Frontiers in Public Health最新文献

{"title":"Effects of physical exercise in reducing caregivers burden: a systematic review.","authors":"Carla Cardoso, Maria José Lumini, Teresa Martins","doi":"10.3389/fpubh.2025.1474913","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1474913","url":null,"abstract":"<p><strong>Background and aim: </strong>Caring for someone can be physically and psychologically demanding, predisposing caregivers to muscle injuries, fatigue, exhaustion, depression, anxiety, and burnout. The literature suggests several approaches to reducing caregiver burden, one of which is physical exercise. The aim of this systematic review was to analyze the effectiveness of exercise-based programs or muscle relaxation in reducing caregiver burden and stress among family caregivers.</p><p><strong>Method: </strong>A systematic literature review was conducted following the PRISMA guidelines. The search was performed in the Web of Science, Cochrane Library and Scopus databases and through the EBSCOhost aggregator (CINAHL Plus, MEDLINE, and SportDiscus). Studies were selected based on the PICOD acronym.</p><p><strong>Results: </strong>Eleven randomized controlled trials (RCTs) and two other experimental studies were included. The reviewed programs encompassed aerobics, strengthening, and muscle relaxation exercises, delivered by various professionals in diverse settings, such as caregivers' homes, gyms, and hospital environments. Although the programs varied in type, duration, and structure, the majority of the studies demonstrated positive effects on caregivers' physical and psychological well-being, along with reductions in burden and stress.</p><p><strong>Conclusion: </strong>The results suggest that physical exercise interventions are effective in reducing caregiver burden and stress, while also enhancing overall well-being. Future strategies should emphasize the importance of raising awareness among caregivers about adopting healthy lifestyles, with a particular focus on regular physical activity, as a means of relaxation and self-care. To maximize the effectiveness of these interventions, incorporating flexible, home-based components and engaging multidisciplinary teams could enhance accessibility, adherence, and impact.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023446129, PROSPERO 2023 CRD42023446129.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1474913"},"PeriodicalIF":3.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457626","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":"Relationship between TyG-related index and hearing loss in people over 45 s in China.","authors":"Chao Wang, Mengdi Shi, Liangzhen Xie, Chenhao Jiang, Yunxin Li, Jingxiao Li, Shulin Li, Yan Li","doi":"10.3389/fpubh.2025.1506368","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1506368","url":null,"abstract":"<p><strong>Background: </strong>Triglycerides and fasting glycemic index are biomarkers used to assess the risk of insulin resistance and metabolic syndrome. It and its derivatives such as the TyG-BMI index are currently able to reflect the degree of insulin resistance and are closely related to a variety of metabolic diseases. The relationship between the TyG-BMI index and hearing loss remains underexplored, particularly in the context of aging and public health. This study investigates the association of the TyG index, BMI index, and TyG-BMI index with hearing loss, with a focus on their potential implications for the aging population.</p><p><strong>Methods: </strong>Data from the China Health and Retirement Longitudinal Study (CHARLS) database were analyzed using R software. We applied multi-factor logistic regression, linear regression, restricted cubic splines, and subgroup analyses to assess the impact of the TyG index, BMI index, and TyG-BMI index on hearing loss across different age groups.</p><p><strong>Results: </strong>The TyG index was not significantly associated with hearing loss. However, both the BMI index and the TyG-BMI index exhibited a positive correlation with hearing loss, particularly among older individuals. The results suggest that as the population ages, higher BMI and TyG-BMI indices may increase the risk of hearing impairment.</p><p><strong>Conclusion: </strong>While the TyG index does not show a significant link to hearing loss, higher BMI and TyG-BMI indices are associated with an increased risk of hearing loss, especially in older adults. These findings highlight the importance of considering aging-related factors in public health initiatives aimed at preventing hearing loss. Further research is needed to elucidate the mechanisms underlying these associations and to develop age-inclusive strategies for addressing hearing impairment in the aging population.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1506368"},"PeriodicalIF":3.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457511","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":"Advances in the application of human-machine collaboration in healthcare: insights from China.","authors":"Wuzhen Wang, Liangji Liu","doi":"10.3389/fpubh.2025.1507142","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1507142","url":null,"abstract":"<p><p>In the context of the technological revolution and the digital intelligence era, the contradiction between the rising incidence of diseases and the uneven distribution of quality medical resources is highlighted, and the diagnosis and prevention of diseases, and the prognosis and management of diseases are particularly important in the current society of aging population. \"Human-machine collaboration\" is based on an intelligent algorithmic system that utilizes the complementary strengths of humans and machines for data exchange, task allocation, decision making and collaborative work to provide more decision support. The traditional healthcare model is highly dependent on the unified management of hospitals, which further increases the burden on the healthcare system and often makes it difficult to formulate and implement personalized and precise rehabilitation programs for patients, which seriously affects their prognosis and quality of life, and increases the risk of re-admission to hospitals. In view of this, human-computer collaboration, an innovation-driven technology, is a groundbreaking solution to the outstanding healthcare issues of today. We use the subject words \"Human-machine collaboration\" OR \"Human-Computer Interaction\" OR \"HCI\" AND \"chronic disease\" OR \"Health management\" OR \"Precision medicine \"were searched for CNKI, Wanfang Data, VIP, CBM, PubMed, Web of science, Embase, Cochrane Library and other Chinese and English databases to identify all relevant studies and compare their results, and finally include 68 relevant literature articles, we identified the broad application of HCI in five main areas: disease screening and treatment, health management, medical education, traditional medicine, and the integration and processing of medical data. The aim is to review the concept of human-computer collaboration, its application in global healthcare environments, and the challenges it faces, with a view to continually driving innovation in healthcare models, optimizing the allocation of healthcare resources, and providing new paradigms for the development and application of innovative technologies in healthcare.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1507142"},"PeriodicalIF":3.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457618","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":"Building a rights-based approach to nutrition for women and children: harnessing the potential of women's groups and rights-based organizations in South Asia.","authors":"Monica Shrivastav, Vani Sethi, Avishek Hazra, Zivai Murira, Roopal Jyoti Singh, Krishna Wagh, Anuradha Nair, Veronica Kamanga Njikho, Sapna Desai","doi":"10.3389/fpubh.2025.1461998","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1461998","url":null,"abstract":"<p><p>Women face numerous gender-based barriers that hinder their access to resources, nutritious foods, nutrition services, and maternity entitlements. Evidence shows that certain types of women's groups can improve women's access to resources and social capital and in some approaches also improve health and nutrition outcomes. Women's rights-based organizations in South Asia have a longstanding tradition of collective action toward gender equality. Women's rights-based organizations work in areas such as microfinance, livelihoods, women's rights, health, and combating violence against women. In this perspective article, we explore how women's groups and rights-based organizations can leverage their collective strength to advance nutrition outcomes for women and children. We identify seven pathways implemented through women's groups toward improving nutrition outcomes. These pathways include (i) income generation, (ii) agriculture, (iii) health and nutrition behavior change communication and participatory learning and action, (iv) advocating for rights to better health and social services, (v) food access, (vi) cash transfers, and (vii) strengthening service delivery and fostering convergence with health systems. We also note that women's groups have the potential to implement integrated interventions through combined food-systems-rights pathways. Investing in this area can support transforming nutrition policy from a service delivery model to a rights-based approach.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1461998"},"PeriodicalIF":3.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457622","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 4E theory-based performance benchmarking of aged care service provision in community care facilities: a case study of Nanjing, China.","authors":"Wei Huang, Ying Hu, Lingzhi Li, Chendi Wang, Luyao Liu","doi":"10.3389/fpubh.2025.1467745","DOIUrl":"10.3389/fpubh.2025.1467745","url":null,"abstract":"<p><p>The global aging population is growing rapidly, and due to its large population, China is expected to become a 'super-aged society' within the next decade. Therefore, ensuring that older people can 'age in place' has become a major national priority. Community-care facilities (CCFs) play a key role in this process, but their service performance often faces challenges, with high input costs and limited output benefits. This paper aims to evaluate and improve the social and economic performance of CCFs by proposing a comprehensive framework based on the 4E (Economy, Efficiency, Effectiveness, Equity) theory. Specifically, based on the 4E theory, a literature review and correlation analysis are conducted to select performance indicators. The input-output relationships are then established according to the four dimensions of the 4E theory. These indicators and input-output relationships form the foundation for applying the δ-SBM DEA model, which is used to assess the performance of 75 CCFs in Nanjing. The study finds that the economic performance of CCFs generally lags behind their social performance, with many facilities showing inefficiency in economic indicators, characterized by high operational costs and limited profitability. Projection analysis reveals major issues in low-performing CCFs, including uneven regional distribution of facility performance, poor profitability, a shortage of skilled older people care professionals, and insufficient older people's participation. Based on these findings, the paper provides specific policy recommendations for government authorities, industry associations, and CCFs, focusing on improving cost-effectiveness, increasing the number of professionals, and enhancing older people's participation.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1467745"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448356","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":"Analysis of indoor radon concentration levels and trends in China.","authors":"Bowei Ding, Yunyun Wu, Yanchao Song, Changsong Hou, Bing Shang","doi":"10.3389/fpubh.2025.1524179","DOIUrl":"10.3389/fpubh.2025.1524179","url":null,"abstract":"<p><p>A systematic review of publicly available papers on indoor radon data from 1980 to 2023 was conducted to provide a preliminary understanding of indoor radon concentration levels and trends in China. Keywords were used to collect literature on indoor radon surveys in China during the periods of before 2000, 2000-2010 and after 2010 in the CNKI, WANFANG, VIP and PubMed databases. This paper also collected indoor radon concentration data from WHO, UNSCEAR publications and PubMed databases for other countries. A total of 37,886 indoor radon concentration data points were collected in China, covering 31 provinces. The results showed that the weighted and arithmetic mean radon concentrations in China were 29.4 Bq/m³ and 33.2 Bq/m³ (<i>n</i> = 17,940) before 2000, 44.7 Bq/m³ and 43.3 Bq/m³ (<i>n</i> = 10,692) in 2000-2010, 57.6 Bq/m³ and 60.8 Bq/m³(<i>n</i> = 9,254) after 2010, respectively. It indicated an increasing trend in indoor radon concentrations in China. The differences in mean indoor radon concentrations across time periods were significant (<i>p</i> < 0.001). In the regional analysis, the differences in indoor radon concentrations between different administrative geographic regions for each time period were significant (<i>p</i> < 0.05). Furthermore, the differences in indoor radon concentrations among climatic areas were significant for the periods 2000-2010 and after 2010 (<i>p</i> < 0.05). Additionally, this paper collected indoor radon data from 63 countries worldwide. The mean radon concentrations across the three periods-before 2000, 2000-2010 and after 2010-were 56.5 Bq/m³, 67.9 Bq/m³ and 81 Bq/m³, respectively. Meanwhile, a comparison of indoor radon concentration was made before and after 2000 among 26 countries, of which 16 countries showed an increasing trend. So, it can be seen the increase in indoor radon concentration in China is not an isolated phenomenon, and the issue of indoor radon pollution still requires further attention.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1524179"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448223","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":"Editorial: The relationship between health and environment under the lens of climate change: insights for policy makers.","authors":"Greta Colombi, Paolo Vineis","doi":"10.3389/fpubh.2025.1548553","DOIUrl":"10.3389/fpubh.2025.1548553","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1548553"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448189","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":"Can digital governance stimulate green development? Evidence from the program of \"pilot cities regarding information for public well-being\" in China.","authors":"Xuxin Zou, Jiadi Min, Shuang Meng, Wenguan Dai, Xinyang Li","doi":"10.3389/fpubh.2024.1463532","DOIUrl":"10.3389/fpubh.2024.1463532","url":null,"abstract":"<p><p>Digital governance is an important goal of government digital transformation, and the policy of \"pilot cities regarding information for public well-being\" in China is an important initiative to promote the reform of government governance system and realize green development. Based on the panel data of 282 cities in China from 2007 to 2020, this paper analyzes the mechanism and path of the impact of digital governance on green development using the program of \"pilot cities regarding information for public well-being\" as a quasi-natural experiment. The double-difference model and mediation effect model are utilized. The results show that digital governance can significantly promote green development, and the path of influence is the supererogation and the rationalization of industrial structure, i.e., digital governance can promote the green development of the cities by enhancing the supererogation and the rationalization of industrial structure. In addition, there is obvious heterogeneity in the impact of digital governance on green development. The policy exerts a stronger effect on economically developed cities than on economically backward cities, and a stronger effect on large cities than on small- and medium-sized cities. Therefore, the relevant departments should continue to optimize the pilot policy regarding information for public well-being, strive to improve the government's digital governance, focus on economically backward cities and small-sized cities, actively cultivate the green development, promote the optimization and upgrading of industrial structure, and vigorously support cross-regional exchanges and cooperation, so as to jointly achieve green and high-quality development.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1463532"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448065","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":"Research on the relationship between social support and academic self-efficacy among college students: a multivariate empirical analysis.","authors":"Chunmei Chen, Yujie Zhu, Fanghao Xiao","doi":"10.3389/fpubh.2025.1507075","DOIUrl":"10.3389/fpubh.2025.1507075","url":null,"abstract":"<p><strong>Background: </strong>The critical role of social support in college students' academic development cannot be ignored. This study aims to analyze the interrelationships and potential mechanisms between social support, sense of security, family cultural capital and academic self-efficacy.</p><p><strong>Methods: </strong>A multivariate moderated mediation model was constructed by surveying 1,119 college students using the Social Support Scale, the Sense of Security Scale, the Academic Self-efficacy Scale, and the Family Cultural Capital Scale.</p><p><strong>Results: </strong>(1) social support significantly increases sense of security; (2) sense of security significantly enhances academic self-efficacy; (3) social support directly contributes to academic self-efficacy; and (4) sense of security partially mediates the relationship between social support and academic self-efficacy; (5) family cultural capital plays a moderating role in the effects of social support on academic self-efficacy, especially in the first half of the direct and indirect effects.</p><p><strong>Conclusion: </strong>These findings could provide an important theoretical basis and practical guidance for further understanding and enhancing academic self-efficacy among college students.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1507075"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448201","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 analysis of factors influencing patient choice of healthcare providers between tertiary hospitals and community clinics.","authors":"Silin Wu, Zhaoxia Lei, Tinglian Liu, Lan Chen, Yang Qin","doi":"10.3389/fpubh.2025.1510311","DOIUrl":"10.3389/fpubh.2025.1510311","url":null,"abstract":"<p><strong>Background: </strong>The uneven distribution of medical resources in China has led to persistently low utilization rates of primary healthcare institutions. The tiered healthcare delivery system aims to optimize resource allocation and strengthen primary care, yet patient preferences for tertiary hospitals hinder its effective implementation. Understanding the factors influencing healthcare-seeking behaviors is crucial for improving policies and promoting system efficiency.</p><p><strong>Objective: </strong>To analyse the factors influencing patient choices between a tertiary hospital and a community health service center in Chengdu and provide recommendations for advancing the tiered healthcare system.</p><p><strong>Methods: </strong>A random sampling method was used in August 2023 to survey patients at a tertiary hospital (Group A) and a community health service center (Group B). The survey assessed demographics, health status, factors influencing provider choice, and awareness of the family doctor system. Chi-square, t-tests, or Wilcoxon rank-sum tests were used for group comparisons, while logistic regression identified factors associated with primary care visits.</p><p><strong>Results: </strong>Among 865 valid responses (Group A: 420; Group B: 445; 92.02% response rate), Group A had significantly higher education levels and household incomes (<i>p</i> < 0.001), while Group B had higher chronic disease prevalence and family doctor contract rates (71.5% vs. 59.3, 44.5% vs. 25.5%; both <i>p</i> < 0.01). Positive factors for choosing community healthcare included better equipment and medication availability (46.9%), lower costs with higher reimbursement (45.0%), and convenient transport (41.2%). Negative factors included distrust in community care quality (39.1%) and limited familiarity with family doctors (32.8%). Logistic regression indicated that being over 60 years old (OR: 1.94, CI: 1.02-3.69) and awareness of the tiered healthcare system (OR: 2.48, CI: 1.56-3.96) were significant factors for seeking primary care.</p><p><strong>Conclusion: </strong>Patients with higher education and income prefer tertiary hospitals, while chronic disease patients are more likely to utilize community care. Low family doctor contract rates and trust in community healthcare quality remain barriers. Strengthening community resources and promoting the tiered healthcare system could improve patient participation and alleviate pressure on tertiary hospitals.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1510311"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448283","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}