Frontiers in Public Health最新文献

{"title":"From shared reading to self-narration: a developmental pathway for reading-based psychological support.","authors":"Mengjing Zhao, Yishu Zhang","doi":"10.3389/fpubh.2026.1982716","DOIUrl":"10.3389/fpubh.2026.1982716","url":null,"abstract":"<p><p>Reading-based psychological support is usually studied as clinical bibliotherapy, shared reading, or literacy-related intervention, and these strands are rarely followed across childhood, adolescence, and emerging adulthood. This perspective asks whether shared reading can become a source of self-narration. In childhood, reading with a responsive adult may support emotional language and meaning-making. During adolescence, some narrative resources may be selectively taken up and revised. In emerging adulthood, they may be used to organize transitions, commitments, and possible futures into an evolving life story. The account presents this as a developmental hypothesis rather than as evidence that childhood reading causes later narrative identity. Reading is treated as a complement to mental-health treatment, not as a substitute. The result is a set of empirical questions about mediation, developmental timing, relational quality, and contextual confounding.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1982716"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265577","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: The impact of 24-h shift on cardiac anesthesia fellows.","authors":"Thibault Vieille, Gaël Piton","doi":"10.3389/fpubh.2026.1942503","DOIUrl":"10.3389/fpubh.2026.1942503","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1942503"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265592","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":"Cervical cancer screening willingness and associated health beliefs among predominantly college-educated young women attending gynecology clinics in Shenzhen, China.","authors":"Hui Li, Yan Ke, Meihua Wu, Lin Shen, Nan Jiang, Honggui Wang, Mei Wang, Xingdi Qiu, Qiuxiang Wu, Huijun Bai, Yan Wang, Yutao Gao, Wenming Cao, Yang Zhang","doi":"10.3389/fpubh.2026.1969898","DOIUrl":"10.3389/fpubh.2026.1969898","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined cervical cancer screening willingness and its associations with Health Belief Model (HBM) constructs among predominantly college-educated young women attending gynecology outpatient clinics in Shenzhen, China.</p><p><strong>Methods: </strong>A cross-sectional convenience-sampling survey was conducted (May 2023-May 2026) among 2,317 young women recruited from gynecology outpatient clinics in Shenzhen, China. The primary outcome was personal willingness to undergo screening (single binary item). Self-reported screening within three years was an exploratory secondary outcome. Thirty-three Likert items measured seven HBM domains. Seven HBM domains were treated as investigator-constructed summary scores and examined only exploratorily.</p><p><strong>Results: </strong>Most participants were aged 18-24 years (96.8%), unmarried (97.1%), and college-educated (95.5%). Screening willingness was reported by 88.3% and screening within the previous three years by 9.5%. Because these indicators capture different constructs (future willingness vs. previous screening experience) and eligibility was not assessed, their difference was not interpreted as a willingness-behavior gap. Cronbach's α ranged 0.890-0.965. In adjusted models, perceived barriers were inversely associated with willingness (aOR = 0.454, 95% CI 0.375-0.550), while cues to action (aOR = 1.399, 95% CI 1.189-1.646), perceived severity (aOR = 1.257, 95% CI 1.038-1.523), perceived benefits (aOR = 1.194, 95% CI 1.017-1.402), and HPV vaccination (aOR = 1.576, 95% CI 1.161-2.137) were positively associated.</p><p><strong>Conclusion: </strong>Willingness to undergo screening was commonly reported, whereas prior screening experience was limited. Perceived barriers and cues to action were key correlates. Findings support guideline-based prevention communication but are cross-sectional and limited by clinic-based convenience sampling in Shenzhen, China; causal effects cannot be inferred.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1969898"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265621","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":"Correction: Pathogen prevalence, feature composition and cross-centre generalisability of machine learning diagnostic models for multi-pathogen respiratory infection.","authors":"Fengmiao Hu, Xingyu Zhou, Lijun Zhou, Zhirui Li, Shuang Dong, Chongkun Xiao","doi":"10.3389/fpubh.2026.2015265","DOIUrl":"10.3389/fpubh.2026.2015265","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fpubh.2026.1961816.].</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"2015265"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13699485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265648","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":"AI conversational agents as population health infrastructure: promise, peril, and the case for public-interest design.","authors":"Meghna Rajan","doi":"10.3389/fpubh.2026.1961045","DOIUrl":"10.3389/fpubh.2026.1961045","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1961045"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265676","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 digitalized nosocomial risk management framework during the COVID-19 pandemic: practice-based insights from a tertiary cancer hospital in Southwest China.","authors":"Qingqing Tian, Qin Huang, Jiayang Tang, Anran Liu, Hui Wang, Weiwei Yang, Chunlin Wu","doi":"10.3389/fpubh.2026.1925119","DOIUrl":"10.3389/fpubh.2026.1925119","url":null,"abstract":"<p><strong>Background: </strong>Cancer patients represent a particularly vulnerable population during infectious disease outbreaks, with substantially elevated risk of infection and mortality compared to the general population. Comprehensive nosocomial risk management frameworks for specialized oncology hospitals remain under-documented in the literature.</p><p><strong>Methods: </strong>This community case study describes a comprehensive, multi-component epidemic risk management program implemented at Sichuan Cancer Hospital-the largest tertiary cancer hospital in Southwest China-from January 2020 to September 2022. The program integrated seven management pillars with a digital risk-reporting pipeline built on Questionnaire Star^® and R programming language.</p><p><strong>Results: </strong>Over the 32-month study period, the hospital achieved a 98% staff vaccination rate with 95% booster coverage. Following its deployment in August 2022, during the final weeks of the study period, the digital reporting system processed risk-investigation data and generated actionable summary tables within 5 min of submission. No nosocomial COVID-19 cases were detected among patients or staff during the surveillance period.</p><p><strong>Conclusion: </strong>The experience demonstrates that systematic integration of management innovations with digital technologies can support hospital infection prevention even under extreme epidemiological pressure; the absence of detected nosocomial cases, however, cannot be causally attributed to the program alone given concurrent community-level restrictions. The framework's pathogen-agnostic architecture supports transferability to future respiratory virus epidemics in cancer hospital settings.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1925119"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265737","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":"Emerging henipaviruses and future pandemic preparedness: diagnostic delays, zoonotic spillover, and One Health challenges.","authors":"Abdeldjalil Zitouni","doi":"10.3389/fpubh.2026.1875406","DOIUrl":"10.3389/fpubh.2026.1875406","url":null,"abstract":"<p><p>Henipaviruses are among the most concerning emerging zoonotic pathogens because of their high mortality rates, neurological involvement, broad host range, and outbreak potential. This mini review discusses diagnostic limitations, outbreak amplification, zoonotic spillover, surveillance fragmentation, and future pandemic preparedness strategies associated with Nipah, Hendra, and Langya henipaviruses. Unlike previous reviews mainly focused on descriptive virology and epidemiology, this review emphasizes diagnostic preparedness, surveillance weaknesses, outbreak amplification mechanisms, and future One Health response strategies. Current evidence suggests that delayed diagnosis, fragmented surveillance systems, environmental disruption, and limited rapid diagnostic capacities continue to increase future spillover risks. Strengthening One Health preparedness frameworks, rapid diagnostics, genomic surveillance, and international collaboration remains essential for reducing future pandemic threats.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1875406"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265753","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":"Explainable machine learning for identifying high-risk Alzheimer's disease and key health characteristics among community-dwelling adults.","authors":"Huanhuan Zhao, Bai Qin, Zengli Zou, Pingjing Wen","doi":"10.3389/fpubh.2026.1943300","DOIUrl":"10.3389/fpubh.2026.1943300","url":null,"abstract":"<p><strong>Objective: </strong>To develop an interpretable machine learning model to identify individuals with AD8-defined high-risk status for Alzheimer's disease among community-dwelling adults, identify key health characteristics and their association patterns with high-risk status, and to inform community-based cognitive health promotion.</p><p><strong>Methods: </strong>Based on health survey data from 6,267 community-dwelling adults, AD8-defined high-risk status for Alzheimer's disease was assessed using the Alzheimer's Disease Screening Scale (AD8). LASSO logistic regression, random forest, and decision tree models were constructed, and SHapley Additive exPlanations (SHAP) was used to analyze the importance of key health characteristics and their association patterns.</p><p><strong>Results: </strong>A total of 6,267 community-dwelling adults were included, of whom 1,454 (23.2%) were classified into the AD8-defined high-risk group. The random forest model showed the highest discriminative performance among the three models. SHAP analysis indicated that fruit intake, age, snoring, mean grip strength, and sleep duration were important health characteristics associated with AD8-defined high-risk status for Alzheimer's disease. SHAP dependence plots further revealed a graded negative association between fruit intake and high-risk status, a U-shaped association for sleep duration, a U-shaped association for mean grip strength, and a positive graded association between snoring frequency and high-risk status.</p><p><strong>Conclusions: </strong>Random forest combined with SHAP identified key health characteristics associated with AD8-defined high-risk status among community-dwelling adults and revealed non-linear association patterns involving health behaviors and physical function. These findings may provide useful information for community-based risk stratification and targeted cognitive health promotion.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1943300"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265758","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":"Diet-driven cardiometabolic dysfunction as a potential amplifier of antimicrobial resistance: mechanistic evidence, gut resistome ecology, and dual-action nutraceutical interventions.","authors":"Michael Tosin Bayode, Bashirat Akinbami, Christianah Titilayo Oladele, Ayomide Faith Okiti, Esther Oluwadarasimi Oyedeji","doi":"10.3389/fpubh.2026.1977386","DOIUrl":"10.3389/fpubh.2026.1977386","url":null,"abstract":"<p><p>Over the last 30 years, two population-scale health crises have emerged as the epidemic of diet-related cardiometabolic disease (obesity, type 2 diabetes, hypertension, and cardiovascular disease) and the spread of antimicrobial resistance (AMR) as a major cause of death globally. Typically, they are investigated and controlled independently of each other. AMR may be amplified by diet-induced cardiometabolic dysfunction, which is not a parallel but an upstream, under-recognized burden. We describe four convergent pathways that might contribute to the increased risk of resistance. Impaired host immunity leading to recurrent, difficult-to-treat infection and repeated antibiotic exposure; obesity-associated pharmacokinetic changes leading to subtherapeutic antibiotic concentrations in the system; diet-induced gut dysbiosis that increases the reservoir of antibiotic-resistance genes (the gut resistome); and a bidirectional loop in which cumulative antibiotic exposure itself seems to increase cardiovascular risk. We then placed functional foods, nutraceuticals, and specific bioactive compounds as dual-action levers that act on the metabolic driver and, for a subset of molecules, directly on bacterial fitness, virulence, or the resistome. The clearest single-molecule example is developed in the form of berberine, which provides metabolic correction through the AMPK pathway, while simultaneously providing FtsZ-targeting and efflux-modulating antibacterial activity. We propose a testable framework, the metabolic-AMR augmentation loop, and highlight the gaps in evidence for longitudinal and interventional studies. If this framework proves to be robust, then diet-induced metabolic dysfunction correction could become a viable AMR-mitigation strategy on its own and one not currently employed in existing stewardship programs.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1977386"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13697305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265613","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":"Chronic disease count and fall-related characteristics among community-dwelling older adults: a cross-sectional study of recurrent falls and fall timing.","authors":"Yu Chen, Junliang Zhou, Yuanyuan Cai, Jierong Li","doi":"10.3389/fpubh.2026.1882689","DOIUrl":"10.3389/fpubh.2026.1882689","url":null,"abstract":"<p><strong>Background: </strong>Chronic conditions and falls commonly co-occur in older populations. This study described fall occurrence, recurrent falls, and participant-level fall timing across chronic disease count groups in a single-city community sample.</p><p><strong>Methods: </strong>This cross-sectional survey included 610 community-dwelling adults aged ≥60 years in Neijiang, Sichuan, China. Self-reported falls during the preceding 12 months were classified by occurrence and frequency; recurrent falls were defined as ≥2 falls. One participant-level fall-timing category was analyzed per faller. Chronic disease count was an unweighted sum of seven disease domains. Crude and minimally adjusted logistic regression described count associations. Disease-specific crude associations, post-LASSO models, and an equal-duration morning-versus-afternoon comparison were exploratory analyses.</p><p><strong>Results: </strong>Overall, 303 participants (49.7%) reported falls and 96 (15.7%) reported recurrent falls. Fall occurrence was non-monotonic across count groups (52.9%, 42.2%, 47.8%, 56.6%, and 68.6% for 0, 1, 2, 3, and ≥4 diseases); corresponding recurrent-fall proportions were 9.6%, 12.9%, 16.5%, 19.7%, and 37.3%. The minimally adjusted OR for recurrent falls in the ≥4 group versus 0 was 4.85 (95% CI 2.06-11.46). The five-category timing distribution did not show clear evidence of an overall difference (Pearson <i>p</i> = 0.195). The morning/non-morning contrast had <i>p</i> = 0.024, and the equal-duration comparison included 203 fallers (108 morning and 95 afternoon; <i>p</i> = 0.011). Disease-specific estimates varied across diseases and outcomes. Post-LASSO findings remained exploratory.</p><p><strong>Conclusion: </strong>Fall-related characteristics differed across chronic disease count groups in this Neijiang sample, particularly with respect to recurrent falls. Timing differences depended on the comparison used. These cross-sectional findings are hypothesis-generating and do not establish temporal or causal relationships. Prospective, multicenter studies are required.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1882689"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149265643","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}