Frontiers in Public Health最新文献

{"title":"Higher BMI and extraversion are associated with greater button-press force in a lab setting.","authors":"Baotian Chang, Songbin Yang, Nan Zhang","doi":"10.3389/fpubh.2025.1681360","DOIUrl":"10.3389/fpubh.2025.1681360","url":null,"abstract":"<p><p>Surface transmission is a major route for gastrointestinal infections, with risk driven by human touch behaviors and microbial transfer rates. Greater touch force generally increases microbial transfer rates-a pattern supported by previous studies, which suggests that increased force may enhance the potential for surface transmission. This study aims to clarify individual differences in touch force and consider how these differences might relate to microbial transfer potential based on existing evidence. We recruited 115 participants and recorded force during two common touches-typing (complex) and elevator-button presses (simple)-using a touch-sensing device. Demographic attributes and personality traits of the participants were assessed through questionnaires. In simple touches, higher BMI (<i>r</i> = 0.35, 95% CI [0.17, 0.51], <i>p</i> < 0.01; Beta = 0.32, 95% CI [0.10, 0.54], <i>p</i> < 0.05) and extraversion (<i>r</i> = 0.21, 95% CI [0.02, 0.38], <i>p</i> < 0.05; Beta = 0.25, 95% CI [0.03, 0.47], <i>p</i> < 0.05) predicted greater force; no demographic attributes or personality variables influenced complex touches, and sex had no effect. In practical terms, individuals with higher BMI or extraversion may disproportionately contaminate-and be exposed to-high-touch surfaces.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1681360"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307610","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 awareness, perception, and perceived behaviors regarding the impacts of advanced technology on the environment among residents of the eastern region, Saudi Arabia: a cross-sectional study.","authors":"Yousif M Elmosaad, Ahmed M Al Rajeh, Maria Blesilda B Llaguno, Safia Belal, Bothaina H Hassan, Mohammad Aatif, Ahmad Ibrahim, Munerah Almulhem, Humood Fahm Albugami, Abdel Moneim S Elhassan, Eduardo L Fabella, Heba M Arakeep, Edwin C Cancino, Edric D Estrella, Sara Almaani, Abdullah S Al Hashem, Abdullah Ahmed Al Moweshy, Ghazi I Al Jowf","doi":"10.3389/fpubh.2025.1649249","DOIUrl":"10.3389/fpubh.2025.1649249","url":null,"abstract":"<p><strong>Introduction: </strong>Technology is a major and indispensable part of everyone's life, but the negative utilization of advanced technology has caused numerous global environmental problems, such as declining biodiversity, climate change, ozone depletion, overpopulation, and hazardous waste. The current study primarily aims to assess environmental awareness perceptions and perceived behaviors held by the community toward the Impacts of Advanced Technology on the Environment.</p><p><strong>Methods: </strong>An analytical cross-sectional study design was conducted among 310 residents of the three administrative areas of Al-Ahsa (Al-Hofuf, Al-Mubaraz, and Al-Gourah) in eastern Saudi Arabia from January to February 2024 with a response rate of 80.7%. A researcher-developed questionnaire consisting of four sections was utilized with a Cronbach's alpha test result of (0.81). The data was analyzed using SPSS version 24, which included descriptive statistics, chi-square, and multivariate logistic regression. Crude and adjusted odds ratios were reported with corresponding 95% confidence interval estimates; statistical significance was set at an alpha less than 0.05.</p><p><strong>Results: </strong>More than half of the study participants exhibited a relatively good awareness level and a positive perception, especially males, younger respondents, those with bachelor's degrees, and urban residents. Multivariate analysis showed that younger respondents with high education levels adjusted with good levels of awareness were more likely to develop positive perceptions toward the impacts of advanced technology on the environment. In addition, we observed that the participants with positive perceptions and good awareness were more likely to donate their equipment when not in use and use alternatives to technology. Awareness and positive perceptions motivate them to practice responsible behaviors toward the environment.</p><p><strong>Conclusion: </strong>There is a need for education and promotion programs to be implemented in the community to promote concern for the environment, encourage favorable perceptions to shape their practices and prepare them to continuously practice environmentally friendly activities.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1649249"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307459","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":"Utilization of upper gastrointestinal tumor inpatient services affected by COVID-19 in China 2018-2021: an interrupted time series analysis.","authors":"Xue Yang, Mengying Liu, Hui Lu","doi":"10.3389/fpubh.2025.1589672","DOIUrl":"10.3389/fpubh.2025.1589672","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has posed an unprecedented challenge to the healthcare system addressing chronic diseases, significantly affecting inpatient healthcare access. We aimed to determine the impact of COVID-19 on inpatient healthcare utilization for patients with upper gastrointestinal (UGI) tumors, which would help improve responses to medical healthcare needs under future public health emergencies.</p><p><strong>Method: </strong>Utilizing interrupted time-series analysis (ITSA), we analyzed data of UGI tumor patients from 37 medical institutions in Yangzhou from 2018 to 2021. Data were extracted from the Yangzhou City Health Information Platform in Jiangsu Province, and key indicators for analysis included demographics, clinical characteristics, and hospitalization utilization (length of hospital stay, hospital costs). The intervention point was set at January 2020, marking the onset of COVID-19.</p><p><strong>Result: </strong>Seven thousand three hundred and two cases were included in the analysis. The hospital days and total hospitalization costs decreased instantaneously by 1.60 (95%CI: -2.69, -0.51) days and 5349.04 (95%CI: -11015.66, 317.571) Yuan, respectively. During the post-pandemic period, hospital days and expenses surged, exceeding pre-pandemic levels by late 2021. The structure of medical costs has changed, with the cost of blood and consumables increasing by 345.53 (95%CI: 176.07, 514.99) Yuan and 755.23 (95%CI: -698.96, 2209.42) Yuan, respectively, at the time of the outbreak. Self-payment expense increased by 1150.77 (95%CI: -243.36,2544.91) Yuan, and reimbursement ratios slightly decreased by 0.03 (95%CI: -0.11, 0.05). Additionally, significant changes occurred in the occupational structure, health insurance utilization, and complication status of patients hospitalized with UGI tumors during the pandemic.</p><p><strong>Conclusion: </strong>Our findings indicate that the outbreak did cause a reduction in the use of UGI tumor inpatient services in Yangzhou City. The COVID-19 pandemic exacerbated the disease burden among patients with UGI tumors, with significantly increased costs for blood products and consumables. The findings emphasize the need to strengthen emergency management, implement precise prevention and control measures based on the dynamics of the epidemic, and ensure the safe supply of blood products and emergency medical supplies. It is necessary to improve the primary healthcare institution system to ensure patients' access to medical services. The COVID-19 pandemic may exacerbate health inequalities. Therefore, it is essential to optimize the medical insurance system, provide targeted subsidies to medical institutions, curb the growth of unreasonable medical costs, and offer special protection for vulnerable groups.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1589672"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307657","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 engagement of people with lived experiences in substance use research.","authors":"Catherine Kim","doi":"10.3389/fpubh.2025.1611836","DOIUrl":"10.3389/fpubh.2025.1611836","url":null,"abstract":"<p><strong>Background: </strong>People with lived experiences (PWLE) are underrepresented in research engagement, however their involvement can significantly boost the relevance and impact of research. Questions concerning the credibility and trustworthiness of PWLE researchers by traditional and positivist researchers have been identified. Having been associated with substance use of questionable legality and related substance use activities, PWLE researchers face stigma and are deemed to lack the trustworthiness that serious research entails. Current literature on PWLE found a dearth of knowledge on the definitions and conceptualizations of PWLE in research, which this paper attempts to partially address.</p><p><strong>Methods: </strong>Issues surrounding the trustworthiness of PWLE in substance use research were investigated, along with accounts of involving PWLE at different phases of the research process.</p><p><strong>Findings: </strong>People with lived experiences have been undervalued as researchers compared to other positivist counterparts despite advocating against marginalization and oppressive practices. They offer in-depth, meaningful contributions to research involving phenomena that they have experienced and were found to provide insights that other non-PWLE researchers overlooked. Moreover, engaging PWLE in research is not only beneficial for research processes and outcomes but is also empowering for PWLE themselves.</p><p><strong>Conclusion: </strong>A guide to maintaining trustworthiness and a description of PWLE contributions to research processes are provided.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1611836"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307735","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 among parental mental health, lifestyle factors and infant mortality in rural and urban mothers.","authors":"S Mudasser Shah, Zijin Zhang, Muhammad Jahangir, Fatimah Sayer Alharbi, Wenrui Zhang, Xiuyun Lin","doi":"10.3389/fpubh.2025.1622333","DOIUrl":"10.3389/fpubh.2025.1622333","url":null,"abstract":"<p><strong>Background: </strong>Infant mortality remains a critical public health concern, necessitating a comprehensive understanding of its determinants. This investigation aimed to examine associations between social determinants, lifestyle factors, and maternal mental health in relation to infant mortality.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 500 mothers (250 rural, 250 urban) in Khyber Pakhtunkhwa (KPK), Pakistan. The Depression Anxiety Stress Scales (DASS-21) were employed to evaluate symptoms of anxiety, depression, and stress, while a Lifestyle and Habits Questionnaire collected data on physical activity and dietary patterns. Data was collected via questionnaires and demographic information from 500 mothers using purposive sampling. Key variables included rural/urban residence, age at marriage, socio-economic status, access to healthcare, type of delivery attendant, and under-5 mortality rates.</p><p><strong>Results: </strong>Rural mothers had significantly lower infant mortality rates (<i>p</i> = 0.000) compared to urban mothers. Physical activity and diet were negatively correlated with depression, anxiety, and stress (<i>p</i> < 0.05). Rural mothers reported higher physical activity (<i>M</i> = 23.46 vs. 21.79, <i>p</i> = 0.001) and healthier diets (<i>M</i> = 16.01 vs. 14.85, <i>p</i> = 0.001). Urban mothers exhibited significantly higher levels of depression (<i>M</i> = 6.59 vs. 1.63, <i>p</i> = 0.000), anxiety (<i>M</i> = 7.68 vs. 2.18, <i>p</i> = 0.000), and stress (<i>M</i> = 9.65 vs. 2.32, <i>p</i> = 0.000). Early marriage was linked to increased anxiety and stress (<i>p</i> = 0.000).</p><p><strong>Conclusion: </strong>Findings underscored the importance of addressing social determinants and fostering healthy lifestyles to improve maternal and child health outcomes. Interventions that promote access to healthcare, physical activity or healthy dietary habits can help make the infant mortality rates and the overall state of health of the mother better.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1622333"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307477","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":"Migrant older adults' perception of social support on subjective well-being: a mediating role of psychological resilience.","authors":"Yuxi Liu, Qian Liu, Qihui Gan, Li Jia, Xianglei Zhu, Ruiming Liu, Jie Huang, Chonghua Wan, Qikang Chen","doi":"10.3389/fpubh.2025.1647544","DOIUrl":"10.3389/fpubh.2025.1647544","url":null,"abstract":"<p><strong>Introduction: </strong>With the acceleration of urbanisation in China, there are a growing number of migrant older adults, and the mental health problems of this group require prompt attention.</p><p><strong>Methods: </strong>This research conducted a questionnaire survey of 470 migrant older adults in various communities of Dongguan, and employed an independent sample t-test, Pearson correlation analysis, and stepwise multiple regression to analyse the data to explore the relationship between perceived social support, resilience and subjective well-being (SWB).</p><p><strong>Results: </strong>The findings indicated that migrant older adults' perceived social support is positively correlated with resilience (r = 0.827, <i>p</i> < 0.05) and SWB (r = 0.645, <i>p</i> < 0.05), and resilience and SWB are also positively correlated (r = 0.698, <i>p</i> < 0.05). The SWB of migrant older adults can be predicted from their perceived social support (<i>β</i> = 0.182, <i>p</i> < 0.05) and resilience (β = 0.281, <i>p</i> < 0.05). Moreover, resilience partially plays a mediating role between the perception of social support and SWB, and the mediating effect accounts for 60.8 percent of the total effect.</p><p><strong>Discussion: </strong>To improve the SWB of the migrant older adults, it is important to address the psychological potential of the migrant older adults from the perspective of positive psychology, and help them improve their positive psychological quality and resilience.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1647544"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307550","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":"Empowering Ukrainian healthcare and humanitarian aid workers: cocreating a peer support staff wellbeing curriculum.","authors":"Courtney Welton-Mitchell, Nawaraj Upadhaya, Andrew Riley, Julius Torres Kellinghusen, Alexa Hansen, Halyna Skipalska, Peter Navario, Theresa P Castillo","doi":"10.3389/fpubh.2025.1654263","DOIUrl":"10.3389/fpubh.2025.1654263","url":null,"abstract":"<p><p>In February 2022 Russia launched an invasion of Ukraine. National aid workers responded to the crisis, at the risk of their own wellbeing. This case study details the cocreation of a peer support intervention by a global public health non-profit working with national staff in Ukraine. As a first step in peer support wellbeing curriculum development, an online survey was developed and administered for 530 Ukrainian healthcare and humanitarian aid workers. The survey resulted in 300 valid responses, for a 57% response rate. Top stressors included: <i>personal safety and security</i> (43%), <i>concerns for family and friends</i> (32%), and <i>financial hardships</i> (29%). Just over one-third of respondents indicated that stress was interfering with their ability to do their job. Common forms of coping included <i>distraction</i> (73%), and <i>use of alcohol or drugs</i> (32%). Nearly all (97%) indicated interest in a peer support group intervention. In addition to interest in socializing with colleagues, top preferences for curriculum content included: <i>coping skills, psychological preparedness, peer support facilitation skills, and healthy team dynamics</i>. Survey results were used to develop a 6-module peer support group curriculum, refined through subsequent workshops. This participatory approach can be utilized to develop tailored wellbeing curriculum for workers of various types and across settings.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1654263"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307556","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":"Efficiency and equity of resource allocation in healthcare services using DEA and concentration indices: evidence from the traditional medicine hospital in Gansu Province, China.","authors":"Yahui Ba, Zhonghua Luo","doi":"10.3389/fpubh.2025.1674348","DOIUrl":"10.3389/fpubh.2025.1674348","url":null,"abstract":"<p><strong>Background: </strong>Traditional Chinese medicine (TCM) hospitals are vital to China's healthcare system, yet concerns persist about the efficiency and equity of resource allocation. Variations in economic development across cities within a province lead to disparities in allocation efficiency, with many TCM hospitals facing challenges like low technical efficiency and uneven resource distribution. These issues hinder quality healthcare delivery and compromise fairness.</p><p><strong>Methods: </strong>Using health statistics data (2018-2024) from China's Gansu Provincial Bureau of Statistics, this study employed a three-stage Data Envelopment Analysis (DEA) model, the Malmquist index, and Health Resources Agglomeration Degree (HRAD) to evaluate the efficiency and equity of TCM hospital resource allocation across 14 cities in the province.</p><p><strong>Results: </strong>In 2024, the comprehensive technical efficiency of healthcare services at Gansu Provincial TCM Hospital was 0.961, with 10 regions being DEA-effective, 1 showing weak effectiveness, and 3 deemed ineffective. After adjusting environmental variables and random disturbances in the third-stage analysis, the recalculated efficiency metric stands at 0.962, showing minimal variation. This indicates that environmental factors exert a negligible influence on efficiency. From 2018 to 2024, total factor productivity declined annually, indicating significant room for efficiency improvement. Resource allocation equity varied widely across regions, with notable disparities in both geographical concentration and population-based distribution observed during the study period.</p><p><strong>Conclusions: </strong>The efficiency and equity of resource allocation of TCM hospitals require substantial improvement. Insufficient resources limit hospital performance, and while technical efficiency surpasses allocation efficiency, overall technical standards remain inadequate. Geographic inequities in resource distribution are particularly pronounced. To address these challenges, establishing a provincial resource allocation mechanism, enhancing infrastructure in low-efficiency areas, and coordinating resource distribution across economically diverse cities are essential to optimize both efficiency and fairness.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1674348"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307540","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":"Self-management activation for low back pain and its influencing factors among intensive care unit nurses: a multicenter cross-sectional study.","authors":"Zhi Zeng, Li Wan, Xiuru Yang, Fenglin Yan, Zhenghua Liang, Mei He","doi":"10.3389/fpubh.2025.1665408","DOIUrl":"10.3389/fpubh.2025.1665408","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the current status of self-management activation of low back pain (LBP) among intensive care unit (ICU) nurses and analyze the influencing factors, to provide a reference for intervention strategies to improve their self-management activation of LBP.</p><p><strong>Methods: </strong>Through a cross-sectional research method, 366 ICU nurses from five tertiary-level hospitals in Mianyang City were selected in January-March 2025 using a convenience sampling method. With ternary interaction determinism as the theoretical basis, the general information questionnaire, the Participants Activation for self-management of Back Pain (PAMQ), the presenteeism behavior scale, and the perceived social support scale (PSSS) scale were used to conduct the survey. Descriptive statistics, univariate analysis, and multiple linear regression analysis were employed to describe the current status of self-management activation for LBP among ICU nurses and to identify its associated factors.</p><p><strong>Results: </strong>ICU nurses scored (37.93 ± 5.69) on the PAMQ with a score of 69.0%, and the related self-management awareness, self-management beliefs, and self-management knowledge dimensions scored in the order of sub 75.1, 68.2, and 66.9%. Correlation analysis revealed that the self-management activation for LBP among ICU nurses was negatively correlated with presenteeism (<i>p</i> < 0.001) and positively correlated with perceived social support (<i>p</i> < 0.01). Multiple linear regression analysis showed that age, years of work experience, educational level, frequency of exercise, participation in LBP prevention training, presenteeism, and perceived social support were significantly associated with self-management activation for LBP among ICU nurses (<i>p</i> < 0.05), collectively explaining 63.6% of the total variance.</p><p><strong>Conclusion: </strong>The overall self-management activation for LBP among ICU nurses needs to be improved urgently. Although these nurses demonstrate a strong motivation for self-management, they possess insufficient knowledge regarding LBP. Therefore, future interventions should be tailored to key factors such as ICU nurses' age, years of work experience, education level, exercise frequency, participation in LBP prevention training, presenteeism, and perceived social support. Developing such precise and systematic intervention strategies will enhance self-management activation for LBP, reduce the incidence of LBP, and ultimately promote the wellbeing of the nursing workforce.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1665408"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307643","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 accuracy and consistency of public health data in Brazilian information systems: identification of gaps and challenges to be faced in a municipality in the Amazon region.","authors":"Diego Simeone, Andrea Laranjeira, Pedro M R Lopes, Vytória C S Nogueira, Daniele S Sousa, Yago J Martins, Marcus W A Carvalho, Indira A L Eyzaguirre, Marcus E B Fernandes, Aldemir B Oliveira-Filho","doi":"10.3389/fpubh.2025.1681810","DOIUrl":"10.3389/fpubh.2025.1681810","url":null,"abstract":"<p><strong>Background: </strong>In Brazil, health conditions of public importance are notified by municipal health departments with a standardized flow using the Notifiable Health Conditions Information System (Sinan). This information goes through a process of consolidation and transfer to DataSUS, the national system that centralizes health information in Brazil. This study assessed whether there are quantitative differences between notified health conditions through the municipal system (Sinan) and those consolidated in the national system (DataSUS).</p><p><strong>Methods: </strong>This study was based on the municipality of Bragança, located in the eastern Amazon, which plays a strategic role due to its high annual number of notifications. To identify differences between the systems, we used data provided by Sinan and retrieved from DataSUS from 2019 to 2023. We tested the absolute loss in the number of notifications across years and health conditions between the two systems. Ethical approval was not required due to the anonymous nature of the data.</p><p><strong>Results: </strong>Of the 19 health conditions identified and analyzed, 15 showed decreases between the systems, with losses reaching up to 91%. The largest discrepancies were observed for AIDS, syphilis in pregnant women, and dengue. Over the years, the loss was consistent, averaging approximately 42%.</p><p><strong>Conclusion: </strong>The differences observed between the two systems may have direct implications for the design, planning, and implementation of public health policies. Reducing these gaps urgently requires strategies such as the training of healthcare professionals, the revision of data flow processes, and investments in technologies that support system integration.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1681810"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307730","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}