International Journal of Public Health最新文献

Nutritional services in primary healthcare in the Republic of Srpska, Bosnia and Herzegovina: strengthening prevention through multidisciplinary approaches. 波斯尼亚和黑塞哥维那斯普斯卡共和国初级保健中的营养服务：通过多学科方法加强预防。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-10-02 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609839

Jelena Niškanović, Dragana Stojisavljević, Dijana Manigoda

{"title":"Nutritional services in primary healthcare in the Republic of Srpska, Bosnia and Herzegovina: strengthening prevention through multidisciplinary approaches.","authors":"Jelena Niškanović, Dragana Stojisavljević, Dijana Manigoda","doi":"10.3389/ijph.2026.1609839","DOIUrl":"10.3389/ijph.2026.1609839","url":null,"abstract":"Objectives: This study aimed to assess the provision of nutritional services in primary healthcare facilities (PHCs) in the Republic of Srpska, Bosnia and Herzegovina, with a focus on differences between departments, namely Family Medicine, Pediatrics, and Gynecology.Methods: A mixed-methods design was applied, combining a cross-sectional quantitative survey and qualitative focus group discussions. The quantitative component included 50 PHC facilities, while qualitative data were collected through three focus groups with healthcare professionals.Results: Services related to the improvement of nutrition and the prevention of non-communicable diseases (NCDs) were provided by 92.4% of PHCs, while 80.5% monitored the nutritional status of the population. Key barriers included lack of time, insufficient staffing, limited financial incentives, and the absence of standardized guidelines. Significant differences in the reported lack of time were found between departments (F = 4.402, p < 0.05), specifically between the Gynecology and Family Medicine departments.Conclusion: Findings from healthcare personnel highlight the need for a systemic reorganization of service provision, the development of standardized nutritional guidelines, and the strengthening of preventive services through multidisciplinary approaches.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609839"},"PeriodicalIF":3.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216329","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}

引用次数: 0

The association between green space, socioeconomic deprivation, and COVID-19 infection: a population-based cross-sectional study. 绿地、社会经济剥夺和COVID-19感染之间的关系：一项基于人群的横断面研究。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-10-01 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609558

Ruoyu Wang, Lynsey Patterson, Aideen Maguire, Ruth F Hunter

{"title":"The association between green space, socioeconomic deprivation, and COVID-19 infection: a population-based cross-sectional study.","authors":"Ruoyu Wang, Lynsey Patterson, Aideen Maguire, Ruth F Hunter","doi":"10.3389/ijph.2026.1609558","DOIUrl":"10.3389/ijph.2026.1609558","url":null,"abstract":"Objectives: To assess the association between green space, socioeconomic deprivation, and infection with COVID-19 in Northern Ireland (NI).Methods: This cross-sectional study included all NI individuals who were tested for COVID-19 in 2020 and 2021 (N = 519,005). Analyses were conducted using multilevel logistic regression models. The proportion of green space was measured within neighborhoods in 2020 and expressed as quintiles.Results: Of the participants, 318,198 (61.31%) had records of testing positive for COVID-19. The results indicated that individuals living in areas with higher woodland cover had lower odds of reporting a positive COVID-19 test result (e.g., fifth quintile: OR = 0.939; 95% CI = 0.894, 0.987). However, individuals living in areas with higher grassland cover had higher odds of reporting a positive COVID-19 test result (e.g., fifth quintile: OR = 1.062; 95% CI = 1.018, 1.108). These associations were stronger in deprived neighborhoods.Conclusion: Woodland may provide opportunities for safer social contact while attempting to balance the risk of viral transmission and the potential for positive health behaviors, particularly in more socioeconomically deprived areas. The government should work with urban planners and improve the availability of green spaces as part of future pandemic preparedness strategies.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609558"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216323","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}

引用次数: 0

The impact of armed conflict exposure on preterm birth, stillbirth, and neonatal anthropometric measures: a systematic review and meta-analysis. 武装冲突暴露对早产、死胎和新生儿人体测量的影响：一项系统回顾和荟萃分析。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-10-01 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609784

Amani N Alansari, Alhan F Sabbah, Amani Salim, Bejoy Varghese, Kalpana Singh, Alaa Ahmed Elshanbary

{"title":"The impact of armed conflict exposure on preterm birth, stillbirth, and neonatal anthropometric measures: a systematic review and meta-analysis.","authors":"Amani N Alansari, Alhan F Sabbah, Amani Salim, Bejoy Varghese, Kalpana Singh, Alaa Ahmed Elshanbary","doi":"10.3389/ijph.2026.1609784","DOIUrl":"10.3389/ijph.2026.1609784","url":null,"abstract":"Objectives: To assess the association between armed conflict exposure and neonatal outcomes, including preterm birth, stillbirth, neonatal mortality, and anthropometric measures.Methods: We conducted this systematic review following PRISMA guidelines. PubMed, EMBASE, Web of Science, and SCOPUS were searched from inception to January 2026. Studies examining neonatal outcomes among populations exposed to armed conflict, compared with non-exposed or pre-war populations were included. Meta-analyses were conducted using RevMan 5.4 software.Results: Seven studies encompassing diverse conflict settings met the inclusion criteria. No significant associations were observed for preterm birth (OR 0.80, 95% CI 0.61-1.05), stillbirth (OR 0.98, 95% CI 0.93-1.05), or neonatal mortality (OR 1.07, 95% CI 0.73-1.56) after accounting for heterogeneity. Conflict-exposed neonates had higher birth weight (MD 1.56 kg, 95% CI 0.55-2.56) and head circumference (MD 0.60 cm, 95% CI 0.47-0.74).Conclusion: The absence of adverse associations should not be interpreted as evidence of protection. These findings highlight methodological limitations in conflict epidemiology and the urgent need for community-based surveillance systems capturing outcomes among vulnerable populations unable to access healthcare during armed conflicts.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609784"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216347","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}

引用次数: 0

Evaluating indoor residual spraying in Côte d'Ivoire: the role of routine malaria data quality. 评估Côte科特迪瓦室内残留喷洒：常规疟疾数据质量的作用。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-10-01 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1608766

Christian Selinger, Kouakou D Appeti, Sumaiyya Thawer, Georgina Angoa, Serge A Aïmain, Serge B Assi, Emilie Pothin, Emily R Hilton, Antoine M Tanoh

{"title":"Evaluating indoor residual spraying in Côte d'Ivoire: the role of routine malaria data quality.","authors":"Christian Selinger, Kouakou D Appeti, Sumaiyya Thawer, Georgina Angoa, Serge A Aïmain, Serge B Assi, Emilie Pothin, Emily R Hilton, Antoine M Tanoh","doi":"10.3389/ijph.2026.1608766","DOIUrl":"10.3389/ijph.2026.1608766","url":null,"abstract":"Objectives: Indoor residual spraying (IRS) was introduced in Côte d'Ivoire in 2020. We seek to identify potential factors that could compromise the quality of routine malaria incidence and determine how impact quantification of IRS on malaria incidence depends on data quality by emphasizing robust counterfactuals with contemporaneous covariates.Methods: Using mixed-effect models and correlation analysis we compare data from two sources (routine surveillance and re-digitized registries). To quantify decrease in incidence post intervention, we apply Bayesian structural time series analysis with posterior feature selection to determine impact confounders.Results: The presence of IRS, test positivity and reporting rates are significant factors impacting data quality. For high-quality data, we estimate a 12% resp. 19% decrease in incidence rate 1 year after the intervention, while for low-quality data estimates are 30% resp. 42%. Important covariates for counterfactual modeling are control district incidence, reporting and test positivity rates.Conclusion: Improvements in data quality by scrutinizing test positivity rates and health facility reporting can help avoid overly optimistic impact estimations for IRS. Incidence control districts remain inevitable in order to factor out impact confounders.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1608766"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216353","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}

引用次数: 0

Why historical data matter for understanding the long-term effects of measles. 为什么历史数据对了解麻疹的长期影响很重要。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-09-28 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1610290

Harris Bendel, Katarina L Matthes

引用次数: 0

Considering young and socially marginalized people in urban revitalization: evidence on enablers and barriers from a mid-size Canadian city. 考虑城市复兴中的年轻人和社会边缘人群：来自加拿大中型城市的推动因素和障碍的证据。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-09-28 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609821

Martine Shareck, Clara Blache-Pichette, Jeremy Hugonnier, Meghan Winters, Anne-Marie Tougas, Daniel Fuller

{"title":"Considering young and socially marginalized people in urban revitalization: evidence on enablers and barriers from a mid-size Canadian city.","authors":"Martine Shareck, Clara Blache-Pichette, Jeremy Hugonnier, Meghan Winters, Anne-Marie Tougas, Daniel Fuller","doi":"10.3389/ijph.2026.1609821","DOIUrl":"10.3389/ijph.2026.1609821","url":null,"abstract":"Objective: This study explored what enabled and constrained consideration of young and socially marginalized people's needs and interests in the downtown revitalization of a mid-size Canadian city.Methods: In this interpretive descriptive study, we conducted nine semi-structured interviews with 10 key informants from the municipal, community organization and private sectors involved in the revitalization initiative. We analyzed interview transcripts following the framework method to identify main themes.Results: According to participants, young and socially marginalized people's needs and interests were not explicitly considered since the initiative predominantly aimed to improve the downtown physical and economic environment. Participants were, however, open to collaborate for a more equitable and inclusive revitalization, but diverging perspectives on (1) reasons for revitalizing the downtown, (2) how \"young\" and \"socially marginalized\" people were implicitly defined, (3) collaborative structures and mechanisms, and (4) public participation processes and strategies, constrained fulsome consideration of these groups.Conclusion: The factors we identified as enabling and constraining consideration of young and socially marginalized people who experience neighbourhood revitalization firsthand can serve as a springboard to devise solutions for inclusive and health-promoting urban planning.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609821"},"PeriodicalIF":3.2,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13654851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165716","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}

引用次数: 0

Joint trajectories of health behaviors and their associations with healthcare utilization and expenditure. 健康行为的联合轨迹及其与医疗保健利用和支出的关联。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-09-25 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609686

Jeong Min Yang, Jang Mook Kim, Tae Su Jang, Jieun Hwang

{"title":"Joint trajectories of health behaviors and their associations with healthcare utilization and expenditure.","authors":"Jeong Min Yang, Jang Mook Kim, Tae Su Jang, Jieun Hwang","doi":"10.3389/ijph.2026.1609686","DOIUrl":"10.3389/ijph.2026.1609686","url":null,"abstract":"Objectives: This study identified sex-specific trajectories of key health behaviors among middle-aged and older adults and examined their longitudinal associations with healthcare utilization and expenditure.Methods: We analyzed 167,343 Korean adults aged 40-79 years from 2002 to 2019 using the National Health Insurance Service Health Screening Cohort. Group-based multi-trajectory modeling identified joint trajectories of smoking, alcohol consumption, physical activity, and BMI. Associations with healthcare outcomes were assessed using generalized estimating equations stratified by sex and age group.Results: Six distinct health behavior trajectories were identified in both sexes. Among men, the higher moderate-risk trajectory showed fewer outpatient visits but longer hospital stays. Among women, the higher severe-risk trajectory was associated with increased expenditures and higher healthcare utilization. Age-stratified analyses revealed stronger associations for severe-risk trajectories in men aged <65 years and lower severe-risk trajectories in those aged ≥65 years.Conclusion: Sex- and age-specific behavioral trajectories were differentially associated with healthcare utilization and expenditure, underscoring the importance of multidimensional behavioral patterns in developing preventive strategies to reduce healthcare burdens.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609686"},"PeriodicalIF":3.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216281","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}

引用次数: 0

Stress and coping among dual caregivers in China: a grounded theory study of intergenerational caregiving. 中国双重照顾者的压力与应对：代际照顾的基础理论研究。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-09-23 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1610111

Han Hu

{"title":"Stress and coping among dual caregivers in China: a grounded theory study of intergenerational caregiving.","authors":"Han Hu","doi":"10.3389/ijph.2026.1610111","DOIUrl":"10.3389/ijph.2026.1610111","url":null,"abstract":"Objectives: To examine how adults who simultaneously care for older adults and children aged 0-6 years experience competing demands, mobilize resources, and negotiate caregiving decisions in two Chinese cities.Methods: We conducted a qualitative grounded theory study with 23 dual caregivers in Shanghai and Xi'an. Participants were recruited from an online questionnaire pool and interviewed using a semi-structured guide. Interview transcripts were analyzed through constant comparison and iterative coding.Results: The analysis generated a feedback process linking continuous and competing care demands, secondary strains, conditional resources, and negotiated outcomes. Overlapping, urgent, and difficult-to-substitute tasks extended strain into work, finances, psychological wellbeing, and family relationships. Family help, formal and market services, and self-regulation widened caregivers' room for action only when they were accessible, reliable, affordable, and matched to specific tasks. Caregivers formed four changeable strategy configurations and made varied adjustments to work, further childbearing, and future planning.Conclusion: Dual caregiving is a dynamic process in which competing demands, resource allocation, and strategy adjustment reinforce one another. Continuous, affordable, and time-matched support may strengthen families' capacity to sustain care.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1610111"},"PeriodicalIF":3.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13642225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127424","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}

引用次数: 0

Work ability literacy among managers in the health and social care sector - a qualitative study. 卫生和社会保健部门管理人员的工作能力和素养——一项定性研究。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-09-22 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1610014

Eveliina Korkiakangas, Maria Paavolainen, Kirsikka Selander, Risto Nikunlaakso, Maarit Kaartinen, Tiina Koivisto, Nina Nevanperä, Jaana Laitinen

{"title":"Work ability literacy among managers in the health and social care sector - a qualitative study.","authors":"Eveliina Korkiakangas, Maria Paavolainen, Kirsikka Selander, Risto Nikunlaakso, Maarit Kaartinen, Tiina Koivisto, Nina Nevanperä, Jaana Laitinen","doi":"10.3389/ijph.2026.1610014","DOIUrl":"10.3389/ijph.2026.1610014","url":null,"abstract":"Objective: to deepen the understanding of the contents of work ability literacy among managers in the health and social care sector regarding both their own and their employees' work ability.Methods: Semi-structured interviews were conducted from June to October in 2024 with 49 managers in the health and social care sector in Finland.Results: Managers' knowledge about work ability and its promotion is shaped by organizational information, personal experience and education, and interactions within the work community. Their aim in supporting work ability is to ensure effective organizational operations, promote employee wellbeing, and fulfil their managerial responsibilities. Managers have varied understandings of work ability, which can focus on individual traits, personal life or adaptation and modification of work. Practical methods to support work ability include adjusting work content, referring employees to occupational health services, offering social support, enhancing professional skills, and promoting healthy lifestyles and recovery from work.Conclusion: To effectively support work ability, managers need adequate resources and more education on contents of work ability literacy. Especially skills and possibilities to prevent work disability are needed.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1610014"},"PeriodicalIF":3.2,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108808","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}

引用次数: 0

Deploying artificial intelligence for occupational and environmental health in waste management: a systematic review. 在废物管理中为职业和环境健康部署人工智能：系统审查。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-09-21 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1610020

Wei Li, Zhengyan Ge, Hui Wang, Mingzi Yuan, Zhican Yin

{"title":"Deploying artificial intelligence for occupational and environmental health in waste management: a systematic review.","authors":"Wei Li, Zhengyan Ge, Hui Wang, Mingzi Yuan, Zhican Yin","doi":"10.3389/ijph.2026.1610020","DOIUrl":"10.3389/ijph.2026.1610020","url":null,"abstract":"Objectives: This systematic review examines how artificial intelligence (AI) mitigates occupational and environmental health risks in waste management, a sector where workers and communities face infectious, toxic, and physical hazards.Methods: Following PRISMA guidelines, we systematically searched the SCOPUS database and reviewed 81 peer-reviewed articles. The analysis focused on the types of AI technologies applied, their deployment across waste management stages, and the specific health risks they address.Results: The analysis identifies five types of health risks targeted by AI applications. AI is deployed across five waste management stages and four technical paradigms (supervised, unsupervised, reinforcement, and deep learning). AI alleviates hazards via three primary pathways: automated risk-source isolation, robotic substitution for high-risk tasks, and macro-level exposure monitoring.Conclusion: Current public health research has largely neglected health risk reduction gains from waste management technological innovation. Institutional innovations that can facilitate responsible AI deployment are discussed. This interdisciplinary perspective underscores the necessity of cross-sector collaboration to tackle public health issues.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1610020"},"PeriodicalIF":3.2,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13634977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109496","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}

引用次数: 0