed, and developed tools. BPPs differed in terms of their objectives and roles, adopted standards and criteria for assessing practices, and other operational factors. In each portal, interventions underwent a rigorous and multilevel assessment process conducted by independent experts in the field and based on intervention evaluation criteria. Generally, the analysed catalogues described similar issues, e.g., Selection of the issue addressed by the practice, Description of a particular element of the practice, Theoretical foundation, or Evaluation/Effectiveness. However, we identified both similarities and differences in the adopted terms (names of criteria) and their definitions. It was shown that sometimes the same criterion had different names depending on the catalogue. On the other hand, criteria with identical or similar names could be defined differently within the detailed thematic scope.</p><p><strong>Conclusion: </strong>The similarities and differences presented in this work can serve as a valuable starting point for designing such tools to support practice-based and evidence-based decision-making in health promotion and disease prevention.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1480078"},"PeriodicalIF":3.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398354","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":"Political economics in health and implications for neurosurgery diseases.","authors":"Yi Han, Yutao Huang","doi":"10.3389/fpubh.2024.1444249","DOIUrl":"10.3389/fpubh.2024.1444249","url":null,"abstract":"<p><p>The field of political economics in health has a significant and far-reaching impact on public health. It encompasses a diverse range of interconnected domains, including the economy, welfare, the environment, food and drug safety, pollution emissions, occupational safety, the quality of medical services, consumer rights, public health policy, healthcare policy, scientific research, and marketing management. In this review, we examine the global influence of political economics on health outcomes and delineate the impact of prevalent neurosurgical conditions on individual and collective healthcare resources. This review will discuss the effects of political-economic factors on the prevalence and treatment of neurosurgical diseases, including stroke, traumatic brain injury (TBI), intracerebral hemorrhage (ICH), and brain malignant tumors. Furthermore, the current challenges and future directions will be discussed. We intend this review to facilitate the exchange and integration of political economics, public health, and neurosurgery, provide a foundation for policy development, enhance the prevention, diagnosis, and treatment of neurosurgical diseases, and ultimately promote public health.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1444249"},"PeriodicalIF":3.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398796","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":"Genetic diversity and transmission pattern of multidrug-resistant tuberculosis based on whole-genome sequencing in Wuhan, China.","authors":"Liqing Wei, Jun Chen, Zhen Deng, Zefang Zhang, Zhengbin Zhang, Qionghong Duan","doi":"10.3389/fpubh.2025.1442987","DOIUrl":"10.3389/fpubh.2025.1442987","url":null,"abstract":"<p><strong>Background: </strong>Investigating the molecular epidemiological characteristics of multidrug-resistant tuberculosis (MDR-TB) in China's moderate-burden regions, such as Wuhan, is crucial for understanding and controlling disease transmission.</p><p><strong>Materials and methods: </strong>This study analyzed MDR-TB isolates from pulmonary tuberculosis cases registered at Wuhan Pulmonary Hospital in 2017. Whole genome sequencing (WGS) was used to identify resistance-conferring mutations, examine their associations with specific <i>Mycobacterium tuberculosis</i> lineages or sublineages, and assess clustering profiles.</p><p><strong>Results: </strong>Among the 149 analyzed strains, the most prevalent mutations associated with resistance to 11 anti-tuberculosis drugs were identified as follows: <i>rpoB</i> Ser450Leu (59.73%, rifampicin), katG Ser315Thr (62.42%, isoniazid), embB Met306Val (42.86%, ethambutol), rpsL Lys43Arg (68.13%, streptomycin), pncA Trp68Arg (10.53%, pyrazinamide), gyrA Asp94Gly (22.50%, fluoroquinolones), and rrs 1401A > G (50.00-100.00%, second-line injectable aminoglycosides). Additional mutations were detected in fabG1 c-15C > T (42.86%, ethionamide) and thyX c-16C > T (21.43%, p-aminosalicylic acid). Notably, rare mutations absent from the WHO mutation catalog, such as ahpC c-52C > T and rpsL Lys43Thr, were also observed. The mutation frequency of <i>embB</i> Met306Ile was significantly higher in Lineage 4 (L4) strains than in Lineage 2 (L2) strains (<i>p</i> = 0.0150), while the rpsL Lys43Arg mutation frequency was lower in L4 compared to L2 (<i>p</i> = 0.0333). A total of 31 MDR MTB <i>Mycobacterium tuberculosis</i> isolates formed clusters, resulting in a clustering rate of 20.81% and a recent transmission rate of 11.41%. The clustering rates between L4 and L2 strains were not significantly different (χ² = 0.0017, <i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>The genetic diversity of MDR-TB in Wuhan demonstrates unique characteristics, with evidence of localized transmission. These findings highlight the urgent need to strengthen measures to detect early cases of MDR-TB and control transmission of MDR-TB in the region.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1442987"},"PeriodicalIF":3.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398751","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":"Mediating role of perceived social support in the relationship between unemployment and mental distress among healthcare graduates during the COVID-19 era.","authors":"Lea John, María Teresa Solís-Soto, Katja Radon","doi":"10.3389/fpubh.2024.1490004","DOIUrl":"10.3389/fpubh.2024.1490004","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the mediating role of perceived social support in the relationship between unemployment and mental distress among young healthcare graduates in Bolivia during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A cross-sectional analysis within a cohort study was conducted using data from 109 healthcare graduates from Bolivia collected through an online survey in 2022. The survey measured employment status, mental distress with the 12-item General Health Questionnaire (GHQ-12), and perceived social support using the Multidimensional Scale of Perceived Social Support (MSPSS). Mediation analysis was performed in R to examine the mediating effect of perceived social support on the relationship between unemployment and mental distress.</p><p><strong>Results: </strong>More than two-thirds of participants reported mental distress. Consistent with the main effect model, employment was directly associated with lower levels of mental distress, and perceived social support was positively related to better mental health. However, perceived social support did not statistically significant mediate the impact of unemployment on mental distress, with only 2.1% of the effect being mediated through perceived social support.</p><p><strong>Conclusion: </strong>Despite the beneficial effect of perceived social support on mental health, it did not significantly mediate the relationship between unemployment and mental distress among Bolivian healthcare graduates during COVID-19. The findings highlight the need for targeted mental health support that go beyond social support for unemployed healthcare graduates during crises.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1490004"},"PeriodicalIF":3.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398870","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":"Requirements for evidence-based management competency in healthcare: a scoping review.","authors":"Elyas Sanaeifar, Elaheh Houshmand, Javad Moghri, Marjan Vejdani, Seyed Saeed Tabatabaee","doi":"10.3389/fpubh.2025.1490454","DOIUrl":"10.3389/fpubh.2025.1490454","url":null,"abstract":"<p><strong>Background: </strong>Identifying the essential skills and qualifications for evidence-based managers in healthcare is crucial for decision-makers who aim to select competent managers and design effective training programs. This study reviews the requirements, capabilities, and skills necessary for evidence-based managers in the healthcare sector to accurately utilize and implement evidence.</p><p><strong>Method: </strong>This scoping review was conducted following the PRISMA-SCR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. A thorough literature search was carried out using relevant keywords across the Web of Science, PubMed, and Scopus databases, with no time restrictions. The selection of articles adhered to predefined inclusion criteria. After eliminating duplicates and reviewing titles, abstracts, and full texts, six articles were included in the final analysis.</p><p><strong>Results: </strong>The study identified several competencies required for effective evidence-based management in healthcare, including professional and technical knowledge, leadership, personal traits and attitudes, communication skills, information management, self-management, critical thinking, research skills, and the ability to apply evidence effectively.</p><p><strong>Discussion: </strong>Given the ongoing transformations in healthcare, including the emergence of new technologies and the generation of extensive data, evidence-based managers must continually enhance their skills to access and evaluate evidence. They should also work on improving both their interpersonal and intrapersonal skills. The authors advocate for further applied research to deepen our understanding of the competencies required for evidence-based managers within the healthcare and treatment contexts.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1490454"},"PeriodicalIF":3.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398849","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":"Advancing health equity: evaluating AI translations of kidney donor information for Spanish speakers.","authors":"Oscar A Garcia Valencia, Charat Thongprayoon, Caroline C Jadlowiec, Shennen A Mao, Napat Leeaphorn, Pooja Budhiraja, Nadeen Khoury, Justin H Pham, Iasmina M Craici, Maria L Gonzalez Suarez, Wisit Cheungpasitporn","doi":"10.3389/fpubh.2025.1484790","DOIUrl":"10.3389/fpubh.2025.1484790","url":null,"abstract":"<p><strong>Background: </strong>Health equity and access to essential medical information remain significant challenges, especially for the Spanish-speaking Hispanic population, which faces barriers in accessing living kidney donation opportunities. ChatGPT, an AI language model with sophisticated natural language processing capabilities, has been identified as a promising tool for translating critical health information into Spanish. This study aims to assess ChatGPT's translation efficacy to ensure the information provided is accurate and culturally relevant.</p><p><strong>Methods: </strong><b>T</b>his study utilized ChatGPT versions 3.5 and 4.0 to translate 27 frequently asked questions (FAQs) from English to Spanish, sourced from Donate Life America's website. The translated content was reviewed by native Spanish-speaking nephrologists using a standard rubric scale (1-5). The assessment focused on linguistic accuracy and cultural sensitivity, emphasizing retention of the original message, appropriate vocabulary and grammar, and cultural relevance.</p><p><strong>Results: </strong>The mean linguistic accuracy scores were 4.89 ± 0.32 for GPT-3.5 and 5.00 ± 0.00 for GPT-4.0 (<i>p</i> = 0.08). The percentage of excellent-quality translations (score = 5) in linguistic accuracy was 89% for GPT-3.5 and 100% for GPT-4.0 (<i>p</i> = 0.24). The mean cultural sensitivity scores were 4.89 ± 0.32 for both GPT-3.5 and GPT-4.0 (<i>p</i> = 1.00). Similarly, excellent-quality translations in cultural sensitivity were achieved in 89% of cases for both versions (<i>p</i> = 1.00).</p><p><strong>Conclusion: </strong>ChatGPT 4.0 demonstrates strong potential to enhance health equity by improving Spanish-speaking Hispanic patients' access to LKD information through accurate and culturally sensitive translations. These findings highlight the role of AI in mitigating healthcare disparities and underscore the need for integrating AI-driven tools into healthcare systems. Future efforts should focus on developing accessible platforms and establishing guidelines to maximize AI's impact on equitable healthcare delivery and patient education.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1484790"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390562","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":"Population aging, technological innovation and industrial differentiation.","authors":"Chunhua Li, Zhangqing Chen, Wangchun Wu, Bin Gao, Lingfeng Zou","doi":"10.3389/fpubh.2025.1502713","DOIUrl":"10.3389/fpubh.2025.1502713","url":null,"abstract":"<p><p>As China's aging population deepens and its pace accelerates, it is particularly crucial to rely on technological innovation to drive industrial differentiation. Is there a connection between population aging, technological innovation, and industrial differentiation? Does technological innovation have a moderating effect? Based on the panel data of 31 provinces in China from 2006 to 2022, this paper constructs the entropy index to measure the overall industrial differentiation and tertiary industrial differentiation in China, and subsequently investigates the relationship among the three using the two-way fixed effect model. The results indicate that population aging has a significant positive impact on the overall industrial differentiation in China, with a regression coefficient of 1.1025. Technological innovation plays a positive moderating role, with an interaction coefficient of 0.3489. The effects of population aging on the differentiation of the three industries differ: the regression coefficient for the primary industry is -0.6437, which is significantly negative; for the secondary industry, the regression coefficient is 0.9252, which is statistically insignificant; and for the tertiary industry, the regression coefficient is 0.1539, which is significantly positive. The government should encourage enterprises to invest in technology research and development through tax cuts and subsidies, and enterprises should absorb high-quality talents, carry out intelligent transformation of traditional industries of enterprises, and improve their competitiveness.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1502713"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390698","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":"Sex differences in delivery and neonatal characteristics of new-borns from the \"MAMI-MED\" cohort.","authors":"Roberta Magnano San Lio, Martina Barchitta, Andrea Maugeri, Elisabetta Campisi, Giuliana Favara, Claudia Ojeda Granados, Claudia La Mastra, Maria Clara La Rosa, Fabiola Galvani, Elisa Pappalardo, Carla Ettore, Giuseppe Ettore, Antonella Agodi","doi":"10.3389/fpubh.2025.1498125","DOIUrl":"10.3389/fpubh.2025.1498125","url":null,"abstract":"<p><strong>Introduction: </strong>Exploring modifiable and non-modifiable determinants-like sex of new-borns, maternal characteristics, and lifestyle-of maternal and child health is a priority in Public Health. Understanding these sex-based differences is essential for tailored care and informed public health policies.</p><p><strong>Methods: </strong>The present study aimed to delineate sex disparities in delivery and neonatal characteristics within the \"MAMI MED\" cohort, an ongoing prospective study involving mother-child pairs from Catania, Italy. The analysis included 1,090 mother-child pairs.</p><p><strong>Results: </strong>The comparison of birth weight and birth length distribution showed some differences between sexes, confirmed by higher birth weight (<i>β</i> = 0.121; 95% CI = 0.071-0.172) and greater birth length (<i>β</i> = 0.659; 95% CI = 0.360-0.958) in males compared to females. However, the comparison of small and adequate for gestational age (SGA vs. AGA) revealed that the likelihood of being SGA was higher in males than in females (OR = 1.592; 95% CI = 1.005-2.563).</p><p><strong>Discussion: </strong>Thus, the focus should be on improving the assessment of gender-based differences in diagnostic criteria and incorporating gender-specific aspects into existing preventive guidelines to deeply understand the effect of gender disparities and risk factors on maternal-child health.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1498125"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390701","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}