Frontiers in Public Health最新文献

{"title":"Direct economic burden of acute coronary syndromes in the Portuguese National Health Service-facts and trends between 2002 and 2022.","authors":"Francisco Madeira, Carla Martins, Susana Viegas, Ana Teresa Timóteo, Fátima Loureiro, Julian Perelman","doi":"10.3389/fpubh.2025.1433307","DOIUrl":"10.3389/fpubh.2025.1433307","url":null,"abstract":"<p><strong>Aim: </strong>We estimated the average direct cost per Acute Coronary Syndromes (ACS) in-patient episodes by diagnosis, namely ST-elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI), unstable angina (UA), and undetermined AMI (Acute Myocardial Infarction). We also analyzed the changes in direct costs over time between 2002 and 2022, and the total direct economic burden of ACS hospitalizations for the Portuguese National Health Service (NHS).</p><p><strong>Methods: </strong>We used the Portuguese Registry of Acute Coronary Syndromes (61,440 ACS hospitalizations), a cohort of people with ACS, recruited and followed from first hospitalization. A direct cost analysis was conducted. As resources, we considered health professional working hours, non-medical resources used during in-patient stays, laboratory and diagnostic tests, interventional cardiology procedures, pharmaceuticals, hospitalization-related complications, rehabilitation services, and death costs. A multivariate analysis was performed to identify the main cost determinants.</p><p><strong>Results: </strong>The average cost per ACS patient from 2002 to 2022 was 6,280.79 €. A significantly higher average cost was observed among patients diagnosed with STEMI of 3,853.26€ (95% confidence interval [CI] 3,690.87 to 4,015.65€), among NSTEMI patients of 1,308.91 € (95% CI 1,173.52 € to 1,444.30 €), and among patients who died during the hospitalization of 12,017.64€ (95% CI 11,232.21 € to 12,803.08 €). Over time, cost trends fluctuated, increasing until 2011 and then gradually decreasing until 2022, apart from 2020. Considering the total universe of 294,307 ACS-hospitalizations, the Portuguese NHS incurred a direct economic burden of 1,831 million euros over the complete period, with total annual costs averaging 87,203,851 €, representing on average 0.93% of the NHS annual health expenditure.</p><p><strong>Conclusion: </strong>ACS represent a significant direct cost and economic burden for the NHS.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1433307"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763457","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: Innovative prevention strategies for occupational health hazards.","authors":"Chun-Yip Hon, Enrico Bergamaschi","doi":"10.3389/fpubh.2025.1584770","DOIUrl":"10.3389/fpubh.2025.1584770","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1584770"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11958990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763499","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":"Community-engaged research as a pathway to oral health equity: insights from a Texas initiative.","authors":"Cody Price, Blair Williams, Andrea Mayo Jacks, Ankit Sanghavi","doi":"10.3389/fpubh.2025.1548544","DOIUrl":"10.3389/fpubh.2025.1548544","url":null,"abstract":"<p><p>Solutions to advance oral health equity require a deeper understanding only achieved though partnership with the communities deeply impacted by barriers to care. While numerous studies and dental public health reports published over the years demonstrate a need for oral health equity, there is a paucity of literature regarding community engagement as a pathway to advancing oral health equity. As a human-centered design approach, Community-Engaged Research (CER) provides opportunities to engage communities as research partners, while developing trust and capacity for sustainable collaboration and participatory systems thinking. Building on literature and our experiences from leading a community-engaged oral health equity project in Texas, this perspective article offers actionable concepts of <i>trust, time</i>, and <i>co-design</i> to encourage the use of community-engaged practices that assess and address complex factors that impact oral health.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1548544"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763364","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":"Integrating health equity in artificial intelligence for public health in Canada: a rapid narrative review.","authors":"Samantha Ghanem, Marielle Moraleja, Danielle Gravesande, Jennifer Rooney","doi":"10.3389/fpubh.2025.1524616","DOIUrl":"10.3389/fpubh.2025.1524616","url":null,"abstract":"<p><strong>Introduction: </strong>The application of artificial intelligence (AI) in public health is rapidly evolving, offering promising advancements in various public health settings across Canada. AI has the potential to enhance the effectiveness, precision, decision-making, and scalability of public health initiatives. However, to leverage AI in public health without exacerbating inequities, health equity considerations must be addressed. This rapid narrative review aims to synthesize health equity considerations related to AI application in public health.</p><p><strong>Methods: </strong>A rapid narrative review methodology was used to identify and synthesize literature on health equity considerations for AI application in public health. After conducting title/abstract and full-text screening of articles, and consensus decision on study inclusion, the data extraction process proceeded using an extraction template. Data synthesis included the identification of challenges and opportunities for strengthening health equity in AI application for public health.</p><p><strong>Results: </strong>The review included 54 peer-review articles and grey literature sources. Several health equity considerations for applying AI in public health were identified, including gaps in AI epistemology, algorithmic bias, accessibility of AI technologies, ethical and privacy concerns, unrepresentative training datasets, lack of transparency and interpretability of AI models, and challenges in scaling technical skills.</p><p><strong>Conclusion: </strong>While AI has the potential to advance public health in Canada, addressing equity is critical to preventing inequities. Opportunities to strengthen health equity in AI include implementing diverse AI frameworks, ensuring human oversight, using advanced modeling techniques to mitigate biases, fostering intersectoral collaboration for equitable AI development, and standardizing ethical and privacy guidelines to enhance AI governance.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1524616"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11958991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763661","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":"Psychometric evaluation of the Chinese version of the BENEFITS-CCCSAT based on CTT and IRT: a cross-sectional design translation and validation study.","authors":"Chuang Li, Youbei Lin, Betul Tosun, Pin Wang, Hong Ye Guo, Cheng Rong Ling, Ran Qi, Qing Yue Luo, Yan Wang, Fang Huang, Jiaqi Wang, Shu Hui Ma, Dan Feng Xu, Shu Zhen Wu, Lan Zhang","doi":"10.3389/fpubh.2025.1532709","DOIUrl":"10.3389/fpubh.2025.1532709","url":null,"abstract":"<p><strong>Background: </strong>The importance of culturally competent care in multicultural environments is increasingly recognized; however, effective tools to assess nursing students' cross-cultural competence remain limited. This study aimed to validate the BENEFITS-CCCSAT for Chinese nursing students.</p><p><strong>Methods: </strong>The original BENEFITS-CCCSAT was translated, back-translated, culturally adapted, and pre-tested using the Brislin model to form a Chinese version. A combined approach of classical test theory (CTT) and item response theory (IRT) was then used for multidimensional validation.</p><p><strong>Results: </strong>The CTT analysis showed that the C-BENEFITS-CCCSAT had a Cronbach's <i>α</i> coefficient of 0.80, dimension reliability values ranging from 0.700 to 0.905, a test-retest reliability value of 0.881, and a scale-level content validity index (S-CVI) value of 0.928. The criterion-related validity value was 0.619. The confirmatory factor analysis (CFA) indicated a good model fit (CMIN/DF = 1.071, RMSEA = 0.08), with factor loadings ≥0.50. The Rasch analysis showed an item reliability value of 1, person reliability values ranging from 0.76 to 0.89, item separation index values ranging from 17.37 to 60.34, and person separation index values ranging from 1.76 to 2.89. The information-weighted fit statistic mean square (infit MNSQ) and outlier-sensitive fit statistic mean square (outfit MNSQ) values for all items ranged from 0.86 to 1.27. Overall, the scale demonstrated good reliability and validity for the Chinese nursing students.</p><p><strong>Conclusion: </strong>The 25-item C-BENEFITS-CCCSAT demonstrates good reliability and validity and can be applied in educational settings to assess students' ability to provide culturally competent care. Future studies should test the scale in culturally diverse populations to further determine its applicability and generalizability.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1532709"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763735","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 review of national public health strategies in selected countries.","authors":"Michelle Norris, Eimear Burke, Fearghal Comaskey, Máire A Connolly, Yvonne Doyle, Carol McLoughlin, Leah McManus, Valerie Power, Susan Spillane, Máirín Ryan, Michelle O'Neill","doi":"10.3389/fpubh.2025.1391795","DOIUrl":"10.3389/fpubh.2025.1391795","url":null,"abstract":"<p><p>National public health strategies play an essential role in defining a country's vision, policy direction and approaches for ensuring the health of its population. Gaining an understanding of the public health issues which countries prioritize, and how these health issues are improved upon, may provide insights into effective methods of national public health strategy development and delivery. National public health strategies were identified for ten countries and a descriptive analysis of strategy contents and development was undertaken. All of the identified national public health strategies included an overall aim of improving health and wellbeing, and all strategy scopes extended beyond the health domain. Themes or priorities frequently identified included promoting healthy living or behaviors, the strengthening of public health, and equity or equality. Approaches to strategy implementation were considered to be prescriptive or interpretive, with prescriptive approaches including detailed implementation plans with specific actions and key performance indicators, and interpretive approaches including high-level strategic actions along with principles to support their implementation. National public health strategy development was informed by both evidence and engagement with stakeholders, including the public, experts, and representatives from governmental and non-governmental organizations at local, regional and national levels. Overall, while the information gained in this analysis assists in the development of a national public health strategy, variation observed across the included strategies indicates that consideration should be given to factors which vary from country to country. These factors include the national health profile, the political context, underpinning and associated policies, and the availability of resources.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1391795"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763328","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":"Burden of acute and long-term COVID-19: a nationwide study in Bahrain.","authors":"Mariam Murad, Stephen L Atkin, Pearl Wasif, Alwaleed Abdulaziz Behzad, Aamal M J Abdulla Husain, Roisin Leahy, Florence Lefebvre d'Hellencourt, Jean Joury, Mohamed Abdel Aziz, Srinivas Rao Valluri, Hammam Haridy, Julia Spinardi, Moe H Kyaw, Manaf Al-Qahtani","doi":"10.3389/fpubh.2025.1539453","DOIUrl":"10.3389/fpubh.2025.1539453","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus disease 2019 (COVID-19) may lead to long-term sequelae. This study aimed to understand the acute and post-acute burden of SARS-CoV-2 infection and to identify high-risk groups for post-COVID-19 conditions (PCC).</p><p><strong>Methods: </strong>A retrospective observational study of the Bahraini population was conducted between 1 May 2021 and 30 April 2023, utilizing the national administrative database. PCC cases were defined according to WHO guidelines. All COVID-19 cases were confirmed using real-time polymerase chain reaction (PCR).</p><p><strong>Results: </strong>Of 13,067 COVID-19 cases, 12,022 of them experienced acute COVID-19, and 1,045 of them developed PCC. Individuals with PCC tended to be older women with risk factors and instances of SARS-CoV-2 reinfection. The incidence rates per 100,000 individuals during the Alpha pandemic surge (2020), Delta pandemic surge (2021), and Omicron pandemic surge (2022) were 2.2, 137.2, and 222.5 for acute COVID-19, and 0.27, 10.5, and 19.3, respectively, for PCC cases. The death rates per 100,000 individuals during the Alpha, Delta, and Omicron pandemic surges were 3, 112, and 76, respectively, for acute COVID-19 and 1, 10, and 8, respectively, for PCC. The death rate was highest among those aged 65 and older during the Delta pandemic surge.</p><p><strong>Conclusion: </strong>These findings suggest the need for a timely national vaccination program prior to new COVID-19 surges to prevent complications related to SARS-CoV-2 infection, particularly in the older adult and in non-older adult individuals with risk factors.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1539453"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11958954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763362","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 ambient NO₂ increase oral cancer prevalence in Southern China: a 3-year time-series analysis.","authors":"Hongbin Peng, Xiaoxia Wang, Ying Liao, Lichong Lan, Danni Wang, Yaohuan Xiong, Ling Xu, Yinxia Liang, Xia Luo, Yunan Xu, Feiyan Li, Hao Chen, Chuanyi Ning","doi":"10.3389/fpubh.2025.1484223","DOIUrl":"10.3389/fpubh.2025.1484223","url":null,"abstract":"<p><strong>Background: </strong>While the correlation between cancer and air pollutants is well-established, research on the delayed effects of NO₂ on oral cancer remains limited.</p><p><strong>Methods: </strong>We collected data on nitrogen dioxide (NO₂) along with diagnosed cases of oral cancer in Guangxi, China, and analyzed the correlation between exposure to NO₂ and the prevalence of oral cancer.</p><p><strong>Results: </strong>The study included 1,841 participants diagnosed with oral malignancies, consisting of 1,179 males (64.0%) and 662 females (36.0%), with a mean age of 55.9 ± 14.0 years. The NO₂ concentration is 20.2 ± 10.4 μg/m³. The highest cumulative effects of NO₂ exposure were observed at a 3-year cumulative lag, with a relative risk (RR) of 1.115 (95% CI: 1.102-1.128). For males, the most pronounced effect of NO₂ also occurred at a 3-year lag (RR = 1.110, 95% CI: 1.094-1.127). Similarly, among females, the significant cumulative impact of NO₂ was found at a 3-year lag (RR = 1.123, 95% CI: 1.101-1.145). For individuals under 60 years of age, the cumulative impact of NO₂ peaked at the same 3-year lag (RR = 1.102, 95% CI: 1.085-1.120). For individuals aged 60 and above, the highest cumulative impact of NO₂ was also detected at a 3-year lag (RR = 1.132, 95% CI: 1.112-1.152). For the group with normal BMI, the highest cumulative effect of NO₂ exposure was also observed at the 3-year lag period (RR = 1.289, 95% CI: 1.217-1.365), consistent with the findings for other groups.</p><p><strong>Conclusion: </strong>These findings suggest a significant lagged effect of long-term NO₂ exposure on oral cancer, with varying associations between NO₂ and oral cancer across different ages and genders.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1484223"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11958973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763664","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 first study on population knowledge and attitudes regarding prevention, diagnostic methods, treatment, and recovery aspects related to <i>Helicobacter pylori</i> infection in Bosnia and Herzegovina.","authors":"Nejra Bektas, Larisa Besic, Aida Kulo Cesic, Damir Marjanovic, Jasminka Prguda-Mujic","doi":"10.3389/fpubh.2025.1498407","DOIUrl":"10.3389/fpubh.2025.1498407","url":null,"abstract":"<p><p>The aim of this pioneering study was to examine the knowledge and attitudes regarding prevention, diagnostic methods, treatment, and recovery aspects related to <i>Helicobacter pylori</i> infection within the general population of Bosnia and Herzegovina (B&H). Study was conducted using the previously designed questionnaire, adapted for the B&H population. The research enrolled 1,031 participants, of whom 58.49% answered predominantly correctly to questions regarding <i>Helicobacter pylori</i> infectivity. Of all participants, 36.18% underwent screening, with 65.95% testing positive, and of those, 93.90% received treatment, mainly antibiotics (92.64%). Of those treated, 74.46% were re-tested and 30.23% of them had relapsed infection. Furthermore, the study identified lower infection rate in younger participants and, contraversaly, in participants with the history of long-term (lasting for more than a year) alcohol consumption, who were also shown to report symptoms' improvement post-treatment. Overall, B&H population demonstrated good knowledge toward <i>Helicobacter pylori</i> infection, with higher levels of knowledge in women, highly educated, or screened for <i>H. pylori</i>. Notably, participants expressed strong support for national <i>Helicobacter pylori</i> screening and thus underscored the importance of planning it in the public health initiatives in B&H. Also, due to the high relapsed infection rate, further effort needs to be directed toward education of risk groups i.e., older age groups, and community on effective measures for <i>Helicobacter pylori</i> prevention and treatment.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1498407"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763777","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":"Epidemiology characteristics of the drinking patterns and alcohol consumption among adults in Hainan Province, China.","authors":"Tingting Ou, Juan Jiang, Dingwei Sun, Ying Liu, Changfu Xiong, Xiaohuan Wang, Xue Zhou, Hongying Wu, Lijie Zhang, Chao Wang, Bin He","doi":"10.3389/fpubh.2025.1490439","DOIUrl":"10.3389/fpubh.2025.1490439","url":null,"abstract":"<p><strong>Background: </strong>Alcohol consumption is a significant risk factor for premature mortality and increased disease burden worldwide, especially among young and middle-aged individuals. This study aims to evaluate drinking patterns and alcohol consumption among adults in Hainan Province, while also identifying associated factors.</p><p><strong>Methods: </strong>Analyses based on the 2022 \"2 + 3\" epidemiological survey in Hainan were conducted, and the drinking types, quantities, and frequencies among local residents were described. Chi-square tests and multiple linear regression were employed for the statistical analysis.</p><p><strong>Results: </strong>A total of 32,857 adults participated, yielding an overall drinking rate of 42.8%. The drinking rate was significantly higher among men (64.4%) than women (18.9%). The highest drinking rates were found in the 30-59 age group, especially among individuals aged 30-39. Ethnic minorities had a higher drinking rate (70.1%) than Han individuals. Lower educational attainment was associated with lower drinking rates, although the prevalence of active drinkers was higher. Men preferred strong liquor and beer, whereas women favored beer and rice wine. The average weekly alcohol consumption was 59.8 mL for men and 10.9 mL for women, with 43.6% of men exceeding 100 mL weekly, compared to 12.7% of women.</p><p><strong>Conclusion: </strong>This study emphasizes the complexity and diversity of drinking behaviors among adults in Hainan Province. Sociodemographic factors, including gender, age, ethnicity, education, marital status, occupation, and region, are closely linked to drinking behaviors. The findings provide a scientific basis for developing targeted public health strategies, highlighting the need for effective interventions to mitigate alcohol-related health issues among high-risk populations.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1490439"},"PeriodicalIF":3.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751933","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}