Frontiers in Public Health最新文献

{"title":"The broad positive health perspective on health as common ground for tackling current and future interdisciplinary health challenges.","authors":"John A J Dierx, Cindy M A De Bot","doi":"10.3389/fpubh.2025.1680808","DOIUrl":"10.3389/fpubh.2025.1680808","url":null,"abstract":"<p><p>In the past decades, many developments on economy, demography and technology amongst others have directly or indirectly influenced population health both in a positive and negative way. Consequently, the population is aging with accompanying demand for care while the workforce in health care and wellbeing is decreasing. A so-called infarction in health care and wellbeing is pending. This calls for a shift in perspective on health as care can be prevented by healthy lifestyle and resilience and self-reliance could be increased. Positive Health (PH) introduces such an innovative shift in healthcare, prioritizing resilience, adaptability, and overall well-being over traditional disease-focused models. This Perspective article explores the possible definitions of health and the development of PH, its pros and cons, application of the concept in the Netherlands and some examples worldwide and finally and discusses the global opportunities and challenges it poses. The article highlights future pathways toward a patient-centred and sustainable healthcare system, and it is suggested that the PH perspective could be instrumental in this emphasizing intersectoral collaboration, ethical considerations, and integration into healthcare frameworks.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1680808"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299574","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":"Commentary: Leveraging big data in health care and public health for AI driven talent development in rural areas.","authors":"R Sujithra, V Bini Marin, B Sreya","doi":"10.3389/fpubh.2025.1685569","DOIUrl":"10.3389/fpubh.2025.1685569","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1685569"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299594","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":"Environmental pollution and its impact on hypertension: a review.","authors":"Li Che, Zilong Wang","doi":"10.3389/fpubh.2025.1637703","DOIUrl":"10.3389/fpubh.2025.1637703","url":null,"abstract":"<p><p>This review aims to summarize the impact of environmental pollution on the development of hypertension. The processes of urbanization and industrialization have significantly increased various types of pollution in our surroundings. Research indicates that exposure to these pollutants can negatively affect cardiovascular function, which is a recognized risk factor for both the onset and progression of hypertension. In this review, we systematically summarize current findings, explore the relationship between environmental pollution and hypertension, discuss potential biological mechanisms underlying this association, and suggest directions for future research. Understanding these relationships is crucial for developing public health strategies aimed at preventing heart disease caused by pollution.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1637703"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299610","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 evidence-based model to promote community engagement in health intervention research: the Quiet 4 Healthy Farm experience.","authors":"Marjorie C McCullagh","doi":"10.3389/fpubh.2025.1684720","DOIUrl":"10.3389/fpubh.2025.1684720","url":null,"abstract":"<p><p>Community engagement involves working collaboratively with groups of people on issues affecting their well-being. The process is central to public health. Although the concept of community engagement is based on the assumption that active participation by community residents in the process of improving health and social outcomes will lead to an empowered community, and long-term health and social improvements, there is little research on how to achieve community engagement. This article describes a variety of the author's practices in community engagement in the context of community-based health promotion intervention research. The practices highlighted in this perspective are highly adaptable to other studies, participants, settings, and health issues, and have potential for augmenting the community engagement and success of future community-based health behavior studies, and consequently contribute to the public health.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1684720"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299647","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 fostering posttraumatic growth prevent burnout and promote resilience in future nurses?","authors":"Jae-Chang Sim, Dayoung Lee, Jubeen Park, Sun-Young Im","doi":"10.3389/fpubh.2025.1665351","DOIUrl":"10.3389/fpubh.2025.1665351","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop and validate a psychological support program incorporating psychological factors that promote PTG, in order to prevent burnout and enhancing resilience in future healthcare workers in preparation for infectious disease outbreaks such as the COVID-19 pandemic. The program was developed with consideration to the characteristics of nurses. Since nurses, particularly, suffered from severe burnout during the COVID-19 pandemic, the efficacy in this study was tested in nursing trainees.</p><p><strong>Method: </strong>Based on a review of related literature, we developed a program consisting of eight sessions. The content of the program includes physical and emotional recognition, finding meaning in stressful events, understanding and reflection on posttraumatic growth (PTG), promoting happiness and finding value, and inspiring hope. To test the effects of the program, participants were divided into control and intervention groups. PTG, resilience, burnout, emotion processing, deliberate rumination, and mental wellbeing were measured pre-intervention, post-intervention, and at later follow-up.</p><p><strong>Results: </strong>Using a repeated-measures analysis of variance, the treatment group showed increased PTG, resilience, mental wellbeing, and emotion processing after the intervention compared with the control group, and this increase was maintained in the follow-up. Although the effect on burnout was not statistically significant, there was a trend for relatively decreased burnout in the treatment group.</p><p><strong>Conclusion: </strong>These results demonstrate the potential effectiveness of psychological program in promoting healing and growth to support healthcare workers' mental health. By fostering PTG and resilience, the program offers practical benefits for preventing future stress and burnout in healthcare settings.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1665351"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299616","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":"Determinants of willingness to undergo breast cancer prophylactic examinations in Polish women.","authors":"Amelia Ciuba, Marta Kulpa, Aneta Nitsch-Osuch","doi":"10.3389/fpubh.2025.1583414","DOIUrl":"10.3389/fpubh.2025.1583414","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer is a global health issue affecting all countries regardless of economic development status. In Poland, the risk remains high: over the past 20 years, breast cancer incidence has increased by 60%, and mortality has risen by 30%. Although prevention options are limited, lifestyle modifications and regular medical check-ups can help reduce risk. This study aimed to identify key factors influencing Polish women's willingness to undergo breast cancer screening.</p><p><strong>Material and methods: </strong>The study surveyed 407 women aged 45 to 69 between 2021 and 2022 and reported using the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) checklist. The research tool included an author-delivered questionnaire, the Multidimensional Health Locus of Control (MHLC) scale, the Health Behavior Inventory (HBI), and the Mini-Coping Orientation to Problems Experienced (Mini-COPE) inventory.</p><p><strong>Results: </strong>Women were more likely to participate in screening if they were older, married, had children (although having an additional child was associated with a lower likelihood of screening), used oral contraception, had received education on breast cancer prevention, had higher average intensity in the Health Behavior Inventory and scored significantly higher on the author's scale, and demonstrated an external health locus of control. Additionally, women who reported attending prophylactic examinations were significantly more likely to express a need for emotional support.</p><p><strong>Conclusion: </strong>Further research is necessary to gain a deeper understanding of the factors that motivate women to engage in health-promoting behaviors and to develop targeted interventions. The findings suggest that women who are well-informed about breast cancer prevention and feel comfortable accessing preventive services are more likely to undergo regular screening.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1583414"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12519454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299625","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":"Suicide risk on Christmas Eve, Christmas Day, New Year's Day, and Valentine's Day: a systematic review and meta-analysis.","authors":"Ta-Chuan Yeh, Tien-Wei Hsu, Yu-Chen Kao, Trevor Thompson, Brendon Stubbs, Andre F Carvalho, Fu-Chi Yang, Ping-Tao Tseng, Chih-Wei Hsu, Chia-Ling Yu, Yu-Kang Tu, Chih-Sung Liang","doi":"10.3389/fpubh.2025.1668476","DOIUrl":"10.3389/fpubh.2025.1668476","url":null,"abstract":"<p><strong>Objective: </strong>Holidays are times of celebration of family and loved ones which can be difficult for some people. This study assessed the risk of suicide on Christmas Eve, Christmas Day, New Year's Day, and Valentine's Day.</p><p><strong>Methods: </strong>We searched four major electronic databases. The primary outcome was suicide deaths, and the secondary outcome was self-harm and suicide-related behaviors (SHSB). For each holiday, we calculated the risk ratio (RR) compared to regular days and the proportion of annual suicides.</p><p><strong>Results: </strong>We included 28 studies (<i>n</i> = 2,186,094). The proportion of annual suicides was 0.23% [95% confidence interval, 0.17%, 0.28%; number of studies (k) = 11] on Christmas Eve, 0.24% (0.19%, 0.29%; k = 17) on Christmas Day, 0.39% (0.31%, 048%; k = 16) on New Year's Days, and 0.27% (0.24%, 0.30%; k = 5) on Valentine's Day. Compared to regular days, suicide risk was 17% lower (RR = 0.83; 0.72, 0.96) on Christmas Day and 33% higher on New Year's Day (RR = 1.33; 1.06, 1.65) with no significant difference for Christmas Eve or Valentine's Day. This pattern of lower suicide risk on Christmas and higher risk on New Year's Day was consistent across countries. Regarding SHSB, the proportions were 0.19% on Christmas Eve, 0.21% on Christmas Day, 0.29% on New Year's Day, and 0.23% on Valentine's Day, corresponding to a lower risk on Christmas Eve (RR = 0.74; 0.57, 0.96; k = 5) and a higher risk on New Year's Day (RR = 1.17; 1.03, 1.34; k = 6), but no significant difference on Christmas Day or Valentine's Day.</p><p><strong>Conclusion: </strong>Our study suggests that only New Year's Day appears to be a temporal hotspot for suicide across most countries.</p><p><strong>Systematic review registration: </strong>Open Science Framework (osf.io/7zx3d).</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1668476"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299630","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":"Global trajectory and spatiotemporal epidemiological landscape of multidrug-resistant tuberculosis of spanning 46 years (1990-2035): implications for achieving global end TB goals.","authors":"Yunbin Yang, Aoran Yang, Renzhong Li, Wei Su, Jiawen Jiang, Liangli Liu, Yunzhou Ruan, Lin Xu","doi":"10.3389/fpubh.2025.1660984","DOIUrl":"10.3389/fpubh.2025.1660984","url":null,"abstract":"<p><strong>Background: </strong>Although MDR-TB is recognized as a significant threat, systematic descriptions of its long-term (>30 years) global spatiotemporal evolution patterns are still limited.</p><p><strong>Objectives: </strong>This study conducted a 46-year spatiotemporal analysis of global MDR-TB (1990-2035) to provide key evidence for evaluating and refining the WHO End TB Strategy.</p><p><strong>Methods: </strong>We used Global Burden of Disease data to identify identified temporal inflection points in ASIR, ASDR, and DALYs using Joinpoint regression. Spatial clustering was quantified using Moran's I and Getis-Ord hotspot analysis. A Bayesian age-period-cohort model projected MDR-TB incidence from 2022 to 2035.</p><p><strong>Results: </strong>The male-to-female ratio was approximately 1.5:1. Incidence was highest at 30-60 years, deaths at 60+, DALYs peak at 45-60; children under 14 years of age significantly affected. ASIR rose from 0.97/100 k (1990) to 6.39/100 k (2000), then declined (APC: -3.15%) post-2005 to 5.62/100 k (2021); males exhibited a sharper increase (+2.39%) and slower decline (-0.71%). ASDR peaked at 2.12/100 k (2002; males 27% higher). DALYs peaked at 89.05/100 k (2003). Sub-Saharan Africa is hyperendemic (Moran's I = 12.38, <i>p</i> < 0.001; Somalia: 57.25/100 k), with high-high clusters in Africa/Kyrgyzstan. Projections: Global ASIR declines modestly (-1.62% by 2035), but 480,000 cases expected due to population growth; female incidence drops 7.27% (2025+), male trends stable.</p><p><strong>Conclusion: </strong>MDR-TB has proven more challenging than anticipated, with persistent hotspots in sub-Saharan Africa and a disproportionate impact on males, the older adults, and children. Despite a marginal decline in ASIR to 5.46 per 100,000, the absolute number of cases is projected to rise to 480,000 by 2035 due to sustained population growth and aging. This will seriously hinder the WHO End TB Strategy. Addressing MDR-TB should prioritize key populations and regions, targeted resources, tailored interventions, sustained investment in diagnostics and treatment, and stronger government support for patient care.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1660984"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299568","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":"Long-term exposure to fine particulate matter, ozone, and greenness and the risk of lung cancer: a retrospective cohort analysis within a national sample cohort.","authors":"Nam Eun Kim, Ji-Young Lee, Ga Young Lee, Chai Young Lee, Sojung Park, Yon Ju Ryu, Jin Hwa Lee","doi":"10.3389/fpubh.2025.1661937","DOIUrl":"10.3389/fpubh.2025.1661937","url":null,"abstract":"<p><strong>Background and objective: </strong>Given the rising incidence of lung cancer among never smokers and growing concerns about environmental risk factors, this study investigated the association between long-term exposure to air pollution and greenness and the risk of lung cancer.</p><p><strong>Methods: </strong>We conducted a retrospective cohort analysis using data from the Korean National Sample Cohort (2002-2019), including 7,155 lung cancer patients and 28,620 propensity score-matched controls (matched by age, sex, and enrollment year). Long-term exposure to air pollution (quantified by PM_2.5 and O₃ concentrations) and greenness (quantified by the normalized difference vegetation index, NDVI) was estimated based on residential area. Cox proportional hazards models were used to assess associations between exposure and lung cancer risk.</p><p><strong>Results: </strong>Among 35,775 participants, lung cancer patients had lower BMI, higher smoking exposure, lower household income, and higher comorbidity scores than controls. PM_2.5 exposure showed a modest association with increased lung cancer risk in the highest tertile (aHR = 1.06; 95% CI = 1.01-1.13). O₃ exposure was consistently associated with elevated risk across all tertiles (aHR = 1.42; 95% CI = 1.34-1.50). Greenness exposure demonstrated a protective effect (aHR = 0.89; 95% CI = 0.86-0.91). Subgroup analyses indicated that PM_2.5 effects were more pronounced among male never smokers, O₃ exposure was associated with higher risk in female never smokers and males overall, and NDVI showed protective associations across all subgroups.</p><p><strong>Conclusion: </strong>Long-term exposure to air pollution, particularly O₃, was significantly associated with an increased risk of lung cancer, independent of other confounders. In contrast, PM_2.5 showed only a modest and inconsistent association, while high greenness exposure demonstrated a protective effect. These findings emphasize the need for region-specific environmental policies aimed at improving air quality and enhancing access to green spaces to reduce lung cancer risk.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1661937"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299666","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":"Association between ethylene oxide exposure and osteoarthritis risk among middle-aged and young adults: a cross-sectional study.","authors":"Xudong Wang, Meng Wang, Zijian Guo, Chuan Xiang","doi":"10.3389/fpubh.2025.1550456","DOIUrl":"10.3389/fpubh.2025.1550456","url":null,"abstract":"<p><strong>Background: </strong>The relationship between exposure to ethylene oxide (EO) and the risk of developing osteoarthritis (OA) remains unclear. We aimed to explore the association between EO exposure and OA risk among young and middle-aged adults.</p><p><strong>Methods: </strong>We utilized data from the 2013-2018 National Health and Nutrition Examination Survey, involving 2,380 individuals aged 20-60 years. Weighted multivariable regression models, smooth curve fitting (SCF), subgroup analysis and interaction tests were employed to examine the association between EO exposure and OA risk. Furthermore, we performed variable selection via least absolute shrinkage and selection operator regression and multivariable regression analyses to construct a prediction model.</p><p><strong>Results: </strong>Increased EO exposure was associated with increased OA risk. After full adjustment, individuals in the highest tertile of EO exposure had a significantly greater OA risk (224% increase) than did those in the lowest tertile of EO exposure (OR = 3.24; 95% CI: 1.61-6.52; <i>p</i> for trend = 0.002). SCF did not indicate any nonlinear associations. There was no statistically significant interaction observed in any of the subgroups (all <i>p</i> > 0.05). We built a prediction model visualized with a nomogram. This prediction model demonstrated good discriminatory power, excellent precision, and potential clinical benefits.</p><p><strong>Conclusion: </strong>The findings of our research demonstrated that among middle-aged and young adults, EO exposure was positively associated with OA risk. A prediction model was developed by integrating EO exposure with other factors readily acquired from users to assist in the evaluation and management of high-risk OA groups.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1550456"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299597","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}