Frontiers in Public Health最新文献

{"title":"Consumption of ultra-processed foods by foreign-born adults rise with increased levels of acculturation in the United States.","authors":"Jennifer J Barb, Li Yang, Euridice Martinez-Steele, Ayaan Ahmed, Patricia V Medina, E Michael Valencia, Anna E Roberts, Nicole Farmer, Gwenyth R Wallen","doi":"10.3389/fpubh.2025.1570832","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1570832","url":null,"abstract":"<p><strong>Objective: </strong>Ultra-processed food (UPF) consumption has been linked to increased risks of negative health outcomes such as type 2 diabetes, obesity, and all-cause mortality. Some studies have shown an increase of UPF consumption with acculturation, whereas the influence of the Western diet on non-US born individuals is an area of increasing interest. The aim of this work was to investigate UPF consumption with an acculturation index and to assess whether there was an interaction of UPF consumption with race/ethnicity in non-US born adults.</p><p><strong>Methods: </strong>Dietary intake of non-US born adults participating in the National Health and Nutrition Examination Survey (NHANES) between 2011 and 2018 was assessed using day one of 24-h dietary recall, and the relative daily energy intake comprised of UPFs was used as the outcome of interest. The effect of acculturation assessed by an acculturation index (AcI) on UPF consumption was investigated after controlling for significant covariates. Complex survey sample regression analyses were used to evaluate the association between UPF consumption and AcI.</p><p><strong>Results: </strong>Population sample (<i>n</i> = 3,639) was comprised of non-US born adults (50% male) between 19 and 70 (43.1 ± 0.40) years of age. Of the adults assessed, 42.2% had lower AcI scores of 0 to 2, whereas 57.8% were more accultured (AcI scores of 3-5). Overall, dietary energy from UPFs was about 43.3%. When controlling for co-variates, acculturation was significantly associated with UPF consumption (<i>β</i> = 0.03, s.e. = 0.004, <i>p</i> < 0.001), meaning that for every unit increase in AcI score, there was a 3 % increase in mean UPF consumption. When the interaction between AcI and race/ethnicity was assessed, there was no difference in the impact of AcI on UPF consumption among race/ethnicity groups (<i>p</i> = 0.052).</p><p><strong>Conclusion: </strong>Our findings indicate that greater acculturation is associated with higher UPF consumption. Given the links between high UPF consumption and adverse health outcomes, targeted interventions that promote healthier dietary choices-while preserving culturally relevant eating habits-are essential to support the well-being of non-US born populations.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1570832"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181705","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":"Economic implications of artificial intelligence-driven recommended systems in healthcare: a focus on neurological disorders.","authors":"Jing Zhang, Shihui Xiang, Li Li","doi":"10.3389/fpubh.2025.1588270","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1588270","url":null,"abstract":"<p><strong>Introduction: </strong>The rapid advancement of Artificial Intelligence (AI)-driven recommendation systems in healthcare presents significant economic implications, particularly in the context of neurological disorders. These systems offer opportunities to enhance diagnostic accuracy, optimize resource allocation, and improve patient outcomes. However, conventional economic models fail to address the dynamic complexities of AI integration in healthcare, including market inefficiencies and stakeholder behaviors.</p><p><strong>Methods: </strong>To bridge this gap, we propose a Dynamic Equilibrium Model for Health Economics (DEHE), incorporating reinforcement learning and stochastic optimization. This model captures uncertainty in healthcare decision-making and includes dynamic pricing, behavioral incentives, and adaptive insurance premium mechanisms.</p><p><strong>Results: </strong>Our experimental results demonstrate that DEHE improves economic efficiency by optimizing AI-driven recommendations while balancing healthcare cost and accessibility. Through multi-agent simulations, the model shows strong real-world applicability and stability. It effectively addresses asymmetric information, moral hazard, and market dynamics.</p><p><strong>Discussion: </strong>This study offers a novel economic framework for integrating AI-driven systems in neurological healthcare. We recommend the adoption of adaptive policy mechanisms and stakeholder-specific incentives to enhance cost-effectiveness and equitable access. These insights contribute to the development of more sustainable and inclusive AI-based healthcare policies.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1588270"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181755","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":"Trends and disparities in tuberculosis burden in Kazakhstan and Mongolia (2017-2021): a comparative analysis using GBD metrics.","authors":"Oyunzul Amartsengel, Malika Idayat, Alexander Rommel, Natalya Glushkova, Kairat Davletov, Malik Adenov, Naranzul Dambaa, Lkhagvasuren Khorolsuren, Elena Von Der Lippe","doi":"10.3389/fpubh.2025.1575107","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1575107","url":null,"abstract":"<p><strong>Background: </strong>In Central Asia, respiratory diseases, particularly tuberculosis (TB), are widespread communicable diseases that significantly impact both individuals and health systems, posing a substantial burden. Research highlights the importance of assessing the impact of TB on global morbidity statistics, given its status as a prominent contributor to global morbidity rates and the cause of over a million deaths annually. Our study aims to assess the patterns and changes in the burden of TB in Mongolia and Kazakhstan.</p><p><strong>Methods: </strong>The design is retrospective cross-sectional study. This study used the Global Burden of Disease (GBD) framework, which introduced disability-adjusted life years (DALY) as a measure of disease burden, combining mortality (Years of Life Lost, YLL) and morbidity (Years Lived with Disability, YLD). The calculations were based on standard GBD formulas, incorporating life expectancy data, age at death, and disease-specific disability weights. We calculated Mongolia's and Kazakhstan's national TB registration data from 2017 to 2021. From 2017 to 2021, Kazakhstan and Mongolia experienced significant declines in the burden of TB, as indicated by reductions in years of life lost and years living with disability.</p><p><strong>Findings: </strong>From 2017 to 2021, Kazakhstan's YLL decreased by 18.2% and YLD by 36%, reflecting improved TB control. Mongolia experienced a 24.9% decline in YLL and a 39.4% reduction in YLD, although premature mortality in older men remains a challenge. These findings highlight the need for targeted interventions and healthcare equity to sustain TB control efforts. YLD rates remained low and had minimal impact on total DALYs, underlining the positive trends in reducing TB mortality and disability in both countries. Kazakhstan and Mongolia have significantly reduced the burden of TB, evidenced by reductions in DALY, YLL, and YLD rates.</p><p><strong>Interpretation: </strong>The results suggest that while TB control efforts have yielded positive results in both countries, Mongolia faces challenges in reducing TB-related mortality and morbidity, highlighting the need for targeted interventions and improved access to TB services. These results are consistent with global trends showing a declining TB burden due to improved diagnostics and treatment strategies but highlighting structural disparities that hinder uniform progress. Moreover, WHO estimates for the Western Pacific Region (WPR) and South-East Asia Region (SEAR) reported a slower increase in tuberculosis mortality trends from 2017 to 2021. Future research should focus on addressing the factors contributing to Mongolia's persistently high TB burden, including access to healthcare, treatment adherence, and the role of comorbidities. In addition, expanding the scope of analysis to other Central Asian countries will provide a broader understanding of TB control efforts across the region.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1575107"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181867","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":"Prevalence and genotypes' distribution of human papillomavirus among women in Saudi Arabia: a systematic review and meta-analysis.","authors":"Mohammed S Aldossary, Mohammed Mufrrih, Mervat M El Dalatony, Hatoon M Alamri","doi":"10.3389/fpubh.2025.1580699","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1580699","url":null,"abstract":"<p><strong>Introduction: </strong>Human Papillomavirus (HPV) is a prevalent sexually transmitted infection that can lead to benign lesions, premalignant changes, and cancer. Despite its significance, studies in Saudi Arabia report inconsistent findings regarding HPV prevalence and risk factors. This systematic review and meta-analysis aimed to assess the prevalence and genotype distribution of HPV among women in Saudi Arabia.</p><p><strong>Methods: </strong>A systematic literature search was conducted across multiple electronic databases (January 1990-August 2024). Studies reporting HPV prevalence among women in Saudi Arabia, regardless of nationality or health status, were included. The pooled prevalence was calculated using a random-effects model, with log-transformed proportions and 95% confidence intervals (CI).</p><p><strong>Results: </strong>Twenty-two studies (<i>n</i> = 15,224 women) met the inclusion criteria. The pooled prevalence of HPV among women attending cervical screening was 14.9% (95% CI: 10.9-18.9%), with substantial heterogeneity (I² = 97.4%, <i>p</i> < 0.001). Subgroup analysis by region showed a higher prevalence in Riyadh (19.1, 95% CI: 13.1-25%) compared to the Western region (6.1, 95% CI: 3.7-8.4%). Among women with gynecological malignancies, the pooled prevalence was 68.1% (95% CI: 49-87.1%). HPV-16 was the most common genotype (35.4%), followed by HPV-18 (10.9%). Other high-risk types (HPV-45, 31, 33, 35, 52, and 58) accounted for 2.2-13.7% of infections.</p><p><strong>Conclusion: </strong>HPV prevalence in Saudi Arabia is comparable to global figures, though significant geographic variability exists. A national screening survey is necessary to establish the true prevalence and inform preventive strategies.</p><p><strong>Systematic review registration: </strong>PROSPERO No. CRD42024583260.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1580699"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182244","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 impact of transformational leadership on the workplace well-being of employees with disabilities: series mediation and moderation process.","authors":"Abdulaziz Alfalih, Wided Ragmoun","doi":"10.3389/fpubh.2025.1506257","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1506257","url":null,"abstract":"<p><p>This paper investigates the impact of transformational leadership on workplace well-being for employees with disabilities through the integration of assistive technology (AT) and its influencing factors. Despite the growing recognition of the importance of inclusivity in the workplace, employees with disabilities frequently encounter barriers that can hinder their well-being and participation. This research examines how transformational leadership can shape the organizational context through the adoption, utilization, and effectiveness of AT in promoting employee well-being while also considering the impact of psychological factors. A questionnaire was employed to collect responses from 432 employees with disabilities. Based on the gathered data, Structural Equation Modeling (SEM) with SmartPLS was utilized to test the research hypotheses and produce results. The findings reveal that transformational leadership fosters a positive organizational context by nurturing a culture of inclusion and support with <i>β</i> = 0.081. This context promotes integrating assistive technology to enhance the well-being of disabled employees in the workplace. Additionally, the results confirm that transformational leadership encourages the development of psychological factors such as self-confidence and self-efficacy as key determinants of well-being, with <i>β</i> = 0.435. This paper contributes to the existing literature by providing a nuanced understanding of the relationship between transformational leadership, assistive technology, and the well-being of employees with disabilities. It offers comprehensive practical insights for organizations seeking to improve their inclusive practices and support employees with disabilities in achieving their full work potential.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1506257"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179930","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 home modifications and depression among older people in China.","authors":"Xuanru Lyu, Jian Sun","doi":"10.3389/fpubh.2025.1475037","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1475037","url":null,"abstract":"<p><strong>Background: </strong>As individuals age, their living environments often become inadequate to meet the evolving demands associated with aging. An accommodating home environment is crucial for ensuring the health and well-being of older people. Home modifications effectively create a supportive living space for those who choose to age in place. The objective of the study is to examine the association between home modifications and the depression levels of older people in China.</p><p><strong>Methods: </strong>Using data from 5,706 urban older people collected in the 2018 China Longitudinal Aging Social Survey (CLASS), this study employs a multivariate ordered logistic regression model and propensity score matching (PSM) to assess the association between home modifications and depression levels among older people in China.</p><p><strong>Results: </strong>The results suggest that home modifications are significantly associated with a reduction in depression among older people, with a greater degree of modification correlating with more substantial reductions in depressive symptoms. These findings remained consistent across various models and robustness checks, suggesting that modifying the living environment can significantly benefit older people' mental health.</p><p><strong>Conclusion: </strong>These findings demonstrate the significance of the implementation of home modifications as a practical intervention for improving mental health by reducing depression levels among older people in China.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1475037"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180711","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":"An exploration of current and future vector-borne disease threats and opportunities for change.","authors":"Alexandra Hiscox, Robert T Jones, Jessica Dennehy, Will Dyall, Laura Paris, Freya I Spencer, Fiona Keating, Frederik Seelig, Abhinandan Narendran, Avijit Das, James G Logan","doi":"10.3389/fpubh.2025.1585412","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1585412","url":null,"abstract":"<p><p>Vector-borne diseases, including dengue, threaten the health and livelihoods of over 80% of the world's population, particularly in tropical and subtropical regions. Environmental, ecological, climatic, and socio-economic factors are expected to drive increased transmission, emphasizing the need to identify key threats and prioritize strategies for control. We examined drivers, challenges and potential solutions with global experts, using Brazil and India as case studies. Both countries face rapid population growth, unplanned urbanization and increased exposure to animal reservoirs alongside unique surveillance and control challenges. We advocate for improvements in surveillance systems and capacity, investment in sustainable vector control tools, leveraging of artificial intelligence for outbreak prediction, and fostering public-private partnerships to develop innovative interventions. A multifaceted approach, combining community-led initiatives with advanced technologies, is essential to reducing the burden of vector-borne diseases and preventing future epidemics.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1585412"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179741","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 effect of exercise on cardiovascular disease risk factors in sedentary population: a systematic review and meta-analysis.","authors":"Liangru Guo, Chaochao Wang","doi":"10.3389/fpubh.2025.1470947","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1470947","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study (PROSPERO CRD42023443860) was to determine the dose-response associations of exercise on cardiovascular disease risk factors in sedentary populations using systematic evaluation and meta-analysis.</p><p><strong>Methods: </strong>We conducted a systematic search of the literature up to July 2024 using PubMed, Web of Science, and SCOPUS. Of the 72,704 search records initially identified, 15 studies were considered eligible for systematic evaluation and meta-analysis. The methodological quality of the included literature was assessed using the Cochrane Risk Assessment Tool. Using a random-effects model, we pooled standardized mean differences (SMDs) with 95% confidence intervals (CIs) for key cardiovascular risk factors.</p><p><strong>Results: </strong>Exercise improved systolic blood pressure [SMD = -0.33 (95% CI, -0.62 to -0.05), <i>p</i> = 0.02], diastolic blood pressure [SMD = -0.52 (95% CI, -0.92 to -0.12), <i>p</i> = 0.01], and resting heart rate [SMD = -0.30 (95% CI, -0.50 to -0.10), <i>p</i> = 0.004]. However, no significant effects were observed for total cholesterol [SMD = -0.03 (95% CI: -0.24 to 0.18), <i>p</i> = 0.78], HDL cholesterol [SMD = 0.06 (95% CI: -0.16 to 0.27), <i>p</i> = 0.6], LDL cholesterol [SMD = -0.21 (95% CI: -0.59 to 0.18), <i>p</i> = 0.29], triglycerides [SMD = -0.11 (95% CI: -0.42 to 0.21), <i>p</i> = 0.51], or body mass index [SMD = 0.01 (95% CI: -0.16 to 0.17), <i>p</i> = 0.94].</p><p><strong>Conclusion: </strong>Regular exercise with a duration of 30-40 min per session and a frequency of 3-5 sessions per week significantly improves blood pressure and resting heart rate in sedentary populations, but does not appear to affect lipid profiles or body mass index.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1470947"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179981","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":"Temperature influences mood: evidence from 11 years of Baidu index data in Chinese provincial capitals.","authors":"Mengjiao Yin, Mengmeng Zhu","doi":"10.3389/fpubh.2025.1569903","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1569903","url":null,"abstract":"<p><strong>Introduction: </strong>This study explores the dynamic relationship between temperature changes and public negative emotions-specifically depression, anxiety, and loneliness. It introduces an innovative approach by integrating climate data with digital behavior metrics to provide objective insights into how environmental factors may influence mental health.</p><p><strong>Methods: </strong>A dataset combining daily meteorological records and Baidu search indices from 31 provincial capital cities in China (2013-2023) was used. Search engine query data served as a proxy for public emotional states, avoiding social desirability bias commonly found in self-reported surveys. Panel fixed-effect models and heterogeneity analysis were employed to assess the impact of daily mean temperature (DMT) and daily temperature range (DTR). A \"climate zone × season\" framework was constructed to explore regional and seasonal variations. Threshold regression analysis was also conducted to identify nonlinear effects.</p><p><strong>Results: </strong>The results showed that for every 1°C increase in DMT, search indices for depression, anxiety, and loneliness increased significantly by 22.71%, 18.76%, and 19.59%, respectively (<i>p</i> < 0.01). Conversely, a 1°C increase in DTR led to decreases of 30.35%, 31.19%, and 15.41% in these indices (<i>p</i> < 0.05). Threshold regression analysis revealed that the adverse effect of high temperatures on loneliness became insignificant when DTR exceeded 14°C. Heterogeneity analysis highlighted significant regional and seasonal differences, particularly during cold seasons in severely cold zones and hot seasons in warm summer-cold winter zones.</p><p><strong>Discussion: </strong>The findings suggest that temperature fluctuations have a complex and regionally dependent impact on public mental health. The moderating role of climate characteristics and seasonal patterns underscores the importance of localized climate policies and mental health interventions. This study provides empirical evidence based on objective behavioral data, contributing to climate-related public health strategies and adaptive policy design.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1569903"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181828","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 impact of personal health literacy and school health literacy environments on schoolteachers' health outcomes.","authors":"Mingyang Yu, Rongmei Liu, Qiuping Zhao, Junfang Wang, Yuxi Bai, Xiaomo Yang, Shuaibin Liu, Orkan Okan, Bing Hua, Nengguang Dai, Suyan Xu, Shuaijun Guo","doi":"10.3389/fpubh.2025.1570615","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1570615","url":null,"abstract":"<p><strong>Background: </strong>The relationship between personal health literacy and health outcomes is clear, but the role of health literacy environments is often overlooked. This study examined associations between personal health literacy, school health literacy environments and health outcomes among schoolteachers.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 7,364 schoolteachers in Zhengzhou, China. Personal health literacy was measured by the Health Literacy Population Survey 2019-2021 (excellent/sufficient/problematic/inadequate) and school health literacy environments were measured by the Organisational Health Literacy of School Questionnaire (supportive/less supportive). Health outcomes included health status (poor/good), health-compromising behaviours (yes/no), health service use (yes/no), and healthcare cost (≥RMB 1,000/ <RMB 1,000).</p><p><strong>Results: </strong>Over half of teachers had inadequate or problematic health literacy. Teachers with inadequate health literacy had higher odds of poor health status, health-compromising behaviour, health service use, and high healthcare cost than those with excellent health literacy. Similarly, teachers who perceived less supportive school health literacy environments had higher odds of poor health outcomes.</p><p><strong>Conclusion: </strong>Both personal health literacy and school health literacy environments are important to schoolteachers' health outcomes. Educational programs and organisational change are needed to improve personal health literacy and school environments to improve schoolteachers' health and wellbeing.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1570615"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181355","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}