Frontiers in Public Health最新文献

{"title":"Stakeholder perspectives of barriers and facilitators to enhancing hydration in elementary schools within a socio-ecological framework.","authors":"Kristina L Tatum, Danyel I Smith, Hsinling Sonya Hung, Madison Weinstock, Shannon Rhodenhiser, Justine Blincoe, Alisa E Brewer, Jessica Gokee LaRose, Tisha Erby, LaTriece Haskins, Kevin Starlings, Katlyn Garr, Tegwyn H Brickhouse, Melanie K Bean","doi":"10.3389/fpubh.2026.1784617","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1784617","url":null,"abstract":"<p><strong>Introduction: </strong>Adequate hydration is vital for cognitive performance, fine motor skills, and visual attention, foundational for academic success. However, children spend a considerable portion of their waking hours at school, where they do not consume enough water. The Healthy, Hunger-Free Kids Act of 2010 requires school district wellness policies to implement provisions ensuring that free, clean, accessible, safe drinking water is available during the school day, including mealtimes. Despite ongoing policy efforts, numerous barriers to equitable drinking water access persist, particularly in lower-resourced school districts. This study explores stakeholders' perspectives on barriers and facilitators influencing the hydration landscape in an urban school district in central Virginia to inform the development of a school-based intervention.</p><p><strong>Methods: </strong>A community-engaged qualitative approach was employed, with semi-structured interviews (<i>N</i>=15) conducted among wellness leaders, school personnel, and site coordinators. Trained coders applied a multi-step grounded theory approach to identify themes across multiple levels of the social-ecological model. A multi-sectorial community advisory board contributed to the design, interview guide questions, and interpretation of findings.</p><p><strong>Results: </strong>Stakeholders identified nine key themes: (1) perceived importance of hydration (e.g., health benefits, water as a necessity); (2) students' motivation to drink water (e.g., hydration station novelty, perceived water source cleanliness); (3) teachers' role in student hydration (e.g., role modeling, providing education on healthy hydration); (4) home environment influences (e.g., available hydration options, water quality); (5) classroom management strategies (e.g., hydration breaks); (6) access to resources (e.g., availability of reusable water bottles); (7) competing school priorities (e.g., teacher workload, standardized testing); (8) community influences (e.g., access to healthy hydration options); and (9) awareness of current hydration policies (e.g., communicating policy efforts).</p><p><strong>Discussion: </strong>Stakeholders identified barriers and facilitators influencing hydration in schools. Access to resources, community partnerships, and classroom hydration policies, emerged as key intervention targets for achieving water equity in elementary schools.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1784617"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836621","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":"Exploring influencing factors on fall prevention intentions among nursing assistants: a qualitative study.","authors":"Yueting Huang, Weilin Zhang, Suqing Wang","doi":"10.3389/fpubh.2026.1823811","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1823811","url":null,"abstract":"<p><strong>Objective: </strong>Guided by the Theory of Planned Behavior (TPB), this study explored key factors influencing fall prevention intentions among nursing assistants in Chinese tertiary hospitals.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted. Twenty nursing assistants from a tertiary hospital in China were recruited via purposive sampling. Semi-structured interviews were analyzed using thematic analysis, with reporting guided by the COREQ checklist.</p><p><strong>Results: </strong>Three core themes consistent with the TPB emerged: (1) Ambivalent behavioral attitudes, characterized by a disconnect between valuing fall prevention and assuming responsibility, and conditional proactivity; (2) Conflicted subjective norms, including situational compromises among institutional, family, and peer expectations, and a punitive feedback culture; (3) Limited perceived behavioral control, challenges in complex situations and structural resource constraints (time, equipment, support).</p><p><strong>Conclusion: </strong>Nursing assistants' fall prevention intentions are shaped jointly by ambivalent attitudes, conflicting norms, and limited control. Multi-level interventions empowering nursing assistants, fostering a constructive organizational culture, and optimizing resources are needed to enhance their intentions and translate policy into consistent bedside practice.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1823811"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836625","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":"Spatiotemporal clusters and dengue hotspots in the Philippines: a nationwide analysis spanning 2017-2024.","authors":"Kenny Oriel A Olana, Aksara Thongprachum, Napaphat Poprom, Veerasak Punyapornwithaya","doi":"10.3389/fpubh.2026.1781800","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1781800","url":null,"abstract":"<p><strong>Background: </strong>Spatiotemporal epidemiology of dengue remains poorly understood in the Philippines and there is scarcity of a nationwide spatiotemporal cluster analysis. This study utilizes long-term nationwide data to identify the spatial patterns and spatiotemporal clustering of dengue incidence in the Philippines.</p><p><strong>Methods: </strong>We obtained monthly data from January 2017 to December 2024 across all provinces from the Philippine Epidemiology Bureau. The data were analyzed via spatial analysis techniques, specifically Moran's I and local Getis-Ord Gi* to determine spatial autocorrelation and hotspots. Furthermore, Poisson and space-time permutation (STP) models with varying maximum reported cluster size (MRCS) settings were applied to identify dengue spatiotemporal clusters.</p><p><strong>Results: </strong>A total of 1,903,425 dengue cases were reported in the study period, with a high concentration of cases consistently observed in the National Capital Region (NCR). Significant positive spatial autocorrelation was observed in the study period with hotspots varying across the years. Ifugao, Kalinga, Abra, Isabela and Mountain Province are the provinces most frequently identified as hotspots. Areas within the Western Visayas region were consistently identified under the primary clusters by the spatiotemporal models signifying the impact of the 2019 epidemic in the region. Compared with the Poisson models, the STP model had identified more clusters with smaller radii.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first spatiotemporal cluster analysis in the Philippines on reported dengue cases at the national scale using spatial scan statistics. The study demonstrated the application of varying MRCS which has effectively detected meaningful clusters. These findings offer health agencies and authorities in the Philippines approaches to further understand disease epidemiology, particularly in terms of spatial and spatiotemporal clustering, which consequently enables the implementation of targeted interventions and resource allocation.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1781800"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836550","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 influence of social physical exercise on the health of middle-aged and older adults: a mediating model of health behavior change mechanisms moderated by age.","authors":"Jing Yuan, Gang Mu, Zhaohui Chen","doi":"10.3389/fpubh.2026.1785261","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1785261","url":null,"abstract":"<p><strong>Objective: </strong>To study and discuss the impact of physical exercise on the health status of middle-aged and older adults in the Chinese social environment, with a focus on the mediating role of the health behavior change mechanism and the moderating effect of age.</p><p><strong>Methods: </strong>This study adopted a cross-sectional design. Established or adapted scales were used to evaluate physical exercise participation, mechanisms of health behavior change, age, and health status. A survey was administered to 473 members of registered sports social organizations in Chengdu, Meishan, Leshan, Nanchong, and Guang'an in Sichuan Province, China. SPSS 27.0 and Amos 21.0 were used to construct a structural equation model to test the hypothesized mediating and moderating effects.</p><p><strong>Results: </strong>Participation in physical exercise in social groups has a significant direct effect on health status. The indirect effect through the health behavior change mechanism is also statistically significant, supporting the mediation hypothesis. Crucially, these effects are moderated by age, being more pronounced in the older population, reflecting the unique health vulnerability of this group. Control variables (education level, gender, and presence of chronic diseases) do not have a significant impact on the model path.</p><p><strong>Conclusion: </strong>The health benefits of participating in social group-based physical exercise are primarily driven by the mechanism of individual health behavior change and weaken with age. This study's findings provide a theoretical and empirical basis for developing age-specific, theory-driven physical exercise intervention measures within social organizations.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1785261"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836585","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 perception of pre and postoperative pain management among recently operated patients in Saudi Arabia.","authors":"Maram H Alshareef, Abduljalil A Alsafi, Khalid F Salaemae, Fahad A Alshumrani, Mousa M Alshumrani, Feras B Kofiah, Mulham M Hariri, Khalid Basamih, Majd Almech, Mohammed Shaikhomer, Asim M Alshanberi, Safaa M Alsanosi","doi":"10.3389/fpubh.2026.1773870","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1773870","url":null,"abstract":"<p><strong>Background: </strong>Despite advances in surgical and anesthetic techniques, postoperative pain remains a prevalent and often inadequately managed clinical issue. Poorly controlled postoperative pain is associated with delayed recovery, increased morbidity, and reduced patient satisfaction. In Saudi Arabia, there is limited evidence on real-world pain management practices and their outcomes.</p><p><strong>Aim: </strong>This study aims to evaluate the effect of pain management strategies on postoperative recovery, providing evidence to guide patient-centered and efficient pain control protocols.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in Makkah between July and September 2025. Participants included adult patients (aged 15-75) who underwent major surgery affecting mobility. Data were collected via a structured questionnaire incorporating the APS-POQ-R tool, covering demographics, pre- and postoperative pain experience, management practices, and patient perceptions. Descriptive and inferential statistical analyses were conducted using SPSS version 28. A <i>p</i>-value of <0.05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 207 participants were included. Almost half were females (58.9%) and aged 30-49 years (47.8%). Abdominal surgeries were most common (43.1%). Most participants experienced moderate to severe pain within 24 h post-surgery, though pain intensity decreased by the end of the first week. Only 64.7% received preoperative counseling on pain control, and 31.4% were involved in analgesic decision-making. While 76.8% were prescribed home analgesics, 33.8% reported adverse side effects. Satisfaction with pain management was significantly associated with marital status, nationality, type of hospital, mode of anesthesia, timeliness of analgesia, and the effectiveness of home medication (<i>p</i> = 0.001). Patients who received both pharmacological and non-pharmacological education, as well as those who felt well-prepared for postoperative pain, reported significantly higher satisfaction (<i>p</i> = 0.001).</p><p><strong>Conclusion: </strong>Effective pain management significantly improved recovery, mobility, and satisfaction. However, gaps remain in patient education, shared decision-making, and non-drug interventions. Enhancing preoperative counseling, multimodal pain control, and patient-provider communication is recommended to optimize postoperative outcomes in Saudi healthcare settings.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1773870"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836627","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":"Interpretable machine learning for early detection of carbapenem-resistant <i>Klebsiella pneumoniae</i> in ICUs: risk prediction using LASSO and XGBoost.","authors":"Qiuyan Pan, Xiaoyu Zhou, Biying Zhang, Jiazheng Li, Zhuo Wang, Yong Guo","doi":"10.3389/fpubh.2026.1798927","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1798927","url":null,"abstract":"<p><strong>Background: </strong>Carbapenem-resistant <i>Klebsiella pneumoniae</i> (CRKP) infections in intensive care units are associated with poor outcomes. The delay in obtaining culture-based susceptibility results often forces clinicians to choose between under-treatment and overtreatment with empirical antibiotics. A reliable early risk assessment using only standard clinical data could help address this challenge.</p><p><strong>Methods: </strong>This single-center retrospective cohort study included 401 ICU patients with culture-confirmed <i>K. pneumoniae</i> infections (January 2022 to January 2025). Patients were randomly allocated to training (<i>n</i> = 281) and validation (<i>n</i> = 120) sets. Predictors extracted from electronic health records comprised demographics, severity scores (APACHE II, SOFA), comorbidities, invasive procedures, inflammatory markers, specimen type, history of multidrug-resistant (MDR) infection, and antibiotic exposure within the preceding 90 days. Feature selection was performed using Least Absolute Shrinkage and Selection Operator (LASSO) regression on the training set. The selected features were used to develop an XGBoost model, whose performance was compared against six other machine learning algorithms (logistic regression, random forest, etc.). Model discrimination was evaluated using the area under the receiver operating characteristic curve (AUC), calibration with Brier scores and calibration curves, and clinical utility with decision curve analysis. SHapley Additive exPlanations (SHAP) values were employed to interpret the model.</p><p><strong>Results: </strong>CRKP isolates accounted for 15.7% (63/401) of cases. LASSO regression identified nine predictors: procalcitonin (PCT), specimen type, prior MDR infection, prior carbapenem exposure, history of stroke, APACHE II score, white blood cell count, age, and hemoglobin. In the independent validation set, the XGBoost model achieved an AUC of 0.852 (95% CI: 0.745-0.959), with a sensitivity of 0.737, specificity of 0.891, accuracy of 0.867, and an F1-score of 0.636. The model demonstrated good calibration (Brier score: 0.088) and provided a net clinical benefit across a wide range of risk thresholds. SHAP analysis highlighted PCT, specimen source (blood), and prior resistance-related exposures as the most influential predictors.</p><p><strong>Conclusion: </strong>The integration of LASSO feature selection with the XGBoost algorithm, utilizing only routine clinical data, generates a reliable early-warning model for CRKP infection risk prior to the availability of susceptibility reports. This tool shows promising discriminative ability and calibration, offering potential to guide empirical therapy and support antimicrobial stewardship. Future multicenter prospective studies are warranted to validate its generalizability and real-world clinical impact.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1798927"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836724","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 community environment and depression among Chinese older adults: an age-stratified analysis of the dual mediation pathways of aging anxiety and social adaptation stress.","authors":"Dongmei Wu, Zihong Chen, Zhiyuan Chi, Fanglong Wang","doi":"10.3389/fpubh.2026.1783732","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1783732","url":null,"abstract":"<p><strong>Introduction: </strong>With the accelerating pace of population aging in China, depression among older adults has emerged as a significant public health challenge. Existing research has yet to fully elucidate the underlying processes linking community environment to depression among older adults, particularly from an age-differentiated perspective.</p><p><strong>Methods: </strong>To address this gap, this study constructed an integrated model positing aging anxiety and social adaptation stress as mediators and age as a moderator, aiming to systematically examine the pathways associated with the relationship between community environment and depression among older adults and their heterogeneity across age groups. Using valid data from 10,562 respondents in the 2023 China Longitudinal Aging Social Survey (CLASS 2023), the analysis was conducted via structural equation modeling.</p><p><strong>Results: </strong>The findings indicate: first, a significant negative correlation exists between community environment and depression; second, both aging anxiety and social adaptation stress exhibit significant indirect associations in this relationship, with the indirect effect of social adaptation stress being stronger. More importantly, the association between community environment and depression is stronger for older-old adults and is primarily linked to the pathway involving aging anxiety. In contrast, its association with depression in younger-old adults is channeled to a larger extent through social adaptation stress.</p><p><strong>Discussion: </strong>This study unveils the pattern of dual pathways and differential patterns related to age that characterize the relationship between community environment and depression among older adults. The findings provide empirical evidence and theoretical support for future efforts to build age friendly communities and implement stratified healthy aging policies.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1783732"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836355","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":"A multidimensional narrative review of the association between air pollution and late-life depression risk.","authors":"Xiaofen Zhang, Xinrui Yang, Yao Zhao, Kaida Chen","doi":"10.3389/fpubh.2026.1813992","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1813992","url":null,"abstract":"<p><p>Synthesizing evidence from 80 empirical studies identified through a systematic search of Web of Science, this review highlights the association between air pollution exposure and late-life depression. Results indicate that exposure duration is a critical modifying factor: acute, short-term exposure correlates with symptom exacerbation, whereas long-term, cumulative exposure is linked to increased incidence. Pronounced geographical heterogeneity emerges, with larger effect estimates consistently reported in highly polluted regions. Critically, significant associations persist even in low-pollution settings like Sweden, challenging the notion of a safe exposure threshold. Furthermore, neurotoxic effects vary markedly across pollutants, with PM_2.5 (and its specific components), NO₂, O₃, and indoor solid fuel combustion demonstrating particularly pronounced associations. Potential synergistic effects between indoor and outdoor sources are also suggested. In conclusion, air pollution constitutes a significant and modifiable environmental determinant of late-life depression. Future efforts should integrate multidimensional exposure assessments into urban planning and public health policy, implementing targeted interventions for vulnerable populations to simultaneously improve environmental quality and mental health in later life.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1813992"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836453","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":"Efficacy and compliance of an administrative MDT-driven antimicrobial prophylaxis protocol in Class I incisions: a retrospective-prospective study.","authors":"Yusen Li, Jixia Wang, Luhan Wen, Ning Li, Juan Wang, Zhen Liu, Xing Zhang, Kaiyang Fan, Xiujuan Meng","doi":"10.3389/fpubh.2026.1794933","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1794933","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Perioperative antibiotic prophylaxis plays a key role in preventing surgical site infections (SSIs). However, inappropriate use may increase the risk of antimicrobial resistance and SSIs. This study aims to evaluate the use of perioperative prophylactic antibiotics in Class I incisions after implementing administrative multidisciplinary team (MDT) interventions and assess the effectiveness of these interventions in improving management practices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Retrospective collection of perioperative data from 2017 served as baseline data. The administrative intervention was divided into three phases: Phase I: The administrative Multi-departmental team (MDT) was composed of Medical Affairs Department, Hospital Infection Management Department, and Pharmacy Department (January 2018-December 2019). During this phase, the three departments will collaboratively conduct surveillance, evaluation, and public reporting on perioperative antimicrobial prophylaxis for Class I (clean) incisions and organize targeted training initiatives based on the findings. Phase II: The \"administrative MDT\" model will now be comprehensively expanded and integrated into key areas of our healthcare system, encompassing the Nursing department, Operating room, Anesthesiology department, and various clinical units. This strategic development will span a multi-department joint intervention phase, commencing from January 2020 and concluding in December 2022; Simultaneously, targeted improvement measures were implemented to address issues identified in Phase I. Phase III: Continuous follow-up (January 2023-December 2024), To evaluate the improvement effectiveness of each intervention phase compared to the baseline monitoring results.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;After administrative interventions, all monitoring indicators for prophylactic antibiotic use in Class I incisions showed significant improvement: The prophylactic antibiotic use rate for Class I incisions decreased from 33.72% (7,168/21259) at baseline to 29.01% (24,314/83804) in Phase II and further to 25.91% (19,757/76259) in Phase III, which were statistically significant different (&lt;i&gt;p&lt;/i&gt; = 0.000 &lt; 0.05). The average score rate of surgical staff on antibiotic-related knowledge assessments increased from 70.83% at baseline to 96.33% in Phase II, and high at 95.41% in Phase III. The incidence of Class I incision infections decreased slightly from 0.11% at baseline to 0.09% in Phase II, and to 0.10% in Phase III (No statistically significant difference). The results demonstrate that MDT intervention was associated with a decrease in antimicrobial use, and no significant increase in surgical site infection (SSI) rates was observed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study applied the \"Administrative MDT Model\" to the management of prophylactic antibiotic use in Class I incisions, As a result, the utilization rate of prophylactic antibiotics for these procedures ","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1794933"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-specific low back pain prevalence and associated factors among Chinese people aged 60 years and older: a cross-sectional study.","authors":"Ningjing Chen, Mengnan Chen, Chen Chen, Jiaying Li, Xu Liu","doi":"10.3389/fpubh.2026.1789937","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1789937","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the prevalence of non-specific low back pain (NLBP) over the past 12 months and to determine its associated factors among Chinese older people aged 60 years and over.</p><p><strong>Methods: </strong>A cross-sectional study on NLBP prevalence was conducted at seven communities between July 2024 and January 2025. Data on demographic characteristics, lifestyle, and labor-related factors were also collected. This study included those who had suffered from LBP over the past 12 months. The univariate and multivariate Poisson regression analyses were used to examine the factors for the prevalence of LBP.</p><p><strong>Results: </strong>Of the 286 participants, 129 (45.1%) were females and 174 (60.8%) were in the 60-74 year age group. Overall, the prevalence of NLBP in Chinese people aged 60 and above was 26.2% (95% CI: 21.1, 31.4). Females (adjusted prevalence ratio [aPR]: 6.09, 95% CI: 3.09, 12.00), participants aged 85 years and over (aPR: 1.86, 95% CI: 1.26, 2.73), participants with a body mass index (BMI) ranged from 25.0 and 29.9 kg/m² (aPR: 2.23, 95% CI: 1.29, 3.85), being current smokers (aPR: 4.39, 95% CI: 1.99, 9.69), being former drinkers (aPR: 1.58, 95% CI: 1.04, 2.38), having daily sitting reaching 8 h or longer (aPR: 1.73, 95% CI: 1.26, 2.39), no weekly exercise (aPR: 2.36, 95% CI: 1.50, 3.73), and daily work involving bending (aPR: 2.66, 95% CI: 1.58, 4.48) were associated with NLBP.</p><p><strong>Conclusion: </strong>NLBP was common in Chinese people aged 60 years and above. Gender, age, BMI, smoking, alcohol drinking, daily sitting reaching 8 h or longer, weekly exercise, and daily work involving bending were associated with the prevalence of NLBP. This study calls for tailored interventions such as launching public health campaigns, organizing social and sporting events, encouraging ergonomic adaptations, and establishing surveillance systems to reduce the LBP burden among Chinese older people.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1789937"},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147836602","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}