Frontiers in Public Health最新文献

{"title":"Corrigendum: Reciprocal effect between non-suicidal self-injury and depressive symptoms in adolescence.","authors":"Rui Hu, Li-Li Peng, Yu Du, Yi-Wei Feng, Lin-Shen Xie, Wei Shi, Peng Jia, Li-Hua Jiang, Li Zhao","doi":"10.3389/fpubh.2025.1502519","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1502519","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fpubh.2023.1243885.].</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1502519"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699961","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":"Comorbidity patterns and implications for disease control: a network analysis of medical records from Shanghai, China.","authors":"Yifei Shen, Wenqi Tian, Na Li, Yuhong Niu","doi":"10.3389/fpubh.2025.1516215","DOIUrl":"10.3389/fpubh.2025.1516215","url":null,"abstract":"<p><strong>Background: </strong>The aging problem in Shanghai is rapidly increasing, leading to the development of chronic comorbidities in older adults. Studying the correlations within comorbidity patterns can assist in managing disease prevention and implicate early control.</p><p><strong>Objectives: </strong>This study was a cross-sectional analysis based on a large sample size of 3,779,756 medical records. A network analysis and community classification were performed to illustrate disease networks and the internal relationships within comorbidity patterns among older adults in Shanghai.</p><p><strong>Methods: </strong>The network analysis and community classification were performed using the IsingFit and Fast-greedy community functions. Datasets, including disease codes and disease prevalence, were collected from medical records.</p><p><strong>Results: </strong>The top five prevalent diseases were hypertension (64.78%), chronic ischemic heart disease (39.06%), type 2 diabetes mellitus (24.97%), lipid metabolism disorders (21.79%), and gastritis (19.71%). The sampled population showed susceptibility to 11 comorbidities associated with hypertension, 9 with diabetes, 28 with ischemic heart disease, 26 with gastritis, and 2 with lipid metabolism disorders in male patients. Diseases such as lipid metabolism disorders, gastritis, fatty liver, polyps of the colon, osteoporosis, atherosclerosis, and heart failure exhibited strong centrality.</p><p><strong>Conclusion: </strong>The most common comorbidity patterns were dominated by ischemic heart disease and gastritis, followed by a ternary pattern between hypertension, diabetes, and lipid metabolism disorders. Male patients were more likely to have comorbidities related to cardiovascular and sleep problems, while women were more likely to have comorbidities related to thyroid disease, inflammatory conditions, and hyperuricemia. It was suggested that healthcare professionals focus on monitoring relevant vital signs and mental health according to the specific comorbidity patterns in older adults with chronic diseases, to prevent the development of new or more severe comorbidities.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1516215"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700005","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":"Nature's impact on human health and wellbeing: the scale matters.","authors":"Stefan Zerbe, Hannah-Lea Schmid, Claudia Hornberg, Julius Freymüller, Timothy Mc Call","doi":"10.3389/fpubh.2025.1563340","DOIUrl":"10.3389/fpubh.2025.1563340","url":null,"abstract":"<p><p>Contact with nature can have a significant influence on human physical and mental health and wellbeing. As such, various concepts and theories as well as therapeutic approaches have been developed. The term \"nature,\" however, covers a broad range of size and scales, ranging from individuals or small groups of animals or plants, certain ecosystems toward landscapes. The purpose of this paper is to differentiate concepts, theories, and therapy forms according to the scales of nature. We base our conceptional approach on the biological/ecological scales of species/individuals, ecosystems/land-use types, and landscapes. Based on a review, we differentiate the current state of the utilization of greenspace exposure measurements and measures assessing mental health according to these scales. We argue that a clear differentiation of biological and ecological scales provides a better understanding of the impact of nature with its components, characteristics, and dynamics on human health and wellbeing. Our paper also supports further inter- and transdisciplinary research as well as methodological approaches with regard to environment and health, such as environmental public health.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1563340"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700182","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":"Post-traumatic stress disorder and its associated factors among internally displaced people due to conflict in Northwest Ethiopia.","authors":"Mamaru Melkam, Girmaw Medfu Takelle, Getasew Kibralew, Girum Nakie","doi":"10.3389/fpubh.2025.1386566","DOIUrl":"10.3389/fpubh.2025.1386566","url":null,"abstract":"<p><strong>Background: </strong>Post-traumatic stress disorder (PTSD) is a mental health condition that develops after being exposed to trauma, such as experiencing or witnessing life-threatening events, including war and other natural disasters. Despite the high levels of conflict, little attention has been given to post-traumatic stress disorder, particularly in low- and middle-income countries. Therefore, this study aimed to determine the prevalence of post-traumatic stress disorder and its associated factors among internally displaced people in Northwest Ethiopia.</p><p><strong>Methods: </strong>A cross-sectional study design was employed from June to July 2022 in Northwest Ethiopia among internally displaced people. Simple random sampling was used to recruit 410 study participants. The standard tools used in this study included the Post-Traumatic Stress Disorder Checklist for DSM-5 (PLC-5), Kessler-10, and Oslo Social Support Scale to assess various variables. Binary logistic regression analysis was used to identify factors associated with post-traumatic stress disorder. Statistically significant factors were selected at a 95% confidence interval (CI) with adjusted odds ratio (AOR).</p><p><strong>Results: </strong>The prevalence of post-traumatic stress disorder among internally displaced people was 54.3%, with a 95% CI (49.5, 59.3). Current substance use [AOR 95% CI: 2.01(1.16, 3.48)]; living arrangements, such as living alone or with non-relatives [AOR = 2.13; 95% CI (1.17, 3.86) and AOR = 2.39; 95% CI: (1.21, 4. 70), respectively]; being violated [AOR = 2.49; 95% CI: (1.26, 4.94)]; and psychological distress [AOR = 3.21; 95% CI: (4.35, 9.34)] were significantly associated with post-traumatic stress disorder.</p><p><strong>Conclusion: </strong>The prevalence of post-traumatic stress disorder among internally displaced people was high. Therefore, stakeholders should provide immediate interventions that include further assessments using diagnostic criteria. In addition, Eye Movement Desensitization and Reprocessing psychotherapy along with selective serotonin reuptake inhibitors as psycho-pharmacological treatment are recommended. Furthermore, efforts should be made to reduce the identified risk factors to improve outcomes for individuals with post-traumatic stress disorder.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1386566"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700184","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 comparative study of four physical education curricula on the developmental behavior of Chinese preschool children aged 4 to 6 years and its correlation with balance ability.","authors":"Minjie Qiao, Laite Yu, Jingyu Shi, Xiaoting Wang, Ruiyuan Li, Zicheng Wan, Dongsheng Lu","doi":"10.3389/fpubh.2025.1477001","DOIUrl":"10.3389/fpubh.2025.1477001","url":null,"abstract":"<p><p>Early childhood development is important for the future developmental behavior, physical fitness, and social adaptation. The content of the physical education curriculum in kindergarten is crucial for the growth of preschool children. The aim of this study was to explore the effects of 12-week of 4 different physical education curriculum interventions on developmental behavior and balance ability, and the correlation between these two factors in preschool children. 94 preschool children aged 4-6 years were stratified and randomly assigned to tennis group (TG), football group (FG), sensory integration group (SIG), and control group (CG). All interventions resulted in greater improvements in all developmental behavior indicators and balance ability after intervention compared to baseline. The SIG showed greater improvements in total development quotient (DQ), gross motor DQ, fine motor DQ, and balance ability than the other three groups after intervention. No significant difference in balance ability between FG and SIG was found. There was a positive and significant correlation between adaptability DQ, social behavior DQ, and balance ability after SIG intervention. The SIG training could correlate children's balance ability with their social behavior and adaptability. The sensory integration curriculum might be the optimal curriculum to promote the efficient improvement of preschool children's developmental behavior and motor competence.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1477001"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699643","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":"Effects of couple-based violence prevention education on male partners' knowledge, attitudes and controlling behavior related to intimate partner violence in rural Ethiopia: a cluster randomized controlled trial.","authors":"Zeleke Dutamo Agde, Jeanette H Magnus, Nega Assefa, Muluemebet Abera Wordofa","doi":"10.3389/fpubh.2025.1506459","DOIUrl":"10.3389/fpubh.2025.1506459","url":null,"abstract":"<p><strong>Background: </strong>Supportive attitudes toward wife-beating and the experience of controlling behavior from husbands have been known to increase the risks of intimate partner violence (IPV). The aim of this study was to determine the effects of couple-based violence prevention education in addressing IPV-related knowledge, attitudes, and controlling behavior among male partners in rural Ethiopia.</p><p><strong>Method: </strong>A cluster randomized controlled trial was conducted using a two-arm parallel group design. The 16 clusters were randomly allocated into 8 intervention groups and 8 control groups. A total of 432 couples (432 male partners and 432 pregnant wives) participated in the trial. Couple-based violence prevention education (CBVPE) was provided to the participants in the intervention group, while the control group received routine or standard care. Difference-in-difference analysis and the Generalized Estimating Equation (GEE) model were used to assess the effectiveness of the intervention.</p><p><strong>Result: </strong>At the endline, 94.4% of male partners in the intervention group and 94.9% in the control group were available for the intention-to-treat analysis. Male partners in the intervention group were 3.7 times more likely to have good knowledge about IPV compared to male partners in the control group (AOR = 3.7; 95% CI 2.6-5.4). Male partners in the intervention group were 67.6% less likely to report supportive attitudes toward wife-beating compared to those in the control group (AOR = 0.324; 95% CI 0.229-0.459). Also, the proportion of controlling behavior exhibited by male partners in the intervention group was 56.4% less compared to the control group (AOR = 0.436; 95% CI 0.317-0.600).</p><p><strong>Conclusion: </strong>The intervention proved effective in enhancing knowledge about IPV, reducing supportive attitudes toward wife-beating, and curbing controlling behaviors among male partners in the study setting. This approach holds promise for scaling up and adapting to similar contexts in Ethiopia.</p><p><strong>Trial registration: </strong>The trial was registered on ClinicalTrials.gov with the identifier NCT05856214 on May 4, 2023.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1506459"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700169","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, regional, and national burden of liver cancer in adolescents and young adults from 1990 to 2021: an analysis of the global burden of disease study 2021 and forecast to 2040.","authors":"Jingyu Wen, Mingge Xia, Han Luo, Luwei Zhu, Min Li, Yifu Hou","doi":"10.3389/fpubh.2025.1547106","DOIUrl":"10.3389/fpubh.2025.1547106","url":null,"abstract":"<p><strong>Background: </strong>The global burden of liver cancer among adolescents and young adults (AYAs) has often been underestimated, despite significant shifts in its etiology. This study analyzes the disease burden of liver cancer in AYAs from 1990 to 2021 and forecasts trends up to 2040 using data from the Global Burden of Disease Study 2021. Our goal is to provide insights that can inform resource allocation and policy planning.</p><p><strong>Methods: </strong>Incidence, mortality, and disability-adjusted life years (DALYs) data were extracted and estimated annual percentage changes calculated to assess trends. Correlation between age-standardized rates and sociodemographic index (SDI) was analyzed using Spearman correlation, and future trends were predicted using the Bayesian age-period-cohort model.</p><p><strong>Findings: </strong>Globally, there were 24,348 new liver cancer cases and 19,270 deaths among AYAs in 2021, with decreases in age-standardized rates for incidence, mortality, and DALYs from 1990 to 2021. East Asia bears the highest burden, with males experiencing significantly higher rates than females. The burden increases with age, peaking at 35-39 years. Higher SDI is associated with lower incidence, mortality, and DALYs. While HBV remains the leading cause, NASH is the fastest-growing contributor to liver cancer incidence and mortality. Projections indicate a continued decline in liver cancer burden among AYAs, though female cases are expected to rise.</p><p><strong>Interpretation: </strong>Despite a gradual decline in liver cancer burden among AYAs, NASH is emerging as a significant and rising cause of incidence and mortality. Regional and gender disparities persist, highlighting the need for tailored prevention and healthcare strategies to alleviate the liver cancer AYA's burden globally.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1547106"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700176","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 equitable aging in health conceptual framework: international interventions infusing power and justice to address social isolation and loneliness among older adults.","authors":"Angela K Perone, Leixuri Urrutia-Pujana, Leyi Zhou, Mo'e Yaisikana, Barbara Mendez Campos","doi":"10.3389/fpubh.2025.1426015","DOIUrl":"10.3389/fpubh.2025.1426015","url":null,"abstract":"<p><strong>Introduction: </strong>Social isolation and loneliness among older adults have garnered significant international attention, particularly as structures and services have evolved during a global pandemic. A growing body of research underscores disparities in social isolation and loneliness among intersecting social (e.g., race, ethnicity, age, gender, sexual orientation, disability) and physical (e.g., rural/urban) locations. While empirical data about these global trends has increased, conceptual and theoretical frameworks are underdeveloped about disparities in social isolation and loneliness, especially from a global perspective. This article presents a novel equitable aging framework to help contextualize, understand, and explain how power influences disparities in social isolation and loneliness among older adults.</p><p><strong>Equitable aging in health conceptual framework: </strong>Equitable aging builds on principles in critical gerontology, public health concepts of social and political determinants of health, international human rights, and intersectionality frameworks to present a new conceptual framework for researchers, policymakers, and practitioners. Equitable aging centers five domains of power (intrapersonal, interpersonal, disciplinary, structural, and cultural) as critical components (or hub) that drive six political and social determinants of health (economic stability, education access and quality, health care access and quality, neighborhood and built environment, social and community context, and laws and politics). The sixth determinant of health (laws and policies) incorporates international human rights (economic, social, cultural, civil, political rights). When justice is infused in these domains of power, political and social determinants of health can produce equitable aging outcomes. The Equitable Aging in Health Framework presents a new tool that incorporates justice and power to help understand and explain disparities in social isolation and loneliness and ultimately how to achieve equitable opportunities for social connections for older adults.</p><p><strong>Discussion: </strong>To illustrate the utility of this conceptual framework, this article presents six case studies of interventions in China, Taiwan, Spain, Sweden, Mexico, and the United States that employ this framework to address social isolation and loneliness among diverse communities of older adults. These interventions propose new services, programs, and policies that infuse different paradigms of justice and address domains of power in various ways to build social connections and support for older adults.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1426015"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700195","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 development and validation of the health literacy questionnaire for kindergarten teachers.","authors":"Han Ying, Yang DeHua, Ou Yang Yi, Wu Song-Wei","doi":"10.3389/fpubh.2025.1414277","DOIUrl":"10.3389/fpubh.2025.1414277","url":null,"abstract":"<p><strong>Background: </strong>Health literacy profoundly influences individuals' health development. As pivotal figures in shaping young children's well-being and delivering health education in kindergartens, kindergarten teachers are essential. Yet, assessing their health literacy remains challenging due to a scarcity of evaluation tools.</p><p><strong>Methods: </strong>Based on existing research, the initial questionnaire was developed through interviews, summaries, and reviews. A total of <i>N</i> = 120 (<i>M</i> _age = 27.19, <i>SD</i> = 6.75, 94.2% female) kindergarten teachers participated in item analysis and exploratory factor analysis (EFA). <i>N</i> = 642 (<i>M</i> _age = 28.12, <i>SD</i> = 5.77, 89.7% female) kindergarten teachers were involved in confirmatory factor analysis (CFA) and reliability analysis.</p><p><strong>Results: </strong>The questionnaire on the health literacy of kindergarten teachers consists of 30 items in four dimensions: <i>health concept</i>, <i>health behavior</i>, <i>health ability</i>, and <i>health knowledge</i>. In the EFA, the cumulative variance contribution rate reached 61.220%. The CFA indicators satisfied the fit criteria, indicating a well-fitted model (χ²/<i>df</i> = 1.945, CFI = 0.956, TLI = 0.952, SRMR = 0.034, RMSEA = 0.038). The reliability analysis indicated that Cronbach's <i>α</i>, McDonald's <i>ω</i>, and split-half reliability all exceeded 0.8.</p><p><strong>Conclusion: </strong>The Health Literacy Questionnaire for kindergarten teachers, with its strong reliability and validity, serves as a valuable assessment tool for this group's health literacy.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1414277"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700193","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: Challenges and advances in global school health promotion.","authors":"Rafaela Rosário, Kevin Dadaczynski","doi":"10.3389/fpubh.2025.1575547","DOIUrl":"10.3389/fpubh.2025.1575547","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1575547"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700047","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}