Frontiers in Public Health最新文献

{"title":"Growth, nutritional status, and physical fitness trajectories among primary and secondary school students and their associations with poor vision: a school-based study in Chongqing, China.","authors":"Yaocheng Luo, Wenhua Ran, Shaocheng Fan, Yuanyuan Lan, Youtao Mou, Ling Liu, Yong Zhao","doi":"10.3389/fpubh.2026.1948162","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1948162","url":null,"abstract":"<p><strong>Purpose: </strong>To examine trends in growth and development, physical fitness, and visual acuity indicators among primary and secondary school students in Yuzhong District, Chongqing, and to explore the associations of body mass index (BMI) and vital capacity index (VCI) with poor vision.</p><p><strong>Methods: </strong>Physical examination data of primary and secondary school students in Yuzhong District, Chongqing, from 2022 to 2026 were used to describe growth and development, physical fitness, and visual acuity indicators. Group-based trajectory modeling (GBTM) was applied to identify distinct trajectories of BMI and VCI. Logistic regression was used to analyze the associations between BMI and VCI trajectories and the detection rate of poor vision, as well as potential nonlinear relationships.</p><p><strong>Results: </strong>From 2022 to 2026, height, weight, and VCI increased among primary and secondary school students in Yuzhong District, Chongqing, while obesity prevalence declined (all trend <i>p</i> < 0.001). Poor vision increased from 73.3 to 75.0%. GBTM identified three trajectories for BMI and four trajectories for VCI. Compared with the low-level increasing BMI trajectory, medium and high-level increasing trajectories were associated with 13.4 and 36.8% higher odds of poor vision, respectively. For VCI, the medium-level decreasing trajectory was associated with 11.7% higher odds, whereas the high-level decreasing trajectory was associated with a 37.1% lower risk.</p><p><strong>Conclusion: </strong>From 2022 to 2026, growth and development indicators among primary and secondary school students in Yuzhong District improved, while poor vision remained prevalent. BMI and VCI trajectories were associated with poor vision, highlighting the importance of integrated monitoring and targeted interventions.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1948162"},"PeriodicalIF":4.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13710399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149286376","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":"Burnout pathway differences across dual-track residency training: a network analysis.","authors":"Yuduo Guo, Xiaonan Meng, Sichang Chen, Xiaoning Lan, Haoyuan Guo, Mingchu Li","doi":"10.3389/fpubh.2026.1921620","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1921620","url":null,"abstract":"<p><strong>Background: </strong>China's standardized residency training operates under a dual-track system: one track integrates clinical training with concurrent degree pursuit (student group), while the other is purely vocational without degree conferral (non-student group). Prior burnout research has largely relied on aggregate total or subscale scores, which cannot detect qualitative differences in symptom-to-symptom connectivity even when mean burnout severity is similar. Despite identical clinical rotations and competency requirements, it remains unclear whether these structurally distinct training pathways are associated with different burnout symptom-connectivity patterns, with direct implications for track-specific educational support.</p><p><strong>Methods: </strong>We conducted a secondary analysis of data from Fan et al.'s previously published cross-sectional survey of 636 residents from a Chinese tertiary teaching hospital. Burnout was measured using the 22-item Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Networks were estimated using Graphical Lasso, and bridge centrality was computed to identify symptoms that most strongly connect burnout dimensions. Analyses were stratified by gender and specialty, and supplemented by logistic regression and bootstrap resampling.</p><p><strong>Results: </strong>Non-students showed higher emotional exhaustion and lower personal accomplishment scores than students, whereas depersonalization scores did not differ significantly between groups. Burnout prevalence was higher among non-students (50.2% vs. 42.4%), but this difference was not statistically significant. In both groups, DP2 (\"I don't really care what happens to patients\") was the dominant bridge node. However, PA4 (\"I don't easily understand how my patients feel\") entered the top five bridge items only in non-students. Three of four subgroups followed the DP2 pathway, whereas non-student males showed a distinct pattern with PA4 as the most prominent feature (BS = 1.445). Logistic regression found no significant association between training identity and burnout status after adjustment (OR = 1.07; ΔAUC = +0.002, <i>p</i> = 0.68), whereas network analyses revealed distinct symptom-connectivity patterns.</p><p><strong>Conclusion: </strong>These findings suggest that burnout prevention should account for training structure and institutional context. Rather than uniform wellness programs, medical education should offer track-specific support, particularly for residents whose burnout is characterized by empathy-related frustration rather than depersonalization.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1921620"},"PeriodicalIF":4.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13709981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149286389","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":"Review research progress, critical reflections and future prospects of digital care for chronic diseases.","authors":"Yingchao Zhou, Ruizhe Cao, Yanwei Su","doi":"10.3389/fpubh.2026.1968554","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1968554","url":null,"abstract":"<p><p>The global prevalence of chronic diseases is becoming increasingly severe, and traditional care models are confronted with multiple challenges, including uneven distribution of medical resources, insufficient continuity of care, and inadequate patient self-management capacity. The rapid iteration of digital technologies and the catalyst of the COVID-19 pandemic have driven chronic disease care into a new phase of digital transformation. Based on relevant studies published from 2021 to 2026, this paper structures its analysis around a core logical framework: evidence-based evidence, care models, population adaptability and practical implementation. It systematically reviews the core technical systems and innovative characteristics of care models in digital chronic disease care, deeply analyzes the adaptive differences across diverse populations and disease types, and conducts critical reflections from the perspectives of evidence quality, health equity, clinical applicability, and homogeneity in intervention design. Finally, it puts forward future development directions centered on precision, localization, equity, and integration. The study reveals that digital chronic disease care has formed four core technological systems in application: intelligent sensing, digital behavioral intervention, immersive technology, and artificial intelligence (AI) and big data. Care models demonstrate innovative trends of nurse leadership, multi-dimensional collaboration, and caregiver empowerment. Nevertheless, prominent issues persist, such as insufficient high-quality evidence, a striking digital divide, difficulties in clinical integration, and a lack of personalized design. In the future, deep integration of technological innovation with clinical demands, enhanced targeted interventions for vulnerable populations, implementation of localized long-term studies, and improvement of policy and ethical guarantee systems are required. These efforts will promote the shift of digital chronic disease care from technology-driven to evidence-driven and demand-driven models, ultimately improving the overall efficiency of chronic disease management and health equity.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1968554"},"PeriodicalIF":4.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13710823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149286392","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":"Risk and protective factors for psychotherapists in regions of crisis: what do psychotherapists need to face the danger of secondary traumatization in Kurdish Iraq?","authors":"Gabriel Kornwachs, Martin Hautzinger, Jan Kizilhan","doi":"10.3389/fpubh.2026.1959666","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1959666","url":null,"abstract":"<p><p>Transgenerational and secondary traumatization are key aspects to be addressed when aiming for sustainable psychosocial support in post-war regions. Within this context, the primary goal of the Institute for Psychotherapy and Psychotraumatology (IPP) is to establish sustainable structures for psychotherapy, acknowledging that psychological distress does not simply vanish with the end of a war. Rather, it only becomes fully visible when considering not only the consequences for beneficiaries but also for helpers and subsequent generations. Because mental health workers themselves face a high risk of suffering from secondary traumatization, deliberate measures must be implemented to ensure that helpers do not become secondarily traumatized during and/or after their service. Using the IPP as a community case study, this article analyzes both general and context-specific risk factors for its students and local staff. Furthermore, it identifies universal protective factors that mitigate these risks and outlines culturally specific protective factors against secondary trauma. It also presents critical reflections on how a far-sighted and realistic understanding of cultural dynamics can contribute to the systemic protection of aid workers. Ultimately, the article suggests that providing helpers with comprehensive psychosocial support, physical and operational safety, structured peer support, transparent financial frameworks, clear future career prospects, and institutional recognition of their work are of paramount importance in sustaining long-term psychological wellbeing for psychotherapists.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1959666"},"PeriodicalIF":4.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13710063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149286399","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 in diabetes-related sickness absence and social insurance costs in Poland: a national registry-based study, 2020-2024.","authors":"Piotr Artur Winciunas, Kuba Sękowski, Agnieszka Mazurek, Wojciech S Zgliczyński, Mateusz Jankowski, Justyna Grudziąż-Sękowska","doi":"10.3389/fpubh.2026.1903345","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1903345","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes mellitus is recognized as a major contributor to productivity losses, yet nationwide evidence on diabetes-related sickness absence in Central and Eastern Europe has been limited. This study was designed to characterize trends in sickness absence and rehabilitation benefits due to type 1 and type 2 diabetes in Poland between 2020 and 2024 using national social insurance registry data.</p><p><strong>Methods: </strong>All sickness absence and rehabilitation benefit certificates issued in 2020-2024 for adults covered by the Polish Social Insurance Institution (ZUS) were analyzed, with diabetes identified by ICD-10 codes E10 (type 1) and E11 (type 2). Annual numbers of certificates, total days of absence, crude rates per 100,000 population, and social insurance expenditures in PLN and EUR were calculated and stratified by sex, age group and region.</p><p><strong>Results: </strong>Among 16.6 million insured adults, days of sickness absence due to type 1 diabetes were reduced from 300,387 in 2020 to 232,976 in 2024 (-22.4%), while those due to type 2 diabetes were reduced from 520,090 to 488,531 (-6.1%). Between 2020 and 2024, the reduction in type 2 diabetes-related absence was driven mainly by women (-20.2%), whereas only a marginal decline was observed among men (-1.5%). Despite these declines in days of absence, yearly social insurance expenditures were increased by 16.1% for type 1 diabetes and by 39.8% for type 2 diabetes, reaching approximately 6.44 and 15.03 million EUR in 2024, respectively, with up to four-fifths of total costs being attributed to men. Marked regional variation was observed, with voivodeship-level rates differing by more than twofold and rising diabetes-related absence being recorded in some regions despite national declines.</p><p><strong>Conclusions: </strong>In Poland, diabetes-related sickness absence declined between 2020 and 2024, while social insurance expenditures increased substantially, particularly for type 2 diabetes and among men. These findings highlight the need for targeted workplace and clinical interventions.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1903345"},"PeriodicalIF":4.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13710356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149286400","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":"From environmental occurrence to human exposure: multisystem toxicity, immune-relevant mechanisms, and gaps in health-risk assessment of liquid crystal monomers.","authors":"Hongchi Zhang, Jingle Qiu, Zhenyu Lu, Xiangbin Zheng, Xia Huo, Xijin Xu","doi":"10.3389/fpubh.2026.1977975","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1977975","url":null,"abstract":"<p><p>Liquid crystal monomers (LCMs), functional constituents of liquid crystal displays, are emerging contaminants increasingly detected in environmental and human matrices, yet the implications of these exposures for human health remain uncertain. This review critically synthesizes current evidence on environmental occurrence and potential exposure pathways, human biomonitoring, toxicokinetics, multisystem toxicity, immune-relevant mechanisms, and health-risk assessment gaps. PubMed, Web of Science Core Collection, and Scopus were searched from database inception to 22 July 2026. Forty-one primary studies met the predefined eligibility criteria, while additional environmental-occurrence studies were used to contextualize sources, release processes, and potential exposure pathways. LCMs have been reported in dust, airborne particulate matter, soils, sediments, and landfill leachate, indicating several plausible exposure pathways, including dust ingestion, inhalation, dermal contact, and dietary intake. LCMs have been detected in urine, serum, human milk, maternal serum, and cord serum, indicating exposure in the general population and during sensitive life stages. Experimental studies report neurological, hepatic, renal, intestinal, respiratory, cutaneous, endocrine, reproductive, developmental, and metabolic effects. Oxidative stress, inflammatory signaling, nuclear receptor perturbation, metabolic dysregulation, and gut microbiota disruption provide biological plausibility for immune-related effects, although direct evidence of classical immunotoxicity remains limited. Major uncertainties include heterogeneous analyte coverage, insufficient human toxicokinetic data, limited chronic low-dose and mixture studies, and the absence of congener-specific reference values. Future research should prioritize harmonized biomonitoring, environmentally relevant mixture testing, prospective studies in susceptible populations, and integrated risk-assessment frameworks for this emerging class of contaminants.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1977975"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13697307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265606","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 resilience-distress paradox in HIV: latent profiles reveal that resilience compensates for low mindfulness.","authors":"Fang Chen, Xixi Yan, Xiaomin Ding, Juan Li, Shihua Pan, Ling Feng, Xiaoxia Zhang, Yueling Wu, Huimin Sun, Hongyun Xu","doi":"10.3389/fpubh.2026.1950568","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1950568","url":null,"abstract":"<p><strong>Background: </strong>People living with HIV (PLWH) face elevated risks for anxiety and depression, yet not all develop clinically significant distress-a phenomenon we term the resilience-distress paradox, whereby individuals with high psychological resilience (the capacity to adapt positively to adversity) nonetheless experience severe distress. Drawing on a person-centered approach, this study identified distinct psychological adaptation profiles based on mindfulness, resilience, anxiety, and depression, and examined their associations with quality of life, social support, and sociodemographics.</p><p><strong>Methods: </strong>A cross-sectional survey of 403 people living with HIV (mean age 35.5 years; 86.1% male) was conducted. Latent profile analysis (LPA) was based on the Mindful Attention Awareness Scale, the Brief Resilience Scale, the GAD-7, and the PHQ-9. Analysis of variance and chi-square tests examined profile differences in quality of life, social support, and clinical variables; hierarchical regressions tested the mindfulness × resilience interaction on distress.</p><p><strong>Results: </strong>Three profiles emerged: Well-Adapted (52.4%), Moderate (39.7%), and Distressed (7.9%). Mindfulness showed a strict gradient across profiles (all <i>p</i> <0.001), whereas resilience did not differ between the Moderate and Distressed profiles (<i>p</i> = 0.073, <i>d</i> = 0.44). Quality of life followed the same gradient. Perceived social support was higher in the Well-Adapted than in the Moderate profile, but neither profile differed significantly from the Distressed profile. Sexual orientation distribution also differed across profiles: heterosexual individuals were significantly underrepresented and homosexual individuals significantly overrepresented in the Distressed profile, whereas identity-uncertain individuals showed only a non-significant trend toward overrepresentation.</p><p><strong>Conclusion: </strong>PLWH exhibit substantial heterogeneity in psychological adaptation. Interaction analyses revealed that resilience buffered anxiety and depression at all levels of mindfulness, with the strongest protection where mindfulness was lowest. This compensatory pattern, rather than a threshold effect, suggests that resilience can partially substitute for limited mindfulness, whereas the absence of both resources creates the greatest vulnerability. These findings support stratified interventions tailored to individuals' resource profiles.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1950568"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Population aging and the spatial equity of prehospital emergency medical resources: evidence from Shanghai's five new towns.","authors":"Xiaojian Zheng, Menglan Zhu, Xiaojun Tang, Zhibin Chen, Jianqiang He, Zhifeng Zhang","doi":"10.3389/fpubh.2026.1948408","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1948408","url":null,"abstract":"<p><strong>Background: </strong>China is undergoing rapid urbanization and profound population aging, presenting the prehospital emergency medical system with the dual challenges of inadequate capacity and spatial mismatch. Shanghai's five new towns are strategic vehicles for the spatial restructuring of a megacity; however, evidence is still lacking as to whether their prehospital emergency systems can meet the aging-driven increase in demand.</p><p><strong>Objective: </strong>To evaluate the spatial equity of emergency medical resource allocation in the five new towns and to analyze its associations with population aging and future demand.</p><p><strong>Methods: </strong>Based on 2024 data, the Gini coefficient and Theil index were used to evaluate equity; population projections were performed using the cohort-component method in PADIS-INT (population analysis software); resource requirements were estimated in stages according to policy standards; and coverage gaps were identified through isochrone analysis in QGIS (open-source geographic information system).</p><p><strong>Results: </strong>The population-based Gini coefficients across the five districts ranged from 0.03 (substations) to 0.10 (physicians), indicating relatively equitable per capita allocation. However, after including all 16 districts of the municipality, the area-based Gini coefficient for substations reached 0.61, reflecting a gradient in substation density between the urban core and the suburbs. Under the medium scenario, the population aged 65 years and older in Jiading increases from 13.18% to 19.15% (2035), and the demand for R1 standard ambulances in Jiading New City is projected to rise from 24 vehicles in 2025 to 29 vehicles in 2035. In Fengxian, patients aged 60 years and above accounted for 48.49% of emergency calls. Highly aged subdistricts spatially overlapped with 8 min coverage blind spots. Notably, stratified emergency response time (ERT) analysis showed that in two of the three districts, the differences in ERT between cardiac arrest and non-emergency patients were not statistically significant (<i>p</i> > 0.05), suggesting limited implementation of dispatch prioritization.</p><p><strong>Conclusion: </strong>The five new towns exhibit a dual-track pattern of equity in population terms but inequity in spatial terms. Population aging exacerbates inequity through demand expansion, changes in the disease spectrum, and spatial overlap.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1948408"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265754","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":"Towards recommendations for arts and health evaluation: a two-part review of Quality of Life scales used in mental health and arts research.","authors":"Abielle Shao Hua Liu, Raeanne Chien Yin Wong, Renick Daryl Liebin Lee, Jean C J Liu, Nisha Sajnani, Kat R Agres","doi":"10.3389/fpubh.2026.1933623","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1933623","url":null,"abstract":"<p><p>There is increasing integration of the arts in public health, particularly in relation to Quality of Life (QoL). In health research and practice, QoL provides a broad snapshot of how an individual is faring - their subjective perception of how their life is in relation to their goals, expectations, standards, and concerns. To support more rigorous evaluation of arts and health interventions, this two-part review assesses the most widely used QoL scales, provides recommendations on scale adoption, and examines their frequency of use across arts domains. The first part of our review systematically identifies the most widely used QoL scales for the general adult population across the psychiatry, psychology, and mental health literature. According to our literature review, the top four scales for assessing QoL are: Euro-QoL (EQ-5D-3L/5L), SF-36, WHOQOL-BREF, and SF-12, with EQ-5D most frequently used in the target literature. The second part examines the scales' frequency across 18 art domains, drawn from a broader set of arts domains from the literature. SF-36 is the most commonly used QoL scale for evaluating arts interventions, followed by WHOQOL-BREF, SF-12, and EQ-5D. Music accounts for the largest number of publications involving a QoL scale, while literary festivals and electronic arts interventions yielded the fewest publications.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1933623"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13700918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265691","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":"Assessment of night eating syndrome and circadian-related characteristics among university students of Rawalpindi and Islamabad.","authors":"Muqadsa Arshad, Humaira Mahmood, Abdul Momin Rizwan Ahmad, Abdullah Ijaz, Tehreem Zainab, Yasir Waheed, Saleh A Alsanie","doi":"10.3389/fpubh.2026.1932196","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1932196","url":null,"abstract":"<p><strong>Introduction: </strong>Non-communicable diseases are associated with lifestyle behaviors such as diet, meal timing, levels of stress, quality of sleep, and disruption of circadian rhythms. Night Eating Syndrome (NES) is an abnormal eating behavior characterized by eating at night and/or eating after the last meal of the day. NES may be associated with sleep disturbances and/or circadian-related characteristics. University students are particularly susceptible to the development of NES due to academic stress, irregular schedules, increased exposure to screens, and late nights.</p><p><strong>Objective: </strong>This study aimed to determine the prevalence and severity of Night Eating Syndrome and to examine the relationships between Night Eating Syndrome and sleep-related characteristics, circadian-related characteristics (diurnal preference), and mood among university students in Rawalpindi and Islamabad, Pakistan.</p><p><strong>Methods: </strong>A cross-sectional analytical study was conducted on 335 undergraduate university students at four universities in Rawalpindi and Islamabad using a multistage sampling method. Data were collected using structured questionnaires including sociodemographic questions, the Night Eating Diagnostic Questionnaire, and the Sleep, Circadian Rhythm, and Mood questionnaire. Data analysis was performed using SPSS Version 27. Descriptive statistics, one-way ANOVA, Welch's ANOVA with Games-Howell post-hoc comparisons, multiple linear regression, Fisher-Freeman-Halton exact test, and Pearson chi-square test were used, with significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>The Prevalence of Night Eating Syndrome was 6% (<i>n</i> = 18; 95% CI: 3.2-8.4%). Severity-based classification showed that 51.0% had normal scores, 26.3% had mild symptoms, 17.3% had moderate symptoms, and 6% met the NEDQ criteria for NES. There were significant differences between NES severity groups in Morningness and Good Sleep scores (<i>p</i> < 0.001), while there were no significant differences in Depressed Mood scores (<i>p</i> = 0.159). In adjusted regression models, NES status was significantly associated with Good Sleep scores, while sex was associated with Morningness and BMI was associated with Depressed Mood. BMI category was significantly associated with NES status (Fisher-Freeman-Halton exact test, <i>p</i> = 0.002) and NES severity (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Night Eating Syndrome and related symptoms were present among university students, with increasing symptom severity associated with differences in Morningness and Good Sleep scores, while Depressed Mood did not differ significantly across severity categories. These findings suggest the possible significance of health promotion initiatives conducted through universities emphasizing good sleep hygiene, regular meal time and early identification of night eating symptoms.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1932196"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265690","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}