Global Public Health最新文献

Cisnormativity, human rights and vulnerability of young transgender women to HIV: An analysis based on their youth trajectories. 反规范性、人权和年轻跨性别女性对艾滋病毒的脆弱性：基于其青年轨迹的分析。

IF 2.1 3区医学

Global Public Health Pub Date : 2025-12-31 Epub Date: 2025-10-06 DOI: 10.1080/17441692.2025.2560944

Dulce Ferraz, Julia Clara de Pontes, Eliana Zucchi Miura, Paola Alves de Souza, Ramiro Unsain, Marcia Couto

{"title":"Cisnormativity, human rights and vulnerability of young transgender women to HIV: An analysis based on their youth trajectories.","authors":"Dulce Ferraz, Julia Clara de Pontes, Eliana Zucchi Miura, Paola Alves de Souza, Ramiro Unsain, Marcia Couto","doi":"10.1080/17441692.2025.2560944","DOIUrl":"https://doi.org/10.1080/17441692.2025.2560944","url":null,"abstract":"In Brazil, young transgender women (YTW) bear a disproportionate burden of HIV, which persists despite technological advances in biomedical prevention. This study explores how rights violations across different areas of life shape YTW's vulnerability to HIV through an intersectional lens. We conducted 13 in-depth interviews and one group interview with YTW participating in an HIV pre-exposure prophylaxis (PrEP) cohort. Thematic analysis with intersectional sensibility focused on six dimensions: family, schooling, romantic-sexual relationships, friendships, work, and health. The results show that gender transition impacted all areas. Rights violations prevailed in family and school settings, while supportive friendships and romantic relationships contributed to protecting their rights. A synergistic effect emerged: family disruptions hindered education, leading to precarious jobs and increased exposure to sexual exploitation. Conversely, family and school support promoted education continuity and access to basic needs. Though healthcare discrimination was reported, HIV services were largely respectful and extended care beyond prevention. The findings highlight how interconnected rights violations during youth can deepen HIV vulnerability. Effective prevention must extend beyond biomedical access to include strategies that protect rights and strengthen community and institutional support for YTW.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2560944"},"PeriodicalIF":2.1,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extending public health framings of drug use to the health impacts of drug production: The case of coca growers in Northeastern Colombia. 将毒品使用的公共卫生框架扩大到毒品生产对健康的影响：哥伦比亚东北部古柯种植者的案例。

IF 2.1 3区医学

Global Public Health Pub Date : 2025-12-31 Epub Date: 2025-09-26 DOI: 10.1080/17441692.2025.2563580

Lina Pinto-García, Javier Lezaun

{"title":"Extending public health framings of drug use to the health impacts of drug production: The case of coca growers in Northeastern Colombia.","authors":"Lina Pinto-García, Javier Lezaun","doi":"10.1080/17441692.2025.2563580","DOIUrl":"https://doi.org/10.1080/17441692.2025.2563580","url":null,"abstract":"This article critically examines the absence of a public health approach to the well-being of coca leaf producers in Colombia, a group disproportionately affected by the War on Drugs. While harm reduction frameworks address drug consumption as a public health issue, no comparable strategy has been developed to tackle the health vulnerabilities afflicting those involved in drug production. Drawing on ethnographic research and interviews in Catatumbo - a coca-producing region in northeastern Colombia - this study highlights the multiple health risks faced by coca producers and leaf pickers, including toxic chemical exposure, vector-borne diseases, and the mental health consequences of pervasive violence, economic hardship, and sexual exploitation. These issues are exacerbated by stigmatization, infrastructural deficits, and militarized forms of state action. The article contests prevailing security and rural development models for tackling the public health challenges of populations engaged in criminalized agrarian activities, advocating instead for a reconceptualization of community health that incorporates harm reduction principles. It proposes an 'oblique' model of healthcare that values the mediation of community health workers and the autonomous organization of coca-growers. By bridging public health and peacebuilding discourses, it reframes the health challenges of coca leaf producers as matters of care and justice, rather than solely criminality or development.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2563580"},"PeriodicalIF":2.1,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers and enablers towards integrated care for survivors of sexual violence in humanitarian settings: A real-time qualitative Delphi study. 人道主义环境中性暴力幸存者综合护理的障碍和推动因素：一项实时定性德尔菲研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-04 DOI: 10.1080/17441692.2025.2460016

Engy Sawah, Karina Kielmann, Joris Michielsen

{"title":"Barriers and enablers towards integrated care for survivors of sexual violence in humanitarian settings: A real-time qualitative Delphi study.","authors":"Engy Sawah, Karina Kielmann, Joris Michielsen","doi":"10.1080/17441692.2025.2460016","DOIUrl":"10.1080/17441692.2025.2460016","url":null,"abstract":"In humanitarian settings with high levels of sexual violence (SV), care is often offered through fragmented silos, exacerbating the burden on the health workforce and survivors. We aimed to identify contextual and health systems barriers and enablers to providing integrated medical and mental health & psychosocial support (MHPSS) in the care for SV survivors in humanitarian settings. Using Valentijn's framework, a qualitative, real-time Delphi study (RTD) approach was conducted with 17 experts representing seven geographical subregions. Challenges and enablers identified across the participants' contexts were consistent. Contextual challenges included volatile contexts, collapsed health systems, and insufficient basic infrastructure. Professional-related challenges included lacking expertise among healthcare professionals (HCPs), high staff attrition rates, and compassion fatigue. Health systems-related challenges included poor referral and coordination mechanisms, lack of funding and resources, misaligned donor priorities and low prioritisation of SV comprehensive care. Effective networking, community engagement, capacity building, co-locating services, participatory management, promoting employees' sense of ownership, establishing a digital information system, and a unified joint patient file were key identified enablers. Further research should be conducted to assess HCPs' and SV survivors' perceptions and experiences of how best to integrate MHPSS services, and understand the challenges and opportunities in delivering integrated services.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2460016"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The BERC-Luso project: Legislative, institutional, and educational impact evaluation. BERC-Luso项目：立法、制度和教育影响评估。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-05-06 DOI: 10.1080/17441692.2025.2499094

Jorge Pedro Barroso Batista, Maria Alexandra Ribeiro, Leonor Soares, Joana Araújo, Helder Mota Filipe, Maria do Céu Patrão Neves

{"title":"The BERC-Luso project: Legislative, institutional, and educational impact evaluation.","authors":"Jorge Pedro Barroso Batista, Maria Alexandra Ribeiro, Leonor Soares, Joana Araújo, Helder Mota Filipe, Maria do Céu Patrão Neves","doi":"10.1080/17441692.2025.2499094","DOIUrl":"https://doi.org/10.1080/17441692.2025.2499094","url":null,"abstract":"The Biomedical Ethics and Regulatory Capacity Building for Portuguese-Speaking African Countries Project (BERC-Luso) was a four-year project that aimed to enhance biomedical ethics and regulatory capacities in five Portuguese-Speaking African Countries (PSAC). BERC-Luso was developed considering the PSAC scarce number of clinical trials, exploring an untapped potential. The project's interventions focused on three primary areas: legislative, institutional, and capacity building. The common aim was to create attractive conditions for conducting clinical trials, guaranteeing population protection and benefit of the country. The project evaluated national legislative frameworks and recommended strengthening actions. Through implementing top-down and bottom-up approaches, BERC-Luso involved ministries, political stakeholders, policymakers, and diplomatic channels. These strategies prompted legislative initiatives and reforms. The outcomes evaluation reflected a high level of success rate, with 78.59% of the targets being achieved. The impact level was demonstrated by the engagement with stakeholders, resulting in activities that impacted over 71,149 professionals. The project emphasises the need for more investment in capacity-building, reinforcing best practices' implementation at legislative, institutional and training levels. BERC-Luso fostered collaboration between partner countries, contributing to a supportive environment of African biomedical research.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2499094"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development, validation and reliability of knowledge, attitudes and practice questionnaire for people affected by leprosy reactions. 针对麻风病反应患者的知识、态度和行为问卷的编制、验证和可靠性。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-05-12 DOI: 10.1080/17441692.2025.2501163

Asiyah T Maulana, Annisa Ika Putri, Brittney S Mengistu, Stephen L Walker, Ruth M H Peters

{"title":"Development, validation and reliability of knowledge, attitudes and practice questionnaire for people affected by leprosy reactions.","authors":"Asiyah T Maulana, Annisa Ika Putri, Brittney S Mengistu, Stephen L Walker, Ruth M H Peters","doi":"10.1080/17441692.2025.2501163","DOIUrl":"https://doi.org/10.1080/17441692.2025.2501163","url":null,"abstract":"Leprosy reactions occur in 20-50% of people affected by leprosy. Previous studies have shown that lack of awareness and understanding of leprosy reactions among affected individuals and healthcare workers. This study aims to design and validate a knowledge, attitudes, and practices (KAP) questionnaire to assess understanding of leprosy reactions among leprosy-affected individuals. This study employed a sequential exploratory design in three phases. During interviews, affected individuals expressed dissatisfaction with the level of information provided by medical practitioners regarding leprosy reactions. People affected by leprosy reactions shared experiences of frustration, treatment barriers, and difficulties with daily activities during interviews and workshops. The pilot test with eight affected individuals let to the removal of one question, the addition of a new question, and adjustment to wording and instructions. Cronbach's alpha was calculated based on data collected from 63 individuals. The overall Cronbach's alpha was 0.71. The final KAP questionnaire consists of 39 questions, is considered clear and acceptable by users and can therefore be used to measure the KAP of individuals with leprosy reactions in Indonesia. KAP questionnaires have the potential to identify gaps in understanding of leprosy reactions and are expected to be helpful in assessing the effectiveness of interventions.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2501163"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An intersectional analysis of social constraints and agency among sex workers in Tunisia during the COVID-19 pandemic; the community-based qualitative study EPIC-MENA. COVID-19大流行期间突尼斯性工作者的社会约束和机构交叉分析基于社区的定性研究EPIC-MENA。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-03 DOI: 10.1080/17441692.2025.2486436

Marion Di Ciaccio, Elisa Adami, Nassima Boulahdour, Othmane Bourhaba, Juliana Castro Avila, Nicolas Lorente, Khawla Beldi Chouikha, Montassar Nabli, Sonia Torkhani, Mehdi Karkouri, Daniela Rojas Castro

{"title":"An intersectional analysis of social constraints and agency among sex workers in Tunisia during the COVID-19 pandemic; the community-based qualitative study EPIC-MENA.","authors":"Marion Di Ciaccio, Elisa Adami, Nassima Boulahdour, Othmane Bourhaba, Juliana Castro Avila, Nicolas Lorente, Khawla Beldi Chouikha, Montassar Nabli, Sonia Torkhani, Mehdi Karkouri, Daniela Rojas Castro","doi":"10.1080/17441692.2025.2486436","DOIUrl":"10.1080/17441692.2025.2486436","url":null,"abstract":"The economic, social and health impacts of the COVID-19 pandemic varied across population groups. This study aimed to provide a comprehensive view of the effects of socioeconomic constraints on sex workers' agency during the COVID-19 pandemic in Tunisia, using the analytical framework of intersectionality. We performed a thematic content analysis of semi-structured interviews conducted with sex workers (n = 19). Results highlighted the heavy burden of socioeconomic constraints on their agency, and specifically on their decision to continue sex work or not during the pandemic. The fact that there were fewer clients during the pandemic led to greater economic precarity, especially among mothers. Furthermore, interviewees - mostly cisgender male sex workers with same-sex practices - reported increased violence and discrimination by clients and the police. Participants also experienced difficulties accessing health care for themselves and for their children, including access to COVID-19 vaccination. This was especially true for women with a low educational level. Finally, sex workers' mental health was also strongly affected by the pandemic. Findings highlights the role of various intersecting socioeconomic conditions and structural vulnerabilities on sex workers' experience of the COVID-19 pandemic in Tunisia, in terms of health and their capacity to negotiate agency.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2486436"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social capital as an instrument for health literacy promotion among community-dwelling older adults in Hong Kong. 社会资本作为促进香港社区长者健康知识普及的工具。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-07 DOI: 10.1080/17441692.2025.2486433

Padmore Adusei Amoah, Vera Mun Yu Tang, Moses Adjei

{"title":"Social capital as an instrument for health literacy promotion among community-dwelling older adults in Hong Kong.","authors":"Padmore Adusei Amoah, Vera Mun Yu Tang, Moses Adjei","doi":"10.1080/17441692.2025.2486433","DOIUrl":"https://doi.org/10.1080/17441692.2025.2486433","url":null,"abstract":"This study investigates how different forms of social capital influence the health literacy of community-dwelling older adults. Semi-structured interviews were conducted with 24 older adults aged 65 and above living in Hong Kong. Thematic analysis technique was employed to analyse the data. The findings showed that both structural and cognitive forms of social capital were available to most of the older adults. However, some struggled to access common forms of social capital, such as bonding and expressed distrust in their neighbours. Some respondents demonstrated sufficient health literacy (e.g. seeking a second medical opinion), while others had limited health literacy (e.g. difficulties seeking advice during medical consultations). The influence of social capital on older adults' health literacy was evident in four areas: (1) social capital and access to health information; (2) managing infodemic and evaluating healthcare information; (3) social capital and quality of healthcare; and (4) adverse influence of social capital for health literacy and health-related outcomes. Health literacy can impel older adults towards healthy ageing, and its reinforcement can be strengthened by incorporating various forms of social capital. This is because the health literacy of older adults is fundamentally tied to social interactions.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2486433"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Central American fathers' perspectives on HPV vaccination: A qualitative study conducted in the United States. 中美洲父亲对HPV疫苗接种的看法：在美国进行的一项定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-06-09 DOI: 10.1080/17441692.2025.2516696

Denise Lima Nogueira, Denisse Delgado, Virginia Arango Moreno, Madelyne J Valdez, Doris Lucero, Axel Hernandez Nieto, Nachalie Rodriguez-Cruz, Ana Cristina Lindsay

{"title":"Central American fathers' perspectives on HPV vaccination: A qualitative study conducted in the United States.","authors":"Denise Lima Nogueira, Denisse Delgado, Virginia Arango Moreno, Madelyne J Valdez, Doris Lucero, Axel Hernandez Nieto, Nachalie Rodriguez-Cruz, Ana Cristina Lindsay","doi":"10.1080/17441692.2025.2516696","DOIUrl":"https://doi.org/10.1080/17441692.2025.2516696","url":null,"abstract":"This qualitative study examined factors influencing Central American fathers' views and behaviours on the HPV vaccine for their 11-17-year-old children, aiming to identify barriers and facilitators to vaccination in this underrepresented group. Semi-structured interviews were conducted with 23 fathers (mean age = 44.2, SD = 8.2) from El Salvador, Guatemala, and Honduras (91.3% foreign-born, average U.S. residency = 18.1 years). About 70% were married or living with a partner, and nearly half (47.8%) had less than a high school education. Most had one child aged 11-17, with 70% of children born in the U.S. Findings revealed gaps in fathers' knowledge about HPV, its cancer-preventive benefits, and vaccine safety concerns. Cultural factors and gendered views on vaccination were prevalent. Around 33% of fathers reported that their children received an HPV vaccine recommendation, and all initiated vaccination. Fathers preferred receiving vaccine information from healthcare providers, highlighting their critical role in decision-making. Findings highlight the need for culturally tailored health promotion strategies aimed at Central American immigrant fathers. Public health campaigns should directly address vaccine safety concerns, incorporate cultural values, and emphasise the importance of informed decision-making, and engage healthcare providers to boost HPV vaccine uptake and reduce vaccine hesitancy in this population.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2516696"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges implementing technology transfer as a viable pathway for equitable vaccine production and access: A case study of the mRNA vaccine hub in South Africa. 将技术转让作为公平疫苗生产和获取的可行途径实施的挑战：对南非mRNA疫苗中心的案例研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-05-27 DOI: 10.1080/17441692.2025.2504698

Omowamiwa Kolawole, Caroline Ncube, Jeremy de Beer

引用次数: 0

Reevaluating vaccine preferences and political influences in the MENA region. 重新评估中东和北非地区的疫苗偏好和政治影响。

IF 2.1 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-07-28 DOI: 10.1080/17441692.2025.2539275

Brijesh Sathian, Jayadevan Sreedharan, Javed Iqbal, Jayakumary Muttappallymyalil

引用次数: 0